Experience Corps Trial: Improving Health of Older Populations through Generativit

体验军团试验：通过 Generativit 改善老年人的健康

• 批准号: 7499920
• 负责人: LINDA P FRIED
• 金额: $ 7.5万
• 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/7499920
• 关键词: Accounting; Achievement; Address; Adult; Advocate; Affect; Age; Aggressive behavior; Aging; Alzheimer' s Disease; American; Appointment; Arts; Back; Baltimore; Behavior; Behavioral; Behavioral Mechanisms; Biomedical Research; Biometry; Biostatistics Core; Brain; Brain imaging; Budgets; Cardiovascular system; Caring; Characteristics; Child; Child Behavior; Cities; City Government; Class; Climate; Clinical Research; Clinical Trials; Cognitive; Collaborations; Commit; Communities; Community Relations; Complex; Computers; Contracts; Control Groups; Cost-Benefit Analysis; Costs and Benefits; Data; Data Analyses; Data Collection; Dependency; Development; Disadvantaged; Doctor of Medicine; Doctor of Philosophy; Dose; Drops; Early Intervention; Economics; Education; Educational Status; Effectiveness; Elderly; Employee; Ensure; Environment; Epidemiology; Equation; Equipment; Etiology; Evaluation; Exercise; Faculty; Feedback; Feeds; Fertilization; Foundations; Functional Magnetic Resonance Imaging; Fund Raising; Funding; Future; Future Generations; Generations; Genetic; Ginkgo biloba; Goals; Growth; Habits; Head; Health; Health Benefit; Health Policy; Health Promotion; Health behavior; Healthcare; Home environment; Hour; Housing; Ice; Illinois; Impact evaluation; Impaired cognition; Informatics; Institutes; Institution; Intervention; Intervention Trial; Investments; Knowledge; Laboratories; Lead; Leadership; Learning; Left; Letters; Libraries; Life; Location; Magnetic Resonance Imaging; Mails; Maryland; Measures; Medical; Medicare; Medicine; Memory; Memory Loss; Mental Depression; Mental Health; Methods; Mission; Modeling; Monitor; Morbidity - disease rate; Motivation; Multivariate Analysis; Myron; Natural History; Natural Increases; Natural Resources; Neighborhoods; Numbers; Nursing Schools; Observational Study; Older Population; Operative Surgical Procedures; Outcome; Participant; Pathway interactions; Performance; Personal Satisfaction; Persons; Pharmaceutical Preparations; Physical activity; Pilot Projects; Play; Policy Maker; Population; Prevention; Prevention Research; Price; Principal Investigator; Productivity; Psyche structure; Psychological Factors; Public Health Nurses; Public Health Nursing; Public Health Schools; Purpose; Radiology Specialty; Randomized; Randomized Clinical Trials; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Range; Rate; Readiness; Reading; Recording of previous events; Recruitment Activity; Relative (related person); Reporting; Research; Research Design; Research Personnel; Research Project Grants; Research Training; Resources; Retirement; Risk; Risk Factors; Role; Running; School Nursing; School Teachers; Schools; Self Efficacy; Services; Side; Site; Social Security; Social support; Societies; Spectrum Analysis; Speed; Standards of Weights and Measures; Structure; System; Technology; Testing; Time; Training; Training Programs; Transportation; Universities; Ursidae Family; Validation; Vocabulary; Walking; Week; Women' s Health; Work; base; bioimaging; career; clinical epidemiology; cohort; community organizations; cost; cost effectiveness; data management; design; disability; discount; early childhood; elementary school; executive function; experience; falls; follow-up; foot; frailty; functional decline; health disparity; health economics; improved; improved functioning; innovation; intergenerational; medical schools; member; method development; mortality; multidisciplinary; next generation; novel; novel strategies; prevent; programs; prospective; psychologic; retiree; satisfaction; scale up; social; social capital; social model; social skills; teacher; therapy design; volunteer

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 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, intending to increase social, cognitive and physical activity. This proposal 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 promotionfor an aging society.

老年人数量预计将增加一倍，65 岁及以上人口比例预计将增加 到 2020 年将上升到 22%，因此开发和测试基于人群的方法以实现大规模、有效的至关重要 促进老龄化社会的健康。这将允许就如何部署做出基于证据的决策 资源，以便对老年人的健康产生最佳影响。该管理核心支持 致力于实现这一目标的计划项目的运作和总体协调 对体验军团计划及其成本效益进行随机对照试验， 成本效益对当地和社会产生影响。该计划是一项高级志愿者计划，旨在让人们 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 儿童的成果；该计划每周 15 小时吸引并留住老年人，因为它有机会 回馈。然而，该计划的设计是一项健康促进计划，旨在增加社会、 认知和身体活动。该提案将通过大学-社区-城市的合作，开展 通过随机对照评估对扩大计划的影响进行严格评估： 老年志愿者以确定体验队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，以确定孩子们在学业、行为和方面是否有所进步 经验团提供的社会资本以及我们的老龄化社会带来的学习准备 （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个支撑核心的工作将相互关联、协同推进， 通过在本行政管理部门内运作的指导委员会和执行委员会相互交叉 核心（核心A）。该核心将项目协调和交叉、整体组织和预算 管理所有项目和核心，监控进度和有效性，生成报告，组织 DSMB 会议，协调社区关系。总体而言，该计划项目旨在评估 体验团作为老龄化社会健康促进社会模式的实用性和有效性。