Community Choirs to Promote Healthy Aging and Independence of Older Adults

社区合唱团促进老年人的健康老龄化和独立

• 批准号: 8726052
• 负责人: JULENE K JOHNSON
• 金额: $ 12.74万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-15 至 2017-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8726052
• 关键词: Address; Affect; Aging; Arts; Awareness; Behavior; Brain; Clinical Trials; Cognition; Cognitive; Collaborations; Communities; Complex; Control Groups; Cost Analysis; Dancing; Elderly; Equilibrium; Goals; Health; Health Benefit; Health Priorities; Health Promotion; Health Services; Immune system; Individual; Intervention; Life Style; Literature; Loneliness; Maintenance; Measures; Memory; Minority; Music; Outcome; Personal Satisfaction; Persons; Pharmaceutical Preparations; Phase; Physical Function; Physical activity; Physiological; Population Heterogeneity; Quality-Adjusted Life Years; Randomized; Randomized Controlled Trials; Recruitment Activity; Relative (related person); Research; Risk; Shortness of Breath; Site; Socioeconomic Status; Speed; System; Time; United States; Visit; Walking; base; community setting; cost; cost effective; depressive symptoms; design; efficacy testing; evidence base; executive function; experience; falls; functional status; group intervention; health disparity; health related quality of life; healthy aging; high risk; interest; low socioeconomic status; novel; physical conditioning; primary outcome; programs; psychologic; racial and ethnic; resilience; secondary outcome; social

DESCRIPTION (provided by applicant): The United States is experiencing a rapid increase in the number of older adults. In 2009, there were 39.6 million individuals over age 65, and this number is expected to almost double by 2030. During the same time period, there will be an increase in the number of older adults with diverse racial/ethnic and socioeconomic status (SES) backgrounds who are at increased risk for poor health outcomes relative to non-minority elders. Thus, there is an immediate need to identify cost-effective, widely applicable, and sustainable programs that promote health and well-being of older adults. A growing body of literature suggests that participation in community choral singing may also have positive health benefits for older adults, but there is a need to evaluate the efficacy of a choral program for diverse older adults, and a well-designed randomized controlled trial (RCT) is needed to help strengthen the evidence base. Thus, the overall objective of this proposal is to test the efficacy of community choir program for maintaining health and well-being in culturally diverse older adults. To address the aims of the study, we will evaluate a comprehensive set of outcomes that are hypothesized to be related to choral singing and complete a cost analysis. We will recruit 450 diverse older adults and will utilize 12 existing Administration on Aging-supported senior centers to implement a multi-site, randomized (by center) clinical trial (RCT). Centers will be randomized to receive the choir program immediately (intervention group) or after a 6-month delayed intervention phase (control group). The community choirs will be led by professional music directors. We will assess both primary and secondary outcomes at baseline, 6 and 12 months (and 18 months for the delayed intervention group). We will also evaluate the start- up and ongoing program costs for senior centers, including cost/person served and determine quality adjusted life years. If successful, results from this RCT may help develop and further the premise that creative arts can be applied to helping solve national health priorities, such as keeping older adults active, independent, and involved in their communities in readily accessible, affordable, and sustainable ways.

描述（由申请人提供）：美国正在迅速增加老年人的数量。在2009年，有3960万人超过65岁，预计到2030年，这一数字将几乎翻一番。在同一时期，具有不同的种族/种族/种族和社会经济地位（SES）背景的老年人数量将增加，而这些背景的人数与非罚款人相对较差的健康状况会增加，而非少数人的健康状况会增加。因此，迫切需要确定具有成本效益，广泛适用和可持续的计划，以促进老年人的健康和福祉。越来越多的文献表明，参与社区合唱演唱也可能对老年人具有积极的健康益处，但是有必要评估合唱计划对多样化老年人的疗效，并且需要精心设计的随机对照试验（RCT），以帮助增强证据基础。因此，该提案的总体目的是测试社区合唱团计划在维持文化多样的老年人中保持健康和福祉的功效。为了解决研究的目的，我们将评估一组全面的结果，这些结果与合唱唱歌有关并完成成本分析。我们将招募450名不同的老年人，并将在老化的高级中心使用12个现有的政府来实施多站点，随机（按中心）临床试验（RCT）。中心将随机分配以立即接收合唱团计划（干预组）或在6个月延迟干预阶段（对照组）之后。社区合唱团将由专业音乐总监领导。我们将在基线，6和12个月（延迟干预组为18个月）时评估初级和次要结果。我们还将评估高级中心的起始和持续计划成本，包括成本/人员服务并确定质量调整后的寿命。如果成功的话，该RCT的结果可能有助于发展，并进一步发展创意艺术可以应用于帮助解决国家卫生优先事项，例如使老年人活跃，独立并参与其易于访问，负担得起和可持续的方式。