Health Promotion and Disease Prevention Research Center

描述(申请人提供)：老龄化和人口健康预防研究中心(CAPH-PRC)的使命是通过开展和翻译关于预防晚年残疾的研究来促进老年人的预期寿命。自2001年以来，CAPH-PRC在匹兹堡、阿勒格尼县和宾夕法尼亚州农村(PA)县的服务不足、患有多种慢性病的高危老年人中实施了可扩展的计划。对于续签申请，考虑了社区需求和疾病控制和预防中心的优先事项。CAPH-PRC多学科团队正在提出几个新的倡议和一个新的实施研究项目，旨在减少老年肥胖和随后的慢性疾病。这与卫生与公众服务部关于多种慢性病的战略框架非常一致，因为CAPH-PRC的努力促进了“患有多种慢性病的个人使用经过验证的自我护理管理和其他服务”。具体地说，通过与州和县老龄和卫生部门的合作，将卫生和老龄服务的数据资源联系起来，以加强对老年人残疾和慢性病的监测。新的技术、平台、外展和合作伙伴将被用来继续传播健康老龄化的10个关键TM，这是CAPH-PRC以社区为基础的长期计划。该计划将通过网络广播传送到阿勒格尼县老年中心，并嵌入到APEEP中，这是宾夕法尼亚州老年部在慢性病发病率较高的县开展的计划。将继续利用与我们中心合作的经验，作为现有研究和培训计划的一部分，对公共卫生专业人员和社区合作伙伴进行培训。实施研究项目将侧重于缓解肥胖，肥胖是许多慢性病的风险因素。肥胖症在老年人中的增长比其他任何年龄段都要大。健康的生活方式减肥和活动计划对改善功能的成功影响缓解了人们对老年人减肥的担忧，而不会产生不良影响。前瞻试验的最新结果表明，干预减肥和改善身体机能是有效的。该项目将在社区环境中系统地实施和维持以循证为基础的体重管理干预措施，以展望未来为模式。“机动性和活力生活方式计划”-“Move Up”将1)调整、开发和试点由社区卫生工作者提供的基于社区的转化性行为体重管理计划；2)在阿勒格尼县服务不足的社区中，采用阶梯式楔形交叉设计，在60-75岁的肥胖成年参与者中实施和评估该计划对身体功能的影响；3)考虑到计划的成本、组织能力和计划适应，制定可持续发展战略，为未来的传播提供信息。

DESCRIPTION (provided by applicant): The mission of the Center for Aging and Population Health - Prevention Research Center (CAPH-PRC) is to promote active life expectancy in older adults by conducting and translating research on the prevention of late life disability. The CAPH-PRC has implemented scalable programs among underserved older adults at high risk for multiple chronic conditions in Pittsburgh, Allegheny County, and rural Pennsylvania (PA) counties since 2001. For this renewal application community needs and Centers for Disease Control and Prevention priorities were considered. The CAPH-PRC multidisciplinary team is proposing several new initiatives and a novel implementation research project designed to reduce obesity and subsequent chronic disease in old age. This aligns well with the Department of Health and Human Services Strategic Framework on Multiple Chronic Conditions as CAPH-PRC efforts promote "use of proven self-care management and other services by individuals with multiple chronic conditions". Specifically, through collaborations with state and county Departments of Aging and Health, data resources from health and aging services will be linked to enhance the surveillance of disability and chronic disease in older adults. New technologies, platforms, outreach, and partners will be used to continue to disseminate the "10 Keys"TM to Healthy Aging, a long-standing CAPH-PRC community-based program. The program will be delivered to Allegheny County senior centers through webcasts and embedded in APPRISE, a PA Department of Aging program in counties with high rates of chronic disease. Training of public health professionals and community partners, leveraging the experiences of working with our Center as part of existing research and training programs will continue. The implementation research project will focus on mitigating obesity, which is a risk factor for many chronic diseases. Obesity is increasing more in older adults than any other age group. Concerns about weight loss in older adults have been allayed by the successful impact of healthy lifestyle weight loss and activity programs on improving function without adverse effects. Recent results from the Look AHEAD Trial showed the effectiveness of an intervention for weight loss and improved physical function. This project will systematically implement and sustain an evidence-based weight management intervention, modeled after Look AHEAD, in the community setting. "The Mobility and Vitality Lifestyle Program" - "MOVE UP" will 1) adapt, develop and pilot a community-based, translational behavioral weight management program delivered by community health workers, 2) implement and evaluate the program's impact on physical functioning, using a stepped wedge crossover design in obese adult participants aged 60-75 years in underserved communities in Allegheny County, and 3) develop strategies for sustainability considering the cost of the program, organizational capacity, and program adaptation to inform future dissemination.