EXPERIENCE CORPS TRIAL: IMPACT DISABILITY, FALLS MEMORY

体验军团审判：撞击致残、跌倒记忆

• 批准号: 7114742
• 负责人: LINDA P FRIED
• 金额: $ 15.53万
• 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: 2006-04-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7114742
• 关键词: academic achievement; accidental falls; aging; behavioral /social science research tag; body physical activity; clinical trials; community; disabling disease; disease /disorder prevention /control; educational resource design /development; elementary school; executive function; functional ability; human old age (65+); human subject; interdisciplinary collaboration; longitudinal human study; memory; mentoring /mentor; middle childhood (6-11); psychological aspect of aging; quality of life; retirement; social model; social support network; training; volunteer

With 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 project seeks to contribute toward this goal, within a broader program project, by conducting a randomized, controlled trial of the effectiveness of the Experience Corps program in preventing or delaying physical disability, falls and cognitive decline in older volunteers. This program is a senior volunteer program which places people 60 and older in meaningful roles in public elementary schools designed to have high impact on childrens' 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, intended to increase social, cognitive and physical activity. Building on a successful pilot in Baltimore, MD, the Mayor supports scaling the program up across the city. This proposal will, in a University-community collaboration, conduct a rigorous evaluation of the impact of the scaled-up program through an evaluation of older volunteers randomized to the Experience Corps or a control group (low commitment volunteering) for 2 years. Secondary aims are to determine if Experience Corps participation preserves or slows loss of strength, balance, cortical plasticity and executive function and prevents frailty and declines in IADL performance. All adults randomized to Experience Corps or controls will be followed for 2 years; those enrolled in the first year will be followed for 3 years. Given the demonstrated diversity of older adults attracted to Experience Corps service, this will provide insight into the potential of this social model for health promotion through generativity to help resolve health disparities for older adults. The work of this project will be mutually interconnected and synergistic with the other 4 projects in this Program Project, interconnecting through a Steering Committee in Core A. A Recruitment and Retention Core (Core B), a Data Collection and Management Core (Core C) and a Design, Randomization and Analysis Core (Core D) will support the conduct of the project. 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.

到2020年，65岁及以上人口的比例预计将上升到22%，因此开发和测试 以人口为基础的方法，为我们的老龄化社会提供大规模，有效的健康促进。这将 允许以证据为基础的决定，如何部署资源，以取得最佳的健康影响 的老年人。该项目旨在通过以下方式在更广泛的计划项目中为实现这一目标做出贡献： 进行一项随机对照试验，研究经验团计划在预防 或延迟老年志愿者的身体残疾、福尔斯和认知能力下降。这个节目是一个高级 志愿者计划，让60岁及以上的人在公立小学担任有意义的角色 旨在对儿童的成果产生重大影响;该计划吸引并留住老年人，15小时 每周一次，因为它有机会回馈社会。然而，设计成该计划是一个健康促进 计划，旨在增加社会，认知和身体活动。在成功试点的基础上， 医学博士巴尔的摩市长支持在全市范围内扩大该计划。这项建议将在一个 大学与社区合作，对扩大计划的影响进行严格评估 通过对随机分配到体验团或对照组的老年志愿者进行评估（低 志愿服务（两年）第二个目标是确定经验团的参与 保持或减缓力量、平衡、皮质可塑性和执行功能的丧失，防止虚弱 和IADL表现的下降。将对随机分配至Experience Corps或对照组的所有成人进行随访 2年;第一年入组的患者将随访3年。鉴于已证明的多样性， 老年人被吸引到体验团服务，这将提供深入了解这种社会的潜力， 通过生殖促进健康的模式，以帮助解决老年人的健康差距。工作 该项目的10%将与本计划中的其他4个项目相互关联和协同 项目，通过核心A的指导委员会相互联系。招聘和保留核心（核心 B）、数据收集和管理核心（核心C）以及设计、随机化和分析核心 (Core（三）支持项目的实施。总的来说，这个项目旨在评估 体验团作为老龄化社会健康促进的社会模式的效用和有效性。