Digital Health Physical Activity Program for Older Family Care Partners of Patients with Heart Failure

针对心力衰竭患者的老年家庭护理伙伴的数字健康体育活动计划

• 批准号: 10448135
• 负责人: Dawon Baik
• 金额: $ 17.25万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10448135
• 关键词: Address; Affect; Aging; COVID-19 pandemic; Cardiac; Cardiovascular Diseases; Caregiver support; Caring; Chronic; Chronic Disease; Clinical Trials; Colorado; Communities; Complex; Data; Dementia; Development; Development Plans; Discipline of Nursing; Disease; Elderly; Emotional; Ensure; Environment; Exercise; Family; Feedback; Foundations; Frequencies; Friends; Goals; Health; Health Benefit; Health Promotion; Health Status; Health Technology; Healthcare; Heart failure; Home; Individual; Intervention; Interview; K-Series Research Career Programs; Knowledge; Malignant Neoplasms; Mental Health; Mentored Patient-Oriented Research Career Development Award; Mentorship; Methods; Older Population; Outcome; Patient Care; Patients; Perception; Personal Satisfaction; Persons; Physical Function; Physical activity; Population; Population Heterogeneity; Preparation; Public Health; Public Health Informatics; Quality of life; Randomized; Reporting; Research; Risk; Self Care; Self Efficacy; Self Management; Sleep; Sleep disturbances; Social isolation; Social support; Spouses; Symptoms; Technology; Testing; Text Messaging; Time; Universities; Videoconferencing; age related; attentional control; base; behavior change; behavioral health intervention; biobehavior; care giving burden; care recipients; career; career development; caregiving; clinical trial implementation; college; design; digital health; efficacy study; exercise intervention; experience; family burden; family support; field study; fitbit; improved; mHealth; novel; participant retention; physical conditioning; posthospitalization care; prevent; primary outcome; programs; psychologic; psychological distress; psychological outcomes; research and development; sedentary; skills; sleep health; stressor; tailored messaging; telehealth; training opportunity; usability; wearable sensor technology

PROJECT SUMMARY/ABSTRACT My career goal is to establish an independent aging research program focused on designing and evaluating high quality, technology-based behavioral health interventions to improve self-management and quality of life (QoL) of community-dwelling older adults, particularly older family care partners (FCPs). More than 17 million FCPs, including family, friends, and relatives, provide care for older adults with chronic illness in the US. High caregiving burden places FCPs at risk for physical function decline, psychological distress, and poor health status. Specifically, older FCPs are more vulnerable than younger FCPs because of greater physical and psychological burden, more age-related health care needs, and less emotional and social support. Physical activity (PA) has the potential to promote the health and well-being of older FCPs. Because caregiving duties limit FCPs to the home and preclude face-to-face interactions (more so during the COVID-19 pandemic), using digital health technologies is an effective way to engage older FCPs in home-based PA interventions. However, there is a gap in research for digital health PA interventions targeting older FCPs; I intend to fill this gap. This K23 award will provide me with the protected time to acquire advanced skills and knowledge in (1) design and implementation of clinical trials in older adults, (2) physical activity behavior change, (3) expansion of health informatics, and (4) professional development for a successful independent research career. The research environment at the University of Colorado, the interdisciplinary mentorship team I have assembled, and support from the College of Nursing provide an exceptional training opportunity. The overall objective of the proposed study is to rigorously design and test a tailored PA coaching program using digital health technologies, TPA4You, and conduct a pilot RCT to assess feasibility of TPA4You and its effects on health outcomes among older FCPs. Older FCPs of patients with heart failure (HF-FCPs) will be the focus of this study because HF-FCPs are an understudied population that is vulnerable to their own health-related issues. The specific aims of this proposal are to: (1) develop the TPA4You intervention by evaluating its technology features (n=15; Year 1), (2) conduct field-testing of TPA4You to optimize usability and acceptability (n=20; Year 2), and (3) conduct a pilot RCT to assess feasibility and preliminary effects of the TPA4You intervention (n=62; Years 3-5). For Aim 1, using scenario-based design methods, we will elicit HF-FCPs' perceptions about the integrated technology components in one-on-one interviews. For Aim 2, we will iteratively enhance TPA4You to meet HF-FCPs' PA needs and optimize usability and acceptability. For Aim 3, older HF-FCPs will be randomized to receive the TPA4You program or attention control for 12 weeks. This proposed study's novel TPA4You program has the potential to increase PA, and improve physical function, psychological outcomes, and QoL among older HF-FCPs. This proposal will provide the foundation for an R01 efficacy study of the TPA4You program in a larger, more diverse population of older HF-FCPs.

项目总结/文摘