A Health Education Program to Increase Hope and Improve Energy Balance Among Seniors in the Urban Subarctic

为亚北极城市老年人增加希望并改善能量平衡的健康教育计划

• 批准号: 10360340
• 负责人: Britteny M Howell
• 金额: $ 38.28万
• 依托单位: UNIVERSITY OF ALASKA ANCHORAGE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-02-01 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10360340
• 关键词: Address; Affect; Aging; Alaska; Alaska Native; Alzheimer' s disease related dementia; Arctic Regions; Area; Behavior; Behavioral; Body mass index; Breathing; COVID-19; COVID-19 pandemic; Characteristics; Collection; Communities; Country; Coupled; Data; Data Analyses; Diet; Dietary intake; Diffuse; Diffusion; Educational Curriculum; Elderly; Energy Intake; Environment; Environmental Risk Factor; Event; Exercise; Fostering; Fruit or Vegetable; Future; Goals; Health; Health Promotion; Health Status; Health behavior; Health behavior change; Health education; Housing; Infrastructure; Institution; Intake; Intervention; Knowledge; Leisures; Longevity; Low income; Measures; Mental Depression; Minority; Minority Groups; Morbidity - disease rate; Native-Born; Nutritional; Obesity; Outcome; Participant; Patient Self-Report; Perception; Persons; Phase; Physical Function; Physical activity; Pilot Projects; Population; Population Heterogeneity; Populations at Risk; Process; Program Evaluation; Provider; Quality of life; Research; Research Assistant; Research Personnel; Risk; Sampling; Self Efficacy; Self Perception; Site; Students; Testing; Time; Underserved Population; United States National Institutes of Health; Universities; Weight Gain; Woman; Work; aging population; base; behavior change; design; dietary; effective intervention; energy balance; experience; follow-up; fruits and vegetables; graduate student; health care availability; health communication; health disparity; healthy aging; high risk population; improved; innovation; interest; journal article; learning outcome; mortality; novel; obesity risk; optimism; programs; psychological outcomes; resilience; sedentary lifestyle; sociodemographics; symposium; trend; undergraduate research; undergraduate student

Project Summary Obesity rates have increased among older (age 60+) adults in the U.S., from 31% in 2008 to approximately 43% in 2018. Older adults are a high-risk population because obesity is associated with increased morbidity, including Alzheimer’s Disease and Related Dementias (ADRD), early mortality, and decreased physical functioning and quality of life. Studies show that the primary driver of weight gain across the lifespan is behavioral: sedentary behaviors coupled with excessive energy intake, resulting in energy imbalance. Health education has been shown to improve dietary and physical activity behaviors for older adults, resulting in increased quality of life; however, changes appear difficult for older adults to maintain. This project uses preliminary data from a pilot project to: create a curriculum using asset-based, positive, hope-based healthy aging messaging; create rigorous program evaluation measures; and improve the research environment at UAA by substantially involving undergraduate students throughout the project. The research team will address these overall goals with the following specific aims: 1) to create and deliver an innovative, positive healthy aging curriculum that includes persuasive hope messages of resilience for an underserved population of Alaska Native and other minority older adults; and 2) to examine the impact of this positive healthy aging program on short- and long-term health outcomes, including an exploration of participant and environmental factors associated with program efficacy. This work is significant because it will fill knowledge gaps regarding appropriate health behavior change interventions for diverse older adult struggling with negative self-perceptions and health disparities, and to test the short- and long-term impact of persuasive hope messaging in this population. The project will strengthen the research environment at this primarily undergraduate-serving institution by creating an infrastructure to expand the work of the UAA Healthy Aging Research Lab. This project will gather small groups of older adults to increase hope and healthy behaviors during the COVID-19 pandemic that has resulted in increased isolation and depression among older adults. This project will allow two graduate students and 10 undergraduate research assistants to contribute to the design of the program, collection and analysis of data, as well as presenting results via co-authored journal articles and conference presentations. By developing and delivering a health education program using asset-based, hopeful messages of resilience and healthy aging, this project will improve dietary and exercise behaviors and energy balance. Impacts include identifying practices that foster positive perceptions of aging and improving health and quality of life of a diverse, at-risk population.

项目摘要 在美国老年人（60岁以上）的肥胖率已从2008年的31％增加到约43％ 2018年。老年人是高风险人口，因为肥胖与发病率的增加有关，包括 阿尔茨海默氏病和相关痴呆症（ADRD），早期死亡率以及改善的身体机能和 生活质量。研究表明，整个寿命的体重增加的主要驱动力是行为：久坐的 行为加上过量的能量摄入，导致能量失衡。健康教育一直是 证明可以改善老年人的饮食和体育锻炼行为，从而提高生活质量； 但是，老年人似乎很难维持变化。该项目使用飞行员的初步数据 项目至：使用基于资产的，积极的，基于希望的健康老龄化消息创建课程；创造严格的 计划评估措施；并通过实质性参与来改善UAA的研究环境 整个项目的本科生。研究团队将通过 以下具体目的：1）创建和提供创新，积极的健康老化课程，包括 有说服力的希望信息有关阿拉斯加当地人和其他少数民族少的人口的弹性信息 成年人; 2）检查这个积极健康的衰老计划对短期和长期健康的影响 结果，包括探索与计划效率相关的参与和环境因素。 这项工作很重要，因为它将填补有关适当健康行为改变的知识空白 对潜水员老年人的干预措施，具有负面的自我认知和健康差异，并测试 有说服力的希望消​​息传递对这个人群的短期和长期影响。该项目将加强 通过创建基础架构扩展的基础架构，在该主要本科生工作机构的研究环境 UAA健康衰老研究实验室的工作。该项目将聚集一小群老年人以增加 在19009年大流行期间的希望和健康行为导致孤立和 老年人的抑郁症。该项目将允许两名研究生和10个本科研究 助手为计划的设计，数据收集和分析以及提出结果做出贡献 通过共同撰写的期刊文章和会议演讲。通过发展和提供健康教育 使用基于资产的，充满弹性和健康衰老的信息的计划，该项目将改善饮食 以及运动行为和能量平衡。影响包括确定促进积极看法的实践 衰老，改善多样性，处于危险的人口的健康和生活质量。