Building Community Capacity for Disability Prevention for Minority Elders

建设少数民族老年人残疾预防的社区能力

• 批准号: 10807323
• 负责人: MARGARITA ALEGRIA
• 金额: $ 6.72万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-15 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10807323
• 关键词: Acceleration; Address; Adopted; Adoption; Age; Aging; Area; Caring; Client; Clinic; Clinical; Clinical Services; Collaborations; Communities; Community Health Aides; Consolidated Framework for Implementation Research; Disparity; Dissemination and Implementation; Effectiveness; Effectiveness of Interventions; Elderly; Elements; Enrollment; Environment; Ethnic Origin; Evidence based treatment; Exercise; Feedback; Florida; Funding; Geographic Locations; Grant; Health Professional; Implementation readiness; Improve Access; Individual; Intervention; Language; Limited English Proficiency; Linguistics; Maintenance; Massachusetts; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mind; Minority; Minority Groups; Modeling; Mood Disorders; National Institute of Mental Health; Neighborhoods; New Agents; New York; Not Hispanic or Latino; Older Population; Outcome; Participant; Patients; Persons; Phase; Physical activity; Population; Prevention; Provider; Psyche structure; Puerto Rico; Race; Recurrence; Reporting; Research; Resource-limited setting; Resources; Risk; Services; Severities; Site; Source; Testing; Therapeutic; Training; Work; aged; clinical research site; community building; community clinic; community organizations; community setting; cultural competence; design; disability; disability risk; dosage; effective intervention; effectiveness testing; emotional distress; ethnic minority population; evidence base; frailty; help-seeking behavior; implementation barriers; implementation evaluation; implementation process; improved; innovation; interest; intervention participants; learning community; mood symptom; novel; physically handicapped; prevent; prevention service; preventive intervention; programs; psychoeducation; psychoeducational; racial minority population; reduce symptoms; self reliance; social stigma; substance use; success; treatment research; uptake

PROJECT SUMMARY Although minority elders represent the fastest growing segment of an aging US population, they have less access to mental health care and prevention of disability, lagging well behind non-Latino whites, and suffering significant disparities. Research suggests that a contributing factor may be an insufficient supply of professional providers and the inability of evidence based treatments to reach and be acceptable to minority elders. We have obtained promising results from a novel model of disability prevention, the Positive Minds Strong Bodies (E-PMSB) intervention, embedded in the client’s neighborhood and culture to improve access, quality of mental health outcomes and reduce disability. The proposed renewal tests whether an enhanced PMSB intervention is acceptable in community-based organizations and community clinics, and allows effectiveness to be strengthened through added maintenance components. We identified areas to strengthen the intervention, to facilitate easier adoption at the organizational level, to increase mental health symptom reduction beyond 6 months, and augment dosage of the exercise component. In Aim 2 we will assess implementation readiness of the E-PMSB, to ensure that its package of interventions is feasible and can be easily adopted, with reduced barriers to its sustainability. Informed by the Consolidated Framework for Implementation Research (CFIR), we will assess facilitators and barriers to implementation. A learning community consisting of community-based organizations (CBOs), clinical sites and academic partners will share elements that have contributed to initial success and can strengthen the collaboration. For Aim 3, we will create and evaluate a toolkit to disseminate the program, with a focus on developing cultural and age appropriate evidence-based messaging, packaging, and an overview of the implementation process and financing. This dynamic toolkit will be designed for use by community organizations, community health workers (CHWs), exercise trainers, and program participants, targeting strategies for capacity building as well as implementation. Drawing on the feedback from participating sites, we envision refining materials in the last 6 months of the project to have a lasting product that can be disseminated, and that not only facilitates positive intervention outcomes but additionally support organizations to optimize implementation success, fidelity, and sustainability.

项目摘要 尽管少数族裔老年人是美国老龄化人口中增长最快的部分， 获得精神卫生保健和预防残疾，远远落后于非拉丁裔白人， 显著差异。研究表明，一个促成因素可能是供应不足， 专业提供者和基于证据的治疗无法达到和接受少数 长老我们从一种预防残疾的新模式-积极心态-中取得了可喜的成果 强机构（E-PMSB）干预，嵌入客户的邻里和文化，以改善访问， 心理健康结果的质量和减少残疾。拟议的更新测试是否增强了 PMSB干预在社区组织和社区诊所是可以接受的， 通过增加维修组成部分加强效力。我们确定了需要加强的领域 干预，以促进在组织层面更容易采用，以增加心理健康症状 减少超过6个月，并增加运动成分的剂量。在目标2中，我们将评估 E-PMSB的实施准备，以确保其一揽子干预措施是可行的，可以 易于采用，减少了其可持续性的障碍。根据《2010 - 2011年综合框架》 实施研究（CFIR），我们将评估促进者和实施的障碍。一个学习 由社区组织（CBO）、临床研究中心和学术合作伙伴组成的社区将 分享有助于初步成功并能加强合作的要素。目标3： 创建和评估一个工具包，以传播该方案，重点是发展文化和年龄 适当的循证信息传递、包装和实施过程概述， 融资这个动态的工具包将被设计用于社区组织，社区卫生工作者， （CHW），运动教练和计划参与者，针对能力建设战略，以及 实施.根据参与网站的反馈，我们设想在最后6年内改进材料， 几个月的项目，有一个持久的产品，可以传播，这不仅有利于积极的 干预结果，但还支持组织优化实施的成功，保真度， 持续发展