Building Community Capacity for Disability Prevention for Minority Elders

项目概要 尽管少数族裔长者是美国老龄化人口中增长最快的群体，但他们拥有的资源较少 获得精神卫生保健和预防残疾的机会远远落后于非拉丁裔白人和痛苦 显着的差异。研究表明，一个促成因素可能是供应不足 专业提供者以及基于证据的治疗无法到达少数群体并被少数群体接受 长老们。我们从残疾预防的新模式“积极心态”中取得了可喜的成果 强体 (E-PMSB) 干预，嵌入客户的社区和文化中，以改善访问， 心理健康结果的质量并减少残疾。提议的更新测试是否增强 PMSB 干预在社区组织和社区诊所中是可以接受的，并且允许 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 干预措施，以促进在组织层面更容易采用，增加心理健康症状 减少超过 6 个月，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可行且可 易于采用，并且减少了其可持续性的障碍。获悉综合框架 实施研究（CFIR），我们将评估实施的促进因素和障碍。一次学习 由社区组织 (CBO)、临床中心和学术合作伙伴组成的社区将 分享有助于取得初步成功并能够加强合作的要素。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 适当的基于证据的消息传递、包装以及实施过程的概述和 融资。该动态工具包将供社区组织、社区卫生工作者使用 (CHW)、运动培训师和计划参与者，针对能力建设以及 实施。根据参与站点的反馈，我们预计在过去 6 年中精炼材料 该项目历时数月才能获得可传播的持久产品，这不仅能促进积极的 干预结果，还支持组织优化实施成功、忠诚度和 可持续性。

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.