Reducing social isolation and loneliness through physical activity to lower cardiovascular disease risk among military women and men reintegrating into civilian life

项目摘要/摘要 社交隔离是社交互动和人际关系的可量化衡量标准，而孤独是 感觉到的社会孤立程度。这些经历在人生转折期间尤其明显。社交 与世隔绝和孤独对心血管健康有有害影响。一种文化上的发展 敏感的行为改变干预，强调提供社会支持，发展 归属感和社会连通感的培养有望减少日益增长的公众 在改善心血管健康的同时，社会孤立和孤独的健康流行病。我已经开发了 建议的核心培训目标，以在以下领域获得独特和有价值的技能：1)获得 精通社区参与研究(Cenr)以发展有效的体力活动(PA) 干预措施，2)获得与健康影响、评估和治疗有关的知识和技能 社会隔离和孤独，3)培养混合方法研究设计的专业知识，以进行行为 随机对照试验(RCT)，以及4)获取退伍军人的健康和文化知识。次要的 培训目标包括专业发展，以增加手稿提交的影响和 演讲，培养有说服力的拨款写作技巧，进行道德和负责任的研究。这个 培训目标将通过正式和非正式课程作业、定向阅读相结合的方式实现 以及网络研讨会、行为和社会科学研究培训，涉及中心、随机对照试验、PA干预、 退伍军人和实际研究经验。研究的目标是开发和检验可行性 以群体为基础的PA干预减少社交孤立、孤独和血压的可接受性 在经历重大人生转型的高危人群中，退伍军人重新融入平民生活。至 为了实现这一目标，提出的研究目标包括：1)表征与PA、社会 重新融入平民生活的退伍军人中的孤立、孤独和社会联系，2)设计 在这一人群中使用Cenr的数字技术支持的基于群体的PA干预，以及3) 以群体为基础的PA干预的可行性、可接受性及初步健康效应评价 在AIM 2中部分开发的数字技术的支持下，在重新融入到 平民生活。圣地亚哥州立大学的环境，以及我的指导团队，形成了一个独特的 合适的环境来扩展我的培训和研究技能，以追求我成为一名 成功的独立调查员，开展以社区为基础的大规模PA推广RCT。

Project Summary/Abstract Social isolation is the quantifiable measure of social interactions and relationships, whereas loneliness is the perceived level of social isolation. These experiences are especially pronounced during life transitions. Social isolation and loneliness have deleterious effects on cardiovascular health. The development of a culturally sensitive, behavior change intervention that emphasizes the provision of social support, development of a sense of belonging, and foster feelings of social connectedness has the promise to reduce the growing public health epidemic of social isolation and loneliness while improving cardiovascular health. I have developed the proposed core training objectives to acquire a unique and valuable skill set in the following areas: 1) gain proficiency in community-engaged research (CEnR) for the development of effective physical activity (PA) interventions, 2) obtain knowledge and skills related to the health implications, evaluation, and treatment of social isolation and loneliness, 3) develop expertise in mixed methods study design to conduct behavioral randomized control trials (RCT), and 4) acquire knowledge of the health and culture of veterans. Secondary training objectives include professional development to increase the impact of manuscript submissions and presentations, develop persuasive grant writing skills, and conduct ethical and responsible research. The training aims will be accomplished through a combination of formal and informal coursework, directed readings and webinars, behavioral and social science research trainings related to CEnR, RCTs, PA interventions, veterans, and practical research experiences. The research objective is to develop and examine the feasibility and acceptability of a group-based PA intervention to reduce social isolation, loneliness, and blood pressure among an at-risk population going through a significant life transition, veterans reintegrating to civilian life. To achieve this objective, the proposed research aims include: 1) characterizing the needs related to PA, social isolation, loneliness, and social connectedness among veterans reintegrating to civilian life, 2) designing a group-based PA intervention supported by digital technologies using CEnR among this population, and 3) evaluating the feasibility and acceptability and preliminary health effects of the group-based PA intervention supported by digital technologies developed partly in Aim 2 among a sample of veterans reintegrating to civilian life. The environment at San Diego State University, along with my mentorship team, form a uniquely suited setting to expand my training and research skills in pursuit of my long-term career goal of becoming a successful independent investigator, conducting large-scale, community-based PA promotion RCTs.