Developing a group singing intervention for promoting psychosocial wellbeing among older people living with HIV

制定集体歌唱干预措施，以促进艾滋病毒感染者老年人的心理社会健康

• 批准号: 10078583
• 负责人: Judy You Rong Tan
• 金额: $ 21.8万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-01-01 至 2022-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10078583
• 关键词: Achievement; Address; Adherence; Adult; Age; Aging; Antidotes; Behavioral Model; Benchmarking; Buffers; Caring; Chronic; Communities; Data; Disclosure; Elderly; Family; Feedback; Feeling; Foundations; Friends; Fright; Future; Geriatrics; HIV; Health; Immune system; Inflammation; Intervention; Knowledge; Life; Link; Literature; Loneliness; Longevity; Manuals; Modeling; Modification; Neurocognitive Deficit; Older Population; Outcome; Personal Satisfaction; Population; Premature aging syndrome; Procedures; Process; Protocols documentation; Quality of life; Randomized; Research; Rogaine; Site; Social Desirability; Social Network; Social Processes; Social isolation; Social support; Socialization; Stigmatization; Support Groups; Testing; Training; Underserved Population; United States National Institutes of Health; Viral Load result; Voice; Waiting Lists; Work; acceptability and feasibility; antiretroviral therapy; base; disparity reduction; early onset; evidence base; experience; frailty; immune activation; immunosenescence; improved; member; multiple chronic conditions; pilot trial; psychosocial; research and development; satisfaction; social; social attachment; social stigma; theories; therapy development

PROJECT SUMMARY/ABSTRACT By 2030, approximately 73% of people living with HIV (PLWH) in the U.S. will be older than 50 years. Age 50 is a benchmark age in HIV-geriatrics care because HIV accelerates aging via the processes of chronic inflammation and immunosenescence. Loneliness and social isolation are common among older adults, but our preliminary research and emergent evidence with older PLWH show that older PLWH desire social connections with other older PLWH that do not require disclosure of HIV-status and that help them regain a sense of control and purpose in living a fulfilling life with HIV. Group singing creates social opportunities that are linked to improved psychosocial wellbeing in older adults, thus holding tremendous potential for older PLWH. Group singing improves psychosocial wellbeing via increased feelings of belonging and social bonding, although less is known regarding how group singing impacts those living with a stigmatizing health condition. We propose to develop United Voices (UV), a community choir intervention to enhance psychosocial wellbeing among older PLWH, based on Community of Voices (COV; R01AG042526), a community choir intervention that significantly improved psychosocial outcomes in a cluster-randomized, waitlist controlled trial of older adults. The aims to this R21 are as follows. Aim 1: Develop United Voices, a community choir intervention to improve psychosocial wellbeing among older (≥50 years) PLWH by enhancing group pride and personal control. To achieve Aim 1, we will work with a community advisory council (CAC) of key stakeholders (e.g., older PLWH who have and/or are engaged in group singing) to adapt the COV intervention by drafting new protocols and procedures, modifying and refining the COV intervention protocols and procedures, and integrating the CAC's feedback into a final version of the UV manual and training procedures for the subsequent pilot trial in Aim 2. Aim 2: Conduct a pilot, randomized waitlist controlled trial of the United Voices intervention with two community sites to evaluate the acceptability and feasibility of implementation and assessment procedures and protocols, including randomization procedures. We will revise, integrate, and finalize intervention protocols and procedures to prepare for a subsequent full-scale trial. Findings from this R21 research will provide the foundational data needed for a subsequent R01 proposal to rigorously evaluate the first community choir intervention for addressing unmet needs among a growing and underserved population. Knowledge gained from the theory-based research proposed will inform future principles-driven intervention development research.

项目摘要/摘要 到2030年，美国大约73%的艾滋病毒携带者(PLWH)的年龄将超过50岁。50岁是 艾滋病毒老年病护理的基准年龄，因为艾滋病毒通过慢性病过程加速衰老 炎症和免疫衰老。孤独和社交孤立在老年人中很常见，但 我们对老年PLWH的初步研究和紧急证据表明，老年PLWH渴望社交 与其他不需要披露艾滋病毒状态并帮助他们重新获得 对艾滋病毒携带者过上充实的生活的控制感和使命感。合唱创造了社会机会， 与改善老年人的心理社会幸福感有关，因此对老年人具有巨大的潜力 PLWH。群唱通过增加归属感和社会纽带来改善心理社会健康， 尽管人们对群唱如何影响那些生活在耻辱健康状况下的人知之甚少。 我们建议开发联合之声(UV)，这是一种社区合唱团干预措施，以增强心理社会健康 在老年PLWH中，基于社区声音(COV；R01AG042526)，社区合唱团干预 这显著改善了一项整群随机、等待名单控制的老年人试验的心理社会结果 成年人。这款R21的目标如下。目标1：发展联合之声，这是一种社区合唱团干预措施 通过增强群体自豪感和个人自豪感，改善老年人(≥50岁)的心理社会幸福感 控制力。为了实现目标1，我们将与主要利益攸关方组成的社区咨询委员会(CAC)合作(例如， 有和/或从事集体演唱的老年PLWH)通过起草新的COV干预措施来适应COV干预 协议和程序，修改和细化COV干预协议和程序； 将CAC的反馈整合到最终版本的UV手册和培训程序中 目标2.目标2：进行联合之声的试点、随机等待名单对照试验 对两个社区站点进行干预，以评估实施的可接受性和可行性 评估程序和方案，包括随机化程序。我们将修改、整合和 最终确定干预方案和程序，为随后的全面试验做准备。由此得出的结论 R21研究将提供后续R01提案严格评估所需的基础数据 第一次社区合唱团干预，以解决日益增长和服务不足的人中未得到满足的需求 人口。从所提出的基于理论的研究中获得的知识将为未来的原则驱动提供信息 干预发展研究。