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65岁以上人群的比例将上升到22％，因此开发和测试至关重要 基于人群的大规模，有效的健康促进的方法。这会 允许基于证据的决定如何部署资源以对健康产生最佳影响 老年人。该项目试图在更广泛的计划项目中为这一目标做出贡献 对体验团计划的有效性进行随机，对照试验，以防止 或延迟身体残疾，老年志愿者的跌倒和认知能力下降。这个计划是高级 志愿者计划将公立小学中有意义的角色60岁及以上的人置于 旨在对儿童的成果产生很大的影响；该计划吸引并保留了老年人，15小时 每周有机会回馈。但是，该计划设计的是健康促进 计划，旨在增加社交，认知和体育锻炼。以成功的飞行员为基础 市长巴尔的摩，马里兰州，支持整个城市的计划扩展。该建议将在 大学社区合作，对扩展计划的影响进行严格评估 通过评估年龄较大的志愿者随机与体验兵团或对照组的评估（低 承诺志愿服务）2年。次要目的是确定体验军团是否参与 保持或放慢力量的损失，平衡，皮质可塑性和执行功能，并防止脆弱 并下降IADL性能。将遵循所有随机体验军团或对照的成年人 2年；第一年入学的人将持续3年。鉴于证明的多样性 老年人吸引了经验丰富的军团服务，这将为这种社会的潜力提供见识 通过生成性促进健康的模型，以帮助解决老年人的健康差异。工作 该项目将与该计划中的其他四个项目相互联系并协同 项目，通过核心A的指导委员会互连。 b），数据收集和管理核心（核心C）以及设计，随机和分析核心 （核心D）将支持该项目的行为。总体而言，该计划项目旨在评估 经验兵队作为衰老社会健康促进的社会模式的实用性和有效性。