Optimizing a technology-based body and mind intervention to prevent falls and reduce health disparities in low-income populations.

优化基于技术的身心干预措施，以防止跌倒并减少低收入人群的健康差距。

• 批准号: 10790425
• 负责人: Ladda Thiamwong
• 金额: $ 35.69万
• 依托单位: UNIVERSITY OF CENTRAL FLORIDA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-26 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10790425
• 关键词: Administrative Supplement; Award; Balance training; Behavioral Research; Biomedical Research; Cognitive; Collaborations; Data; Data Analyses; Data Collection; Data Science; Development; Discipline of Nursing; Elderly; Engineering; Equilibrium; Exercise; Fall prevention; Feedback; First Generation College Students; Florida; Health Sciences; Home; Hospitalization; Independent Living; Injury; Intervention; Kinesiology; Low Income Population; Low income; Manuscripts; Mentors; Mentorship; Neuropsychology; Outcome; Outcome Measure; Parents; Periodicity; Physical activity; Physiological; Postdoctoral Fellow; Preparation; Randomized, Controlled Trials; Reduce health disparities; Research; Research Personnel; Research Proposals; Role; Sleep; System; Technology; Time; Training; arm; biomedical scientist; career; circadian; community living; disability; equity, diversity, and inclusion; ethnic diversity; ethnic health disparity; exercise program; exercise training; experience; fall risk; falls; fear of falling; follow-up; graduate student; health disparity; improve minority health; improved; innovative technologies; mind/body; next generation; novel; parent grant; peer; portability; pre-doctoral; primary outcome; programs; racial diversity; skills; strength training; success; underserved rural area

PROPOSAL SUMMARY/ABSTRACT Falls and fear of falling are the leading cause of injury, disability, and hospitalization in racially diverse low- income older adults. Our parent grant (R01MD018025) targets maladaptive fall risk appraisal (FRA)- a condition expressed in more than half of older adults, in which there is a discrepancy between perceived fall risk and physiological fall risk. The parent grant aims to prevent falls, improve physical activity, facilitate a shift from maladaptive to adaptive FRA, and reduce health disparities for ethnically diverse low-income older adults using our developed in-home Physio-fEedback Exercise pRogram (PEER), which includes a) physio-feedback using a real-time portable innovative technology—the BTrackS Balance System: BBS; b) cognitive reframing based on a novel fall risk appraisal matrix; and c) peer-led exercise by focusing on balance and strength training. We use a two-arm clustered randomized controlled trial, and the intervention is offered at the low- income independent living communities/units in Central Florida. We collect data (N=340) at baseline and measure outcomes after program completion, follow-up at 3 months, and 6 months. The purposes of this Administrative Supplements to Recognize Excellence in Diversity, Equity, Inclusion, and Accessibility (DEIA) Mentorship are thus to 1) enhance our current parent study with an additional subproject led by a postdoctoral researcher titled “Associations between Physical Activity, Sleep, Circadian Rhythmicity, Health Disparities, and Falls; 2) support our current three graduate students from DEIA backgrounds to focus on cognitive reframing and primary outcomes of the parent grant including falls and health disparities; and 3) add two predoctoral trainees from DEIA backgrounds to focus on technology-based physio feedback and peer-led exercise training. The interdisciplinary mentoring will include three broad sets of activities across two years: 1) coursework; 2) research, including data collection, data analysis, preparation of manuscripts and research proposal or dissertation/ thesis defense; and 3) professional development led by the parent study PI and her interdisciplinary team. While the training will focus heavily on research skills, it will also include professional development activities relevant to their roles and career progression within the biomedical and behavioral research enterprise. As a first-generation college graduate growing up in a rural underserved area and experiencing personal and professional challenges in achieving and maintaining academic and scientific success, the PI has committed to sharing and mentoring the next generation of biomedical scientists from DEIA backgrounds. The parent grant and this supplement award will provide an excellent example of how an interdisciplinary team representing nursing, kinesiology, neuropsychology, engineering, and data science can successfully collaborate to produce impactful outcomes on improving minority health and enhancing diversity, equity, inclusion, and accessibility in the biomedical and health sciences.

