Reducing social isolation and loneliness through physical activity to lower cardiovascular disease risk among military women and men reintegrating into civilian life

通过体育活动减少社会孤立和孤独感，以降低重返平民生活的军人的心血管疾病风险

• 批准号: 10449861
• 负责人: Natalie Marie Yarish
• 金额: $ 15.46万
• 依托单位: OLD DOMINION UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-15 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10449861
• 关键词: Address; American; Area; Behavioral; Biological Markers; Blood Pressure; Cardiovascular Diseases; Cardiovascular system; Cigarette; Communities; Coronary heart disease; Data; Development; Environment; Epidemic; Ethics; Evaluation; Family; Feeling; Feeling suicidal; Fostering; Goals; Grant; Health; Health Benefit; Individual; Intervention; Interview; Knowledge; Left; Life; Loneliness; Manuscripts; Measures; Mental Depression; Mentorship; Methods; Military Personnel; Physical activity; Population; Populations at Risk; Post-Traumatic Stress Disorders; Program Evaluation; Public Health; Randomized Controlled Trials; Reading; Reporting; Research; Research Design; Research Personnel; Research Training; Risk; Sampling; Smoking; Social Interaction; Social isolation; Social support; Societies; Spouses; Structure; Surveys; Technology; Training; Universities; Veterans; Vulnerable Populations; Woman; Writing; acceptability and feasibility; active duty; adherence rate; base; behavior change; behavioral/social science; cardiovascular disorder prevention; cardiovascular disorder risk; cardiovascular health; cardiovascular risk factor; career; community engaged research; cost effective; design; digital; exercise intervention; experience; improved; men; military men; military service; military women; pilot test; programs; research and development; satisfaction; skills; social; social relationships; social science research; social vulnerability; stroke risk; therapy design; webinar

Project Summary/Abstract Social isolation is the quantifiable measure of social interactions and relationships, whereas loneliness is the perceived level of social isolation. These experiences are especially pronounced during life transitions. Social isolation and loneliness have deleterious effects on cardiovascular health. The development of a culturally sensitive, behavior change intervention that emphasizes the provision of social support, development of a sense of belonging, and foster feelings of social connectedness has the promise to reduce the growing public health epidemic of social isolation and loneliness while improving cardiovascular health. I have developed the proposed core training objectives to acquire a unique and valuable skill set in the following areas: 1) gain proficiency in community-engaged research (CEnR) for the development of effective physical activity (PA) interventions, 2) obtain knowledge and skills related to the health implications, evaluation, and treatment of social isolation and loneliness, 3) develop expertise in mixed methods study design to conduct behavioral randomized control trials (RCT), and 4) acquire knowledge of the health and culture of veterans. Secondary training objectives include professional development to increase the impact of manuscript submissions and presentations, develop persuasive grant writing skills, and conduct ethical and responsible research. The training aims will be accomplished through a combination of formal and informal coursework, directed readings and webinars, behavioral and social science research trainings related to CEnR, RCTs, PA interventions, veterans, and practical research experiences. The research objective is to develop and examine the feasibility and acceptability of a group-based PA intervention to reduce social isolation, loneliness, and blood pressure among an at-risk population going through a significant life transition, veterans reintegrating to civilian life. To achieve this objective, the proposed research aims include: 1) characterizing the needs related to PA, social isolation, loneliness, and social connectedness among veterans reintegrating to civilian life, 2) designing a group-based PA intervention supported by digital technologies using CEnR among this population, and 3) evaluating the feasibility and acceptability and preliminary health effects of the group-based PA intervention supported by digital technologies developed partly in Aim 2 among a sample of veterans reintegrating to civilian life. The environment at San Diego State University, along with my mentorship team, form a uniquely suited setting to expand my training and research skills in pursuit of my long-term career goal of becoming a successful independent investigator, conducting large-scale, community-based PA promotion RCTs.

项目总结/摘要 社会孤立是社会互动和关系的可量化衡量标准，而孤独则是社会互动和关系的可量化衡量标准。 社会孤立的程度。这些经历在人生的转变中尤为明显。社会 孤立和孤独对心血管健康有害。一种文化的发展 敏感的，行为改变干预，强调提供社会支持，发展一个 归属感，培养社会联系感，有希望减少日益增长的公众 健康流行的社会隔离和孤独，同时改善心血管健康。我开发了 拟议的核心培训目标是在以下领域获得一套独特而有价值的技能： 熟练掌握社区参与研究（CEnR），以发展有效的身体活动（PA） 干预措施，2）获得与健康影响，评估和治疗相关的知识和技能， 社会隔离和孤独，3）发展混合方法研究设计的专业知识，以进行行为 随机对照试验（RCT），和4）获得退伍军人的健康和文化的知识。二次 培训目标包括专业发展，以提高稿件的影响力， 演讲，发展有说服力的赠款写作技巧，并进行道德和负责任的研究。的 培训目标将通过正式和非正式课程的结合，指导性阅读， 和网络研讨会，与CEnR，RCT，PA干预措施相关的行为和社会科学研究培训， 退伍军人和实际研究经验。本研究的目的是开发和研究可行性 以及基于群体的PA干预的可接受性，以减少社会隔离，孤独和血压 在经历重大生活过渡的高危人群中，退伍军人重新融入平民生活。到 为了实现这一目标，建议的研究目标包括：1）表征与PA相关的需求，社会 退伍军人重返平民生活的孤立，孤独和社会联系，2）设计一个 在这一人群中使用CEnR的数字技术支持的基于组的PA干预，以及3） 评估基于群体的PA干预的可行性和可接受性以及初步的健康效果 在Aim 2中部分开发的数字技术的支持下， 平民生活圣地亚哥州立大学的环境，沿着我的导师团队，形成了一个独特的 适合的设置，以扩大我的培训和研究技能，追求我的长期职业目标，成为一个 成功的独立研究者，进行大规模的，以社区为基础的PA推广RCT。