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.

老年人的数量预计将翻一番，65岁及以上的人口比例预计将 到2020年上升到22%，开发和测试基于人口的方法对于大规模、有效地进行至关重要 为我们的老龄化社会促进健康。这将允许基于证据的决定如何部署 资源，以便对老年人的健康产生最佳影响。此管理核心支持 致力于通过以下方式为实现这一目标做出贡献的方案项目的运作和总体协调 对体验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的影响。该计划是一项高级志愿者计划，将人们 60岁及以上在公立小学担任有意义的角色，这些角色旨在对 儿童的结果；该计划吸引并保留了老年人，每周15小时，因为它有机会 回馈社会。然而，该计划中设计了一个健康促进计划，旨在增加社会， 认知和体力活动。这项提案将在大学-社区-城市合作中开展 通过随机对照评估严格评估扩大方案的影响： 年长的志愿者决定体验团是预防还是减缓身体残疾、摔倒和 认知下降(项目1)；学校，以确定儿童在学业、行为和学习方面是否有所改善 由于体验团提供的社会资本，以及我们老龄化社会的结果，愿意学习 (项目2)；程序对大脑结构和执行功能的潜在作用机制(项目 3)；方案对社会和心理机制和结果的影响(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个支助核心的工作将相互关联和协同，并将 通过指导委员会和在本行政部门内运作的执行委员会相互交错 核心(核心A)。这一核心将项目协调和交叉、总体组织和预算 管理所有项目和核心，监控进度和效果，制作报告，组织 召开社区管理委员会会议，协调社区关系。总体而言，本计划项目旨在评估 体验团作为促进老龄化社会健康促进的社会模式的效用和有效性。