Experience Corps Trial/Improving Health Older Population

体验军团试验/改善老年人健康

• 批准号: 7075047
• 负责人: LINDA P FRIED
• 金额: $ 170.1万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7075047
• 关键词: aging; behavioral /social science research tag; clinical research; elementary school; functional ability; human old age (65+); human subject; middle childhood (6-11); quality of life; volunteer

DESCRIPTION (provided by applicant): With the number of older adults expected to double and the proportion of people 65 and older expected to rise to 22% by 2020, it is critical to develop and test population-based approaches for large scale, effective health promotion for our aging society. This will permit evidence-based decisions as to how to deploy resources in order to have optimal impact on the health of older adults. This Administrative Core supports the operations and overall coordination of a program project dedicated to contributing to this goal by conducting a randomized, controlled trial of the Experience Corps program and its cost-effectiveness and cost-benefit impact locally and societally. This program is a senior volunteer program which places people 60 and older in meaningful roles in public elementary schools, roles designed to have high impact on children's' outcomes; the program attracts and retains older adults, 15 hours per week, for its opportunity to give back. However, designed into the program is a health promotion program, intending to increase social, cognitive and physical activity. This application will, in a University-community-city collaboration, conduct a rigorous evaluation of the impact of the scaled-up program through a randomized controlled evaluation: of older volunteers to determine whether Experience Corps prevents or slows physical disability, falls and cognitive decline (Project 1); of schools, to determine if children improve academically, behaviorally and in readiness to learn as a result of the social capital offered by Experience Corps and, hence, our aging society (Project 2); of the potential mechanisms of program action on brain structure and executive function (Project 3); of program effects on social and psychological mechanisms and outcomes (Project 4); and, finally, we will conduct a cost-benefit analysis of the program, taking impact on both older adults and children into account. The work of the 5 projects and 3 supporting cores will be mutually interconnected and synergistic, and will be interdigitated through a Steering Committee and an Executive Committee operated within this Administrative Core (Core A). This Core will project coordination and interdigitation, overall organization and budget management for all Projects and cores, monitor progress and effectiveness, produce reports, organize DSMB meetings, and coordinate community relations. Overall, this program project is designed to evaluate the utility and effectiveness of Experience Corps as a social model for health promotion for an aging society.

描述（由申请人提供）：到 2020 年，老年人数量预计将增加一倍，65 岁及以上人口的比例预计将上升至 22%，因此开发和测试基于人口的方法以大规模、有效地促进老龄化社会的健康至关重要。这将有助于就如何部署资源做出基于证据的决策，以便对老年人的健康产生最佳影响。该行政核心支持一个项目的运作和整体协调，该项目致力于通过对经验军团项目及其成本效益和成本效益对当地和社会的影响进行随机、对照试验，为这一目标做出贡献。该计划是一项高级志愿者计划，让 60 岁及以上的人在公立小学中担任有意义的角色，这些角色旨在对儿童的成绩产生重大影响；该计划每周 15 小时吸引并留住老年人，以提供回馈社会的机会。然而，该计划的设计是一项健康促进计划，旨在增加社交、认知和身体活动。该应用程序将在大学-社区-城市的合作中，通过随机对照评估对扩大计划的影响进行严格评估：对老年志愿者进行评估，以确定体验军团是否可以预防或减缓身体残疾、跌倒和认知能力下降（项目1）；学校，以确定儿童是否因体验军团提供的社会资本以及我们的老龄化社会而在学业、行为和学习准备方面有所改善（项目2）；程序作用对大脑结构和执行功能的潜在机制（项目3）；项目对社会和心理机制及结果的影响（项目 4）；最后，我们将对该计划进行成本效益分析，同时考虑到对老年人和儿童的影响。 5个项目和3个支持核心的工作将相互关联和协同，并将通过在该行政核心（核心A）内运作的指导委员会和执行委员会相互配合。该核心将负责所有项目和核心的项目协调和交叉、整体组织和预算管理、监控进度和有效性、生成报告、组织 DSMB 会议并协调社区关系。总体而言，该计划项目旨在评估体验军团作为老龄化社会健康促进社会模式的实用性和有效性。