Voice-Activated Technology to Improve Mobility & Reduce Health Disparities: EngAGEing African American Older Adult-Care Partner Dyads

语音激活技术可提高移动性

基本信息

批准号：
10654831
负责人：
Megan J Huisingh-Scheetz
金额：
$ 69.81万
依托单位：
UNIVERSITY OF CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-24 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10654831
关键词：
Acceleration Activities of Daily Living Adopted Adoption Adult African American African American population Aging American Behavior Behavioral Cardiovascular system Caregiver support Caring Cessation of life Chicago Chronic Chronic Disease Cognition Communities Complex Disease Management Effectiveness Elderly Equity Evidence based intervention Exercise Face Feasibility Studies Feedback Focus Groups Frequencies Goals Habits Hand Strength Health Health Services Hispanic Populations Home Hospitals Hour Household Illinois Individual Internet Intervention Intervention Trial Long-Term Care Longevity Low income Lower Extremity Medicare Metabolic Methodology Musculoskeletal Musculoskeletal Physiology Not Hispanic or Latino Paper Persons Physical Function Physical Performance Physical activity Physiological Physiology Psychological reinforcement Quality of Care Race Randomized Reduce health disparities Research Resources Risk Reduction Services Social Functioning Social Reinforcement Speed Syndrome System Technology Testing Theory of Change Time Training Treatment Efficacy Upper Extremity Voice Vulnerable Populations age group behavior change comorbidity design disability disability risk efficacy testing efficacy trial empowerment ethnic minority exercise intervention experience frailty functional gain functional independence high risk improved improved mobility informal care informal caregiver innovation intervention delivery literacy multiple chronic conditions novel preservation prevent primary outcome programs racial minority recruit rehabilitation service remote intervention sedentary skills social social engagement social relationships tool treatment as usual user-friendly

项目摘要

PROJECT SUMMARY Physical activity is essential for all age groups, across all comorbidities and geriatric syndromes; it has been described as the ‘ideal’ intervention for preserving functional independence during aging. Physical activity interventions have repeatedly been shown to improve frailty and physical performance, and to prevent mobility disability and death among high-risk older adults. Multimorbid, homebound, older adults face substantial physiologic and functional challenges and structural barriers to maintaining physical activity over time. Multimorbidity is more severe and more prevalent among African-Americans over their lifespan, and they experience more accelerated aging than any other race in the US. Disrupted physiology, the need for assistance to leave home, reliance on care partners who have limited training or tools to provide support, and lack of coverage for long-term exercise services in the home prohibit exercise participation in this vulnerable group most likely to experience functional gains from interventions. Increasing physical activity among multimorbid, homebound older adults requires a shift in interventions to target the older adult-care partner dyads and to test innovative vehicles for remote intervention delivery. We developed a socially-motivated exercise tool targeting multimorbid, African-American, homebound older adults and their care partners called EngAGE that leverages voice-activated technology. EngAGE was co-designed with targeted users through iterative participatory design methodology. Following a successful feasibility study providing preliminary evidence of effectiveness, we now propose a randomized, in-home, efficacy trial of EngAGE (intervention) versus paper exercise handouts (usual care) in n=124 multimorbid, African-American, homebound older adult-care partner dyads. Over 7 million U.S. older adults cannot easily reach health services outside of the home and >34.2 million informal U.S. caregivers support their care without guidance. Results from this proposal will demonstrate the effectiveness of a novel, scalable program promoting exercise among this difficult-to-reach group of older adults while supporting the care partners with critical tools.

项目摘要体育活动对于所有合并症和老年综合症的所有年龄段都至关重要。它一直被描述为在衰老过程中保留功能独立性的“理想”干预措施。体育锻炼一再证明干预措施可以改善脆弱和身体表现，并防止流动性高风险老年人的残疾和死亡。多次，家里，老年人面临大量随着时间的推移，生理和功能挑战和结构性障碍。在非洲裔美国人的寿命中，多种疾病更为严重，更普遍，他们与美国其他任何种族相比，体验更加加速的衰老。破坏生理学，需要帮助要离开家，退休的护理合作伙伴退休，那些提供支持或提供支持的工具和缺乏的工具在家庭中的长期运动服务的覆盖范围禁止参加这个脆弱的小组的运动参与可以从干预措施中体验功能收益。增加多次运动的体育锻炼，家里老年人需要改变干预措施，以针对老年人护理伙伴二元组并进行测试远程干预交付的创新车辆。我们开发了一种社会动机的锻炼工具定位多熊，非裔美国人，家居老年人及其护理伙伴，称为参与语音激活技术。通过迭代参与设计与目标用户共同设计了参与方法论。经过一项成功的可行性研究，提供了有效性的初步证据，我们现在提议随机的，家庭有效的参与试验（干预）与纸张锻炼讲义（通常护理）n = 124个多虫，非洲裔美国人，家居老年人护理伙伴二元组。超过700万美国老年人不能轻易地在家庭之外获得卫生服务，> 3420万非正式的美国照顾者在没有指导的情况下支持他们的护理。该提案的结果将证明小说的有效性可扩展的计划促进这一难以触及的老年人的锻炼，同时支持护理与关键工具合作。