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岁及以上人口的比例预计将