Workshop and Internet Wellness Interventions for Women Aging with Disabilities

描述(由申请者提供)：由残疾妇女研究中心进行的健康促进研究强烈表明，我们传统的面对面研讨会模式在帮助老年肢体残疾妇女改善健康方面大有可为。现在需要一个更大的、具有更多样化特征的全国性样本来证明其更广泛的适用性。我们建议(1)完善和进一步测试我们针对老年残疾妇女的健康促进工作坊干预措施。为了满足由于交通问题、行动限制以及疼痛和疲劳等次要条件等多重障碍而无法接触到传统模式的女性的需求，我们建议(2)开发并建立一个在线健康促进计划的可行性和有效性，该计划旨在利用严肃游戏的技术提供相同的内容和行为改变策略。为了实现目标1，我们将与美国各地的12个独立生活中心合作，对我们的车间干预进行随机对照试验。为了实现目标2，我们将与凯斯西储大学的研究人员合作，开发基于他们自定进度的、基于网络的健康促进课程的在线干预。我们将检验三个假设：(1)工作坊干预组的参与者在8个疗程的干预结束时以及基线后6个月和12个月的自我效能感、健康行为和健康状况的测量结果将显著高于等待名单控制组的参与者；(2)研讨会干预对身心健康状况的影响将通过自我效能和健康行为起中介作用；(3)互联网组的参与者报告的自我效能、健康行为和健康状况的测量结果将显著高于等待名单控制组的参与者。为了检验前两个假设，312名肢体残疾妇女的样本将被招募并随机分配到工作坊组或等待名单控制组。为了检验第三个假设，另外100名女性将被随机分配到互联网组或等待名单控制组。这些干预措施旨在用于临床和社会服务环境，并为管理向肢体残疾人提供卫生服务的公共卫生政策提供咨询意见。

DESCRIPTION (provided by applicant): Health promotion research conducted by the Center for Research on Women with Disabilities strongly suggests that our traditional, face-to-face workshop format shows great promise for helping women aging with physical disabilities improve their health. A larger, national sample with more diverse characteristics is now needed to demonstrate its wider applicability. We propose (1) to refine and further test our health promotion workshop intervention for women aging with disabilities. To address the needs of women who lack access to traditional formats due to multiple barriers such as transportation problems, mobility limitations, and secondary conditions such as pain and fatigue, we propose (2) to develop and establish the feasibility and efficacy of an online health promotion program designed to offer the same content and behavior change strategies using the technique of serious gaming. To fulfill Aim 1, we will collaborate with 12 centers for independent living around the U.S. to conduct a randomized, controlled trial of our workshop intervention. To fulfill Aim 2, we will collaborate with researchers at Case Western Reserve University to develop an online intervention based on their self-paced, web-based health promotion course. We will test three hypotheses: (1) Participants in the workshop intervention group will report significantly higher scores on measures of self- efficacy, health behavior, and health status at the completion of the 8-session intervention and at 6 and 12 months after baseline compared to participants in a wait-list control group; (2) The effect of the workshop intervention on physical and psychological health status will be mediated by self-efficacy and health behavior; (3) Participants in the Internet group will report significantly higher scores on measures of self- efficacy, health behavior, and health status compared to participants in a wait-list control group. To test the first two hypotheses, a sample of 312 women with physical disabilities will be recruited and randomly assigned to the workshop group or a wait-list control group. To test the third hypothesis, an additional 100 women will be randomly assigned to the internet group or a wait-list control group. These interventions are designed for use in clinical and social service settings and to advise public health policy governing the delivery of health services to people with physical disabilities.