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Cafe Move: A Novel Program for Prevention of Age-Related Physical Frailty

Cafe Move：预防与年龄相关的身体虚弱的新计划

基本信息

批准号：
10861960
负责人：
Andrew Kittelson
金额：
$ 17.14万
依托单位：
UNIVERSITY OF MONTANA
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-03-01 至 2025-02-28
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10861960
关键词：
Accounting Address Adopted Adverse event Age Aging Area Blood Pressure Cardiovascular Diseases Centers for Population Health Cessation of life Chronic Clinical Trials Clinical assessments Cohort Studies Communities Data Development Diabetes Mellitus Diné Nation Elderly Equilibrium Event Exposure to Fright Future Goals Health Health Promotion Health behavior Healthcare Heart Height Home Hospitalization Human Resources Independent Living Intervention Interview Investigation Life Light Measurement Methods Modality Monitor Outcome Measure Participant Periodicals Persons Pharmaceutical Preparations Phase Physical Function Physical therapy Populations at Risk Positioning Attribute Prevention Prevention program Prevention strategy Preventive Preventive care Primary Prevention Questionnaires Randomized Recording of previous events Reporting Research Research Priority Risk Rural Community Safety Schedule Secondary Prevention Site Social isolation Structure Struthio camelus Surveys Telephone Training United States National Institutes of Health Visit Work age related behavior change behavioral economics clinically actionable cohort comparison control design efficacy evaluation exercise program falls frailty health care availability health care settings improved insight interest literacy novel novel strategies participant retention phase 1 study physical conditioning prevent programs randomized trial response retention rate rurality safety and feasibility safety assessment underserved community

项目摘要

The primary goal of this study is to acquire preliminary data to support a future R01-level investigation. The focus of this future trial will be to examine the efficacy of a novel approach to preventing physical frailty, which we have developed in our pilot work: Café Move. Café Move uses simple yet robust assessments of strength, mobility and balance to enable people to quickly and easily gain insight to their physical function, relative to normative data (accounting for age, height, etc.). All of the Café Move assessments can be performed outside of formal healthcare settings (e.g., in a person’s home), thus promoting autonomy and reducing barriers to access. In this study, we plan to make Café Move available in select independent-living senior communities via three modalities (“dine-in,” “kiosk,” and “delivery”). The “dine-in” option will involve face-to-face assessments at scheduled community events. The “kiosk” option will be available via Café Move stations hosted locally within the community, analogous to a blood pressure check station at the local drug store; trained personnel are nearby, but people can interact with the platform on their own. Finally, the “delivery” option will allow people to order the (inexpensive) assessment supplies and perform measurements in their own home. We will conduct a double-baseline cohort study intended to yield the data necessary to calculate within- and between-site variance in the outcome measures of interest (e.g., health behaviors, rates of engagement with prevention strategies), which will inform the design of an R01-level trial.

本研究的主要目标是获取初步数据以支持未来的 R01 级调查。未来试验的重点将是检验一种预防身体虚弱的新方法的有效性，我们在试点工作中开发了这种方法：Café Move。 Café Move 使用简单而强大的力量、活动能力和平衡评估，使人们能够快速、轻松地了解自己的身体机能（相对于规范数据（考虑年龄、身高等））。所有 Café Move 评估都可以在正式医疗机构之外（例如在一个人的家中）进行，从而促进自主性并减少访问障碍。在本研究中，我们计划通过三种方式（“堂食”、“自助服务终端”和“送货”）在选定的独立居住老年人社区提供 Café Move。 “就餐”选项将涉及在预定的社区活动中进行面对面的评估。 “信息亭”选项将通过社区内本地托管的 Café Move 站提供，类似于当地药店的血压检查站；训练有素的人员就在附近，但人们可以自己与平台互动。最后，“送货”选项将允许人们订购（便宜的）评估用品并在自己的家中进行测量。我们将进行一项双基线队列研究，旨在产生计算感兴趣结果指标（例如健康行为、预防策略参与率）的中心内和中心间差异所需的数据，这将为 R01 级试验的设计提供信息。