Smart Television and Exercise Promotion for Independent Living Facilities

描述(申请人提供)：65岁及以上的老年人(OAS)是美国人口中增长最快的部分。随着预期寿命的增加，保持身体独立已成为公共卫生的优先事项。众所周知，老年人可以安全地进行有规律的体力活动，并且对身体、情绪和认知都有好处。然而，他们仍然是所有年龄段中体力活动最少的。这表明，有效的PA协议在现实世界中的翻译范围仍然有限，存在着在更自然的环境中对个人可扩展的研究的需求。老年人选择独立生活设施(ILF)作为他们的家是一种新兴的趋势。ILF提供各种社会、文化和健身服务。获取最新技术(例如， 无线互联网)、基于网络的教育和健康计划是ILF居民的优先事项，因此与美洲国家组织一起利用技术促进健康的机会是存在的。ILF为PA推广提供了一个独特的机会，因为1)越来越多的老年人选择ILF进行就地老龄化，2)ILF居民对ILF感兴趣，3)ILF应该继续增加他们的健康产品，4)ILF应该有兴趣将PA计划纳入到健康产品中。需要研究将老年人有效的PA协议转换为可在现实世界环境中扩展到OAS的格式。其目标是推断从功效研究中获得的知识，通过制作在个人和组织层面上都是令人愉快的、用户友好的和最佳的程序来提高基于证据的方法的利用率和可持续性。独立生活设施智能电视和锻炼推广(Step For Life)将确定为ILF居民翻译使用互动网络功能的流媒体视频技术(即智能电视)的循证PA节目的可行性。该计划提供了1)接触老年人的创新且潜在有效的媒介；2)根据健身水平、锻炼类型和持续时间选择和排序会议的能力；3)组织提供满足居民和组织需求的所需健康选项的能力。本研究的目的是为老年人将有效的基于研究的PA协议转换为可在真实ILF环境中使用的可扩展格式提供初步研究，并获得个人和组织层面的知识，以改进这种基于证据的方法的实施和可持续性。具体目标包括对互动多媒体方法的使用、兴趣和有效性进行广泛的形成性研究，以促进PA，并将其融入老年人生活环境。将开发一个工作原型，并对ILF居民和管理员以及不在ILF居住的老年人进行可用性测试。结果将确定在大规模随机试验中生产和测试终生STEP的可行性。一项更大规模的试验可以为1)未来将PA推广转换到其他OA居住环境(例如，辅助生活、记忆护理、农村环境)提供信息，以及2)为老年人提供其他基于证据的健康促进方案的可持续实施战略。

DESCRIPTION (provided by applicant): Older Adults (OAs), aged 65 years and older, are the fastest growing segment of the U.S. population. As life expectancy increases, maintaining physical independence has become a public health priority. It is well recognized that regular physical activity (PA) can be done safely by seniors, and has multiple physical, emotional, and cognitive benefits. Yet, they remain the least physically active of any age group. This suggests that the translational reach of efficacious PA protocols to the real-world remains limited, and a need for research which is scalable to the individual in more naturalistic settings exists. An emerging trend for seniors is to choose Independent Living Facilities (ILFs) as their home. ILFs offer a variety of social, cultural, and fitness services. Access to up-to-date technologies (e.g., wireless Internet), web-based education, and wellness programs are a priority for ILF residents, thus opportunities for using technology for health promotion with OAs exists. ILFs provide a unique opportunity for PA promotion, because 1) more seniors are choosing ILFs for aging-in-place, 2) PA is of interest to ILF residents, 3) ILFs should continue to increase their wellness offerings, and 4) ILFs should be interested in incorporating PA programs into wellness offerings. Research is needed to translate efficacious PA protocols for seniors into formats that are scalable to OAs in real-world settings. The goal is to extrapolate knowledge gained from efficacy research to improve the utilization and sustainability of evidence-based methods by producing programs that are agreeable, user-friendly, and optimal at both the individual and organizational level. Smart Television and Exercise Promotion for Independent Living Facilities (STEP for LIFE) will establish the feasibility for translating an evidence-based PA program using an interactive web-enabled, streaming-video technology (i.e., Smart TV) for ILF residents. This program offers 1) an innovative and potentially effective medium to reach seniors, 2) the ability to select and sequence together a session that is personalized to fitness level, type of exercise, and duration, and 3) organizations the ability to provide desired wellness options which meet both resident and organizational needs. The purpose of this study is to provide the initial research for translating efficacious research-based PA protocols for seniors into a scalable format usable in a real-world ILF setting, and to gain knowledge at individual and organizational levels to improve implementation and sustainability of this evidence-based approach. Specific Aims include extensive formative research on the use, interest, and effectiveness of interactive multimedia approaches for promoting PA, and its integration into senior living settings. A working prototype will be developed and tested for usability with ILF residents and administrators, and seniors not residing in ILFs. Outcomes will establish the feasibility of producing and testing STEP for LIFE in a large-scale randomized trial. A larger trial can inform 1) future translation of PA promotion to other OA residential settings (e.g., assisted living, memory care, rural settings), and 2) sustainable implementation strategies for other evidence-based health promotion protocols for seniors.