THE GREAT SMOKY MOUNTAINS STUDY OF RURAL AGING

摘要 该应用程序建议收集数据以增强纵向大烟山研究(GSM)，以 为这项研究创建国家数据资源--大烟山农村老龄化研究(GSMS-RA 农村地区老龄化经历的早期决定因素。这项建议建立在一项已经 独特：具有社区代表性的设计；跨多个发展阶段的重复深入评估- 血液；高滞留率(在12波/30岁时采访82.5%)；可用于分析的纵向银行血斑- ING；纵向地理空间编码；大量高危美洲印第安人亚样本；嵌入式准实验 收入转移；多代人的评估。我们建议增加对参与者的全面评估 40岁出头时的健康、健康风险以及认知、社会和经济功能(目标1)。这一目标包括 通过120分钟的上门评估，定位、重新联系和评估80%以上的GSMS参与者， 包括收集人口、社会经济和态度信息，神经认知任务，以及 生物测量收集。我们还建议评估阿巴拉农村成年人的日常生活和农村环境-- CHIA(目标2)。这一目标包括对参与者进行为期6个月的跟踪调查，包括1)生态瞬时评估 (EMA)评估健康、健康、经济和社会功能的受试者内部变异性的方案(每 其他周；26倍)，2)评估体力活动和睡眠的活动图(3-1周观察)，以及3) 使用GPS监测来评估活动空间的地理空间移动。这一深入的个人信息将是 与通过人口普查数据链接到街区组/人口普查评估的社区和邻里概况相结合 区域、对社区的系统社会观察以及关于集体影响的参与者/社区调查- 虚构(即社会凝聚力和非正式社会控制)。我们建议协调在该项目中收集的数据 进行关键的老龄化研究，以促进城市/农村和阿巴拉契亚地区/全国的比较(目标3)。这一目标包括 协调核心结构的措施，以最大限度地与关键老化研究重叠，创建十字路口 GSM和重点研究之间的码本，并构建多研究模型数据集。最后，我们建议 创建一个全面的数据共享方案(目标4)。该计划将最大限度地访问和使用GSMS- 面向用户、科学家和潜在合作者的新受众。该项目将长期存在的 GSMS研究人员(科普兰、道奇和Aberg)与领导过大规模数据收集的新合作者 中后期的选课项目(霍兹和卡格尼)。拟议的项目在方法上是 通过GPS监控和EMA设计在收集日常生活的高质量数据方面具有创新性 通过人口普查和其他行政数据相结合的行动图和农村背景概况，系统的社会 观察和参与者/邻居调查。这项提议旨在开发一种新的资源，以捕获 完整的生活弧线，带有关于农村背景下的生活和老龄化的亲密细节。

Abstract This application proposes data collection to augment the longitudinal Great Smoky Mountains Study (GSMS) to create a national data resource, the Great Smoky Mountains Study of Rural Aging (GSMS-RA), for the study of early determinants of the aging experience in a rural context. This proposal builds on a study that is already distinctive: community-representative design; repeated in-depth assessments across multiple developmental pe- riods; high retention (82.5% interviewed at wave 12/age 30); longitudinal banked bloodspots available for assay- ing; longitudinal geospatial coding; large high-risk American Indian subsample; embedded quasi-experiment of income transfers; and multi-generational assessments. We propose to add a full assessment of participant's health, health risks, and cognitive, social and economic functioning in their early 40s (aim 1). This aim involves locating, recontacting, and assessing 80%+ of the GSMS participants with a 120-minute in-home assessment, including collection of demographic and socioeconomic and attitudinal information, neurocognitive tasks, and biomeasure collection. We also propose to evaluate everyday life and the rural context of adults in rural Appala- chia (aim 2). This aim involves following participants for 6 months with 1) an Ecological Momentary Assessment (EMA) protocol assessing within-subject variability in health, wellness, economic, and social functioning (every other week; 26 times total), 2) actigraphy to assess physical activity and sleep (3-1 week observations), and 3) geospatial movement using GPS monitoring to assess activity space. This in-depth individual information will be coupled with community and neighborhood profiles assessed via Census data linkage to block groups/census tracts, systematic social observations of neighborhoods, and participant/neighborhood surveys on collective ef- ficacy (i.e., social cohesion and informal social control). We propose to harmonize data collected in this project with key aging studies to facilitate urban/rural and Appalachia/national comparisons (aim 3). This aim involves harmonizing measures of core constructs to maximize overlap with key aging studies, creating cross-walked codebooks between GSMS and key studies and constructing multi-study model datasets. Finally, we propose to create a comprehensive data-sharing program (aim 4). This program will maximize access and use of GSMS- RA for a new audience of users, scientists, and potential collaborators. The project brings together longstanding GSMS researchers (Copeland, Dodge, and Aberg) with new collaborators who have led large-scale data col- lection projects in middle and later adulthood (Hotz and Cagney). The proposed project is methodologically innovative in gathering high-quality data on everyday life via GPS monitoring and an EMA design coupled with actigraphy and rural context profiles via a combination of Census and other administrative data, systematic social observations, and participant/neighbor surveys. This proposal looks to develop a new resource that captures the full arc of a life with intimate detail about living and aging in a rural context.