Wildfires and arrhythmias: evaluating associations and intervention strategies

野火和心律失常：评估关联和干预策略

• 批准号: 10861971
• 负责人: Ethan Sheppard Walker
• 金额: $ 11.1万
• 依托单位: UNIVERSITY OF MONTANA
• 依托单位国家: 美国
• 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/10861971
• 关键词: Accounting; Acute; Address; Adult; Age; Air; Air Pollution; Arrhythmia; Attitude; Behavior; Blood Pressure; Cardiovascular Diseases; Cardiovascular system; Centers for Population Health; Characteristics; Clinic Visits; Cohort Studies; Communities; Data; Data Set; Development; Devices; Diné Nation; Disease; Education; Effectiveness; Electronics; Equilibrium; Evaluation; Event; Exposure to; Feedback; Future; Goals; Health; Health Promotion; Health behavior; Heart; Height; High Prevalence; Home; Household; Human Resources; Implant; Independent Living; Individual; Indoor Air Pollution; Indoor Air Quality; Indoor environment; Infiltration; International; Intervention; Interview; Investigation; Knowledge; Length; Literature; Measurement; Measures; Mental disorders; Modality; Modeling; Montana; Outcome; Outcome Measure; Participant; Patient Recruitments; Patients; Perception; Persons; Pharmaceutical Preparations; Physical Function; Population; Predisposition; Prevention; Prevention strategy; Program Development; Program Evaluation; Public Health; Quality of life; Recommendation; Records; Reporting; Research; Research Priority; Respiratory Disease; Rural; Rural Community; Schedule; Seasons; Site; Subgroup; Surveys; Target Populations; Testing; Theory of Change; Time; Training; United States; United States National Institutes of Health; Universities; Visit; Wildfire; Work; adverse birth outcomes; age related; air cleaner; ambient air pollution; cohort; design; efficacy evaluation; fine particles; follow-up; frailty; health care settings; improved; indoor air; insight; interest; intervention program; member; mortality; novel; novel strategies; physical conditioning; portability; post intervention; prevent; programs; prospective; randomized trial; sensor; sociodemographics; underserved community

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得初步数据，以支持未来的R 01级研究。这项未来试验的重点将是研究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：咖啡馆移动。Café Move使用简单而强大的力量，移动性和平衡评估，使人们能够快速，轻松地了解他们的身体功能，相对于规范数据（考虑年龄，身高等）。所有的Café Move评估都可以在正式的医疗机构之外进行（例如，在一个人的家里），从而促进自主权和减少障碍的访问。在这项研究中，我们计划通过三种方式（“用餐”，“亭”和“交付”）在选定的独立生活的老年社区提供咖啡馆移动。“用餐”选项将包括在预定的社区活动中进行面对面的评估。“kiosk”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，“交付”选项将允许人们订购（廉价的）评估用品，并在自己家中进行测量。我们将进行一项双基线队列研究，旨在获得必要的数据，以计算研究中心内和研究中心间关注的结局指标的方差（例如，健康行为，参与预防策略的比率），这将为R 01级试验的设计提供信息。