Healthy Activity Improves Lives (HAIL)

健康活动改善生活 (HAIL)

• 批准号: 10890219
• 负责人: Louisa Sylvia
• 金额: $ 30.4万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-30 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10890219
• 关键词: Accelerometer; Address; Adult; Advocacy; Age; Black Populations; Black church; Black race; Boston; Bypass; Chronic Disease; Church; Communities; Development; Education; Elderly; Endowment; Exercise; Exploratory/Developmental Grant; Feasibility Studies; Feedback; Focus Groups; Funding; Health; Health Benefit; Intervention; Interview; Measures; Modeling; National Institute on Aging; Outcome; Participant; Persons; Phase; Physical activity; Pilot Projects; Policies; Population; Population Study; Program Accessibility; Public Health; Randomized; Recommendation; Reduce health disparities; Research; Research Support; Risk; Schedule; Structure; Training; acceptability and feasibility; cost; ethnic diversity; evidence base; exercise intervention; experience; fitbit; follow-up; improved; instructor; moderate-to-vigorous physical activity; mortality; peer; physical inactivity; pilot trial; programs; satisfaction; trend; wearable device; young adult

PROJECT SUMMARY Older adults (age ≥ 60 years) tend to be less physically active than younger adults, engaging in less than 11% of recommended physical activity (PA) levels[1-3]. These trends are even lower in older individuals from Black communities. Lack of PA in older adults is associated with increased risk of all-cause mortality, especially in the Black population[4]. Large population-based studies suggest that moderate levels of PA provide protection from chronic diseases in older adults[5]. Therefore, interventions aimed at improving PA in older Black adults could significantly improve health outcomes and help to reduce health disparities among this population. To increase PA in older, Black adults, we use the socioecological perspective[7] to examine the barriers and facilitators at each level of influence (i.e., intrapersonal, interpersonal, organizational/community, environmental/policy). A PA intervention developed for older, Black adults that targets multiple levels of the socioecological model is needed. The evidence-based Fit and Strong! (F&S!) program for older adults, funded by the National Institute of Aging, can be optimized to bypass these barriers and effectively engaged older Black adults in sustained PA. Although the F&S! program has been successfully implemented in multiple community-based, ethnically diverse settings, it is limited because it is only offered in-person (i.e., no online component) and ends at 8 weeks with very little ongoing support. These limitations not only increase the cost and reduce the accessibility of the program but also fail to optimize or support gains made as improvements in PA during F&S! diminish over the follow-up phase[8]. We will bypass these limitations and develop an adjunct, online platform to the F&S! program that is capable of syncing with wearable devices (e.g., fitbit). To create this platform as well as examine its feasibility and acceptability, we will partner with the Black Ministerial Alliance of Greater Boston (BMA), an organization of predominantly Black churches, and administer the program in these churches in Boston, MA. Consistent with this FOA “to provide support for up to two years (R21 phase) for research planning activities and feasibility studies” we will conduct: 1) focus groups in two BMA-affiliated churches to better understand the key barriers necessary to bypass at every level of the socioecological model and then build this adjunct, online program to create the F&S!-Online program and 2) an open pilot study (N=30) across these two churches to examine the feasibility and acceptability of the F&S!-Online program. Per the FOA, the R21 will be, “followed by a possible transition to expanded research support (R33 phase) for optimizing the intervention and conducting larger-scale feasibility studies”. Consistently, for the R33 phase, we will conduct a larger scale feasibility study by randomizing four BMA-affiliated churches to either F&S!-Online or the standard F&S! (N=120) to determine the feasibility and acceptability of the online adjunct platform as well as pilot its efficacy and sustainability.

项目总结 老年人(≥60岁)的体力活动往往比年轻人少，参与的比例不到11% 推荐的体力活动水平[1-3]。在黑人老年人中，这些趋势甚至更低 社区。老年人缺乏PA与全因死亡的风险增加有关，尤其是在 黑人人口[4]。大量基于人群的研究表明，中等水平的PA提供保护 老年人的慢性病[5]。因此，旨在改善老年黑人成年人PA的干预措施 可以显著改善健康结果，并有助于缩小这一人群中的健康差距。至 在老年黑人中增加PA，我们使用社会生态学的观点[7]来检查障碍和 各级影响力的促进者(即个人内部、人际、组织/社区、 环境/政策)。一种针对老年黑人成年人的PA干预措施，针对不同水平的 社会生态模式是必要的。以证据为基础的适配和强大！(女：S！)为老年人提供资金的计划 通过国家老龄研究所，可以优化以绕过这些障碍，并有效地吸引老年人 持续的PA中的黑人成年人。虽然是F&S！该计划已在多个国家成功实施 以社区为基础，种族多元化的环境，它是有限的，因为它只提供面对面(即，没有在线 组件)，并在8周内结束，几乎没有持续支持。这些限制不仅增加了成本 并降低了程序的可访问性，但也无法优化或支持在 爸爸在F&S！在后续阶段逐渐减少[8]。我们将绕过这些限制，开发一个附件， 线上平台给F&S！能够与可穿戴设备(例如Fitbit)同步的程序。要创建这个 平台，并研究其可行性和可接受性，我们将与 大波士顿(BMA)，一个以黑人为主的教会组织，并在这些教会中管理该计划 马萨诸塞州波士顿的教堂。与本FOA保持一致，提供最长两年(R21阶段)的支持 研究规划活动和可行性研究“我们将进行：1)在两个BMA附属机构的重点小组 教会更好地了解在社会生态模式的每个层面上必须绕过的关键障碍 然后建立这个附属的在线项目来创建F&S！-在线项目和2)一个开放的试点研究 (n=30)对这两个教会进行调查，以检查F&S在线计划的可行性和可接受性。人均 FOA，R21将是，随后可能过渡到扩展研究支持(R33阶段)，用于 优化干预措施，开展更大规模的可行性研究。始终如一，对于R33阶段，我们 将进行一项更大规模的可行性研究，将四个附属教会随机分配给F&S！-在线 或者是标准的F&S！(n=120)确定在线附属平台的可行性和可接受性 并试行其有效性和可持续性。