Center for Research and Education on Aging and Technology Enhancement - CREATE

老龄化与技术增强研究与教育中心 - CREATE

• 批准号: 10835280
• 负责人: SARA J CZAJA
• 金额: $ 9.98万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-15 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10835280
• 关键词: Adult; Affect; African American population; Aging; Area; Attitude; Caring; Case Manager; Chronic; Chronic Disease; Cognitive; Communities; Complex; Cost efficiency; Data; Disease Management; Disparity; Education; Elderly; Enhancement Technology; Environment; Evaluation; Exclusion; Feeling; Future; Geriatric Psychiatry; Geriatrics; Guidelines; Health; Health Care Costs; Health Care Rationing; Healthcare; Home; Impairment; Incidence; Income; Individual; Intervention; Intervention Studies; Interview; Knowledge; Left; Loneliness; Measurable; Medical; Medicare; Mental Depression; Mental Health; Mentorship; Methods; Minority; Minority Groups; Moods; Nature; Nursing Homes; Outcome; Palliative Medicine; Personal Satisfaction; Persons; Pilot Projects; Population; Population Heterogeneity; Postdoctoral Fellow; Prevalence; Psyche structure; Qualifying; Quality of life; Reporting; Research; Resources; Risk; Role; Sampling; Self Efficacy; Services; Social Interaction; Social isolation; Target Populations; Technology; Testing; Training; Transportation; Travel; Underserved Population; United States National Institutes of Health; Woman; Work; acceptability and feasibility; aging and technology; care coordination; career development; coping; design; digital; disability; equity, diversity, and inclusion; experience; follow-up; health care service utilization; health equity; health management; high risk; improved; intervention program; meetings; mild cognitive impairment; multiple chronic conditions; negative affect; preference; prevent; programs; recruit; resilience; social; social contact; social engagement; social interventions; stressor; telehealth; therapy design; usability; user centered design; virtual; virtual reality; virtual reality environment; virtual reality intervention; willingness

Project Summary/Abstract About two million homebound (HB) older adults live in the community in the US, which is almost 1.5 times the total of older adults in nursing homes. HB older adults are a diverse population, with complex medical and social needs, and experience high levels of chronic conditions. Minoritized populations are disproportionally affected by HB status and multiple chronic conditions (MCC). In addition to the lack of financial resources, transportation, and physical limitations, multiple stressors associated with managing MCC pose significant barriers to maintaining social contacts and activities. However, the wide range of interventions involving older adults who are HB and living with MCC have not addressed social engagement in this population. Social engagement is a critical indicator of well-being and health, and provides individuals living with MCC a sense of purpose, control, and self-efficacy in coping with MCC. Still, minority groups are highly underrepresented in most interventions, and knowledge about HB older minority with MCC’s challenges with social engagement and the implementation and evaluation of technology-based social engagement interventions in this target population are not known. The proposed 2-year project will address these significant gaps. Using an asset-based approach, our aims are: 1) Ascertain social engagement needs and challenges, and preferences regarding technology-delivered interventions among HB minority older adults with MCC, and elicit case managers’ perspectives on social engagement challenges of HB aging adults; 2) Conduct usability testing with HB minority older adults with MCC of a Virtual Reality intervention designed to facilitate social engagement. The Virtual Reality intervention will be adapted based on the findings in Aim1; 3) Conduct an uncontrolled pilot study to evaluate, using standard metrics, the acceptability and feasibility, and further data on usability of the social Virtual Reality intervention in a sample of older minority HB adults with MCC in home settings. We will use a qualitative approach in Aim 1 to better understand the perceived benefits and drawbacks of social engagement in HB minority older adults, a mixed methods approach to test the usability of the adapted intervention in Aim 2, and a pre-post design to gauge the feasibility and acceptability of this intervention in Aim 3. Our interdisciplinary team is uniquely qualified and has an optimal range of backgrounds, expertise, and experience to conduct this study. Findings from this project will generate evidence on technology-delivered social interventions as means to facilitate social engagement in the target population, to help mitigate loneliness and social isolation, and inform future design guidelines.

项目摘要/摘要 大约有200万家居民（HB）老年人居住在美国社区，几乎是1.5倍的1.5倍 护士房屋中的老年人总数。 HB老年人是潜水员人口，具有复杂的医疗和 社会需求，并经历高水平的慢性病。少数人口不成比例 受HB状态和多个慢性病（MCC）的影响。除了缺乏财务资源外， 运输和物理局限性，与管理MCC相关的多个压力源显着 维持社会接触和活动的障碍。但是，涉及较旧的多种干预措施 HB和与MCC一起生活的成年人尚未解决该人群的社会参与。社会的 参与是幸福和健康的关键指标，并为生活MCC的个人提供了一种感知 与MCC应对时的目的，控制和自我效能。尽管如此，少数群体的人数高度不足 大多数干预措施以及有关HB少数民族在社交参与方面的挑战的知识 以及该目标中基于技术的社会参与干预措施的实施和评估 人口尚不清楚。拟议的2年项目将解决这些重大差距。 使用基于资产的方法，我们的目标是：1）确定社会参与需求和挑战，以及 HB少数族裔老年人患有MCC的技术干预措施的偏好，并引起 案例经理对HB老年人衰老的社会参与挑战的看法； 2）进行可用性测试 HB少数族裔老年人具有虚拟现实干预措施的MCC，旨在促进社会 订婚。虚拟现实干预将根据AIM1中的发现进行调整； 3）进行 不受控制的试点研究，使用标准指标，可接受性和可行性评估 社交虚拟现实干预的可用性，用于在家中具有MCC的老年人HB成年人样本 设置。 我们将在AIM 1中使用定性方法来更好地了解 在HB少数族裔老年人中的社交参与，这是一种测试适应性的可用性的混合方法 在AIM 2中进行干预，以及衡量此干预措施的可行性和可接受性的前置设计 3。我们的跨学科团队具有独特的资格，具有最佳的背景，专业知识和 进行这项研究的经验。该项目的发现将为技术提供证据 社会干预措施是促进目标人群社会参与的手段，以帮助减轻 孤独和社会隔离，并为未来的设计指南提供信息。