提案摘要/摘要 跌倒和对跌倒的恐惧是不同种族的低收入群体中受伤、残疾和住院的主要原因。 收入老年人。我们的家长补助金 (R01MD018025) 针对适应不良跌倒风险评估 (FRA) - 超过一半的老年人有这种情况，其中感知到的跌倒与跌倒之间存在差异 风险和生理跌倒风险。家长补助金旨在防止跌倒、改善身体活动、促进轮班 从适应不良到适应性 FRA，并减少不同种族低收入老年人的健康差距 使用我们开发的家庭物理反馈锻炼计划 (PEER)，其中包括 a) 物理反馈 采用实时便携式创新技术——BTrackS平衡系统：BBS； b) 认知重构 基于新颖的跌倒风险评估矩阵； c) 同伴主导的锻炼，重点关注平衡和力量 训练。我们使用双臂集群随机对照试验，并在低水平提供干预措施。 佛罗里达州中部收入独立的生活社区/单位。我们收集基线数据 (N=340) 衡量计划完成后的结果、3 个月和 6 个月的随访。这样做的目的 表彰多样性、公平性、包容性和可及性方面卓越表现的行政补充 (DEIA) 因此，指导是为了 1）通过由博士后领导的额外子项目来加强我们当前的家长研究 研究人员题为“体力活动、睡眠、昼夜节律、健康差异和 瀑布; 2) 支持我们现有的三名来自 DEIA 背景的研究生专注于认知重构 以及家长补助金的主要结果，包括跌倒和健康差异； 3）增加两名博士前 来自 DEIA 背景的学员专注于基于技术的生理反馈和同伴主导的运动训练。 跨学科指导将包括两年内的三大活动：1）课程作业； 2） 研究，包括数据收集、数据分析、手稿和研究计划的准备或 论文/论文答辩； 3) 由家长研究 PI 和她领导的专业发展 跨学科团队。虽然培训将重点关注研究技能，但也包括专业人士 与他们在生物医学和行为领域的角色和职业发展相关的发展活动 研究型企业。作为在服务匮乏的农村地区长大的第一代大学毕业生 在实现和维持学术和科学方面经历个人和专业挑战 取得成功后，PI 致力于分享和指导下一代生物医学科学家 DEIA 背景。家长补助金和补助金将提供一个很好的例子，说明如何 代表护理、运动机能学、神经心理学、工程学和数据科学的跨学科团队可以 成功合作，在改善少数族裔健康和增强多样性方面产生有影响力的成果， 生物医学和健康科学的公平性、包容性和可及性。

项目成果

Optimizing a Technology-Based Body and Mind Intervention to Prevent Falls and Reduce Health Disparities in Low-Income Populations: Protocol for a Clustered Randomized Controlled Trial.

• DOI: 10.2196/51899
• 发表时间: 2023-10-03
• 期刊: JMIR research protocols
• 影响因子: 1.7

Subjective Functional Difficulties Were Associated With Subjective Cognitive Decline Among U.S. Older Adults: Mentally Unhealthy Days Mediation and Income Level Moderation Effects.

主观功能困难与美国老年人的主观认知下降有关：精神上的日期调解和收入水平的节奏影响。

• DOI: 10.1177/23779608231226065
• 发表时间: 2024-01
• 期刊: SAGE OPEN NURSING
• 影响因子: 2
• 作者: Komalasari, Renata;Thiamwong, Ladda;Wangi, Karolus;Ng, Boon Peng
• 通讯作者: Ng, Boon Peng

Levels of Accelerometer-Based Physical Activity in Older Adults With a Mismatch Between Physiological Fall Risk and Fear of Falling.

• DOI: 10.3928/00989134-20230512-06
• 发表时间: 2023-06
• 期刊: Journal of gerontological nursing
• 影响因子: 1.3
• 作者: Thiamwong L;Xie R;Park JH;Choudhury R;Malatyali A;Li W;Eckstrom E;Stout JR
• 通讯作者: Stout JR

Comparing Sensitivity, Specificity, and Accuracy of Fall Risk Assessments in Community-Dwelling Older Adults.

比较社区居住老年人跌倒风险评估的敏感性、特异性和准确性。

• DOI: 10.2147/cia.s453966
• 发表时间: 2024
• 期刊: Clinical interventions in aging
• 影响因子: 3.6
• 作者: Lafontant,Kworweinski;Blount,Amber;Suarez,JethroRaphaelM;Fukuda,DavidH;Stout,JeffreyR;Trahan,EvetteM;Lighthall,NicholeR;Park,Joon-Hyuk;Xie,Rui;Thiamwong,Ladda
• 通讯作者: Thiamwong,Ladda

Associations of Mutually Exclusive Categories of Physical Activity and Sedentary Behavior with Body Composition and Fall Risk in Older Women: A Cross-Sectional Study.

• DOI: 10.3390/ijerph20043595
• 发表时间: 2023-02-17
• 期刊: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
• 作者: Choudhury, Renoa;Park, Joon-Hyuk;Banarjee, Chitra;Thiamwong, Ladda;Xie, Rui;Stout, Jeffrey R
• 通讯作者: Stout, Jeffrey R