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.

项目总结/摘要 在美国，大约有200万居家（HB）老年人生活在社区中，这几乎是美国老年人的1.5倍。 养老院中的老年人总数。HB老年人是一个多样化的人群，具有复杂的医疗和 社会需求，并经历高水平的慢性病。少数民族人口在预防性地 受HB状态和多种慢性疾病（MCC）的影响。除了缺乏财政资源外， 交通和身体限制，与管理MCC相关的多种压力源构成了显著的 维持社交接触和活动的障碍。然而，涉及老年人的各种干预措施， 患有HB和MCC的成年人尚未解决这一人群的社会参与问题。社会 参与度是福祉和健康的关键指标，并为MCC患者提供一种 应对MCC的目的、控制和自我效能。尽管如此，少数群体在非洲的代表性仍然严重不足。 大多数干预措施，以及关于HB老年少数民族与MCC的挑战与社会参与的知识 以及在这一目标中实施和评估基于技术的社会参与干预措施 人口不详。拟议的两年期项目将解决这些重大差距。 采用基于资产的方法，我们的目标是：1）确定社会参与的需求和挑战， 在患有MCC的HB少数老年人中对技术提供干预的偏好，并引出 个案经理对HB老年人社会参与挑战的看法; 2）进行可用性测试 HB少数老年人与MCC的虚拟现实干预，旨在促进社会 订婚虚拟现实干预将根据目标1中的结果进行调整; 3）进行 非对照试点研究，以评估，使用标准指标，可接受性和可行性，以及进一步的数据， 社会虚拟现实干预在家中患有MCC的老年少数HB成年人样本中的可用性 设置. 我们将在目标1中使用定性方法来更好地了解感知到的优点和缺点 HB少数老年人的社会参与，一种混合方法来测试适应的可用性 目标2中的干预，以及评估目标2中这种干预的可行性和可接受性的前后设计 3.我们的跨学科团队是唯一合格的，并具有最佳的背景，专业知识， 经验来进行这项研究。该项目的调查结果将产生关于技术交付的证据， 社会干预作为促进目标人群社会参与的手段， 孤独和社会隔离，并为未来的设计指导方针提供信息。