Building Community Capacity for Disability Prevention for Minority Elders

项目总结 尽管少数族裔老年人是美国老龄化人口中增长最快的部分，但他们拥有的财富较少 获得心理保健和预防残疾，远远落后于非拉丁裔白人，并遭受痛苦 巨大的差距。研究表明，一个促成因素可能是供应不足。 专业提供者和基于证据的治疗无法覆盖少数群体并为其接受 长辈们。我们从一种新的残疾预防模式--积极心态--中获得了令人振奋的结果 强身健体(E-PMSB)干预，嵌入到客户的社区和文化中，以改善准入， 提高心理健康结果的质量，减少残疾。拟议的续签将测试增强型 PMSB干预在社区组织和社区诊所是可以接受的，并允许 通过增加维护组件来加强有效性。我们确定了需要加强的领域 干预，以促进在组织层面上更容易采用，以增加心理健康症状 减少6个月以上，并增加运动成分的剂量。在目标2中，我们将评估 E-PMSB的实施准备情况，以确保其一揽子干预措施是可行的，并可以 易于采用，可持续发展的障碍减少。由以下综合框架提供信息 通过实施研究(CFIR)，我们将评估实施的促进者和障碍。一种学习 由社区组织(CBO)、临床站点和学术合作伙伴组成的社区将 分享有助于初步成功并可加强合作的要素。对于目标3，我们将 创建和评估一个工具包来传播该计划，重点是发展文化和年龄 适当的基于证据的信息传递、打包和实施过程的概述，以及 融资。该动态工具包将设计为供社区组织、社区卫生工作者使用 (CHWS)、运动训练师和计划参与者，针对能力建设战略以及 实施。根据参与网站的反馈，我们预计将在最后6个月提炼材料 几个月的项目，有一个持久的产品，可以传播，这不仅促进积极的 干预结果，但还支持组织优化实施成功率、保真度和 可持续发展。

PROJECT SUMMARY Although minority elders represent the fastest growing segment of an aging US population, they have less access to mental health care and prevention of disability, lagging well behind non-Latino whites, and suffering significant disparities. Research suggests that a contributing factor may be an insufficient supply of professional providers and the inability of evidence based treatments to reach and be acceptable to minority elders. We have obtained promising results from a novel model of disability prevention, the Positive Minds Strong Bodies (E-PMSB) intervention, embedded in the client’s neighborhood and culture to improve access, quality of mental health outcomes and reduce disability. The proposed renewal tests whether an enhanced PMSB intervention is acceptable in community-based organizations and community clinics, and allows effectiveness to be strengthened through added maintenance components. We identified areas to strengthen the intervention, to facilitate easier adoption at the organizational level, to increase mental health symptom reduction beyond 6 months, and augment dosage of the exercise component. In Aim 2 we will assess implementation readiness of the E-PMSB, to ensure that its package of interventions is feasible and can be easily adopted, with reduced barriers to its sustainability. Informed by the Consolidated Framework for Implementation Research (CFIR), we will assess facilitators and barriers to implementation. A learning community consisting of community-based organizations (CBOs), clinical sites and academic partners will share elements that have contributed to initial success and can strengthen the collaboration. For Aim 3, we will create and evaluate a toolkit to disseminate the program, with a focus on developing cultural and age appropriate evidence-based messaging, packaging, and an overview of the implementation process and financing. This dynamic toolkit will be designed for use by community organizations, community health workers (CHWs), exercise trainers, and program participants, targeting strategies for capacity building as well as implementation. Drawing on the feedback from participating sites, we envision refining materials in the last 6 months of the project to have a lasting product that can be disseminated, and that not only facilitates positive intervention outcomes but additionally support organizations to optimize implementation success, fidelity, and sustainability.