Center for Research and Education on Aging and Technology Enhancement - CREATE

项目摘要/摘要 在美国，大约有200万待在家里的老年人居住在这个社区，这几乎是 养老院中的老年人总数。HB老年人是一个多元化的群体，有着复杂的医疗和 社会需求，并经历高水平的慢性病。小规模的人口比例不成比例 受Hb状态和多种慢性病(MCC)的影响。除了缺乏财政资源外， 交通和身体限制，与管理MCC相关的多个压力源构成了重大压力 保持社会联系和活动的障碍。然而，涉及老年人的广泛干预措施 患有HB和MCC的成年人还没有解决这一人群的社会参与问题。社交 参与度是幸福和健康的关键指标，并为MCC患者提供一种 应对MCC的目的、控制和自我效能感。尽管如此，少数群体在中国的代表性严重不足。 大多数干预措施和关于Hb老年少数民族与MCC在社会参与方面的挑战的知识 以及这一目标中基于技术的社会参与干预措施的实施和评价 人口是未知的。拟议的为期两年的项目将解决这些重大差距。 使用基于资产的方法，我们的目标是：1)确定社会参与需求和挑战，以及 患有MCC的Hb少数民族老年人对技术提供的干预措施的偏好，并引发 案例经理对HB老年人社交参与挑战的看法；2)进行可用性测试 与Hb少数民族老年人进行MCC的虚拟现实干预旨在促进社会 订婚。虚拟现实干预将根据Aim1的调查结果进行调整；3)进行 不受控制的试点研究，使用标准指标评估可接受性和可行性，以及进一步的数据 社会虚拟现实干预在家庭中患有MCC的少数民族老年Hb成年人中的可用性 设置。 我们将在目标1中使用定性方法，以更好地了解 在Hb少数民族老年人中的社会参与，采用混合方法测试适应性的可用性 AIM 2中的干预，以及衡量AIM中这种干预的可行性和可接受性的事前设计 3.我们的跨学科团队是独一无二的合格团队，拥有最佳的背景、专业知识和 进行这项研究的经验。该项目的发现将产生关于技术交付的证据 社会干预措施，作为促进社会参与目标人群的手段，帮助缓解 孤独和社会孤立，并为未来的设计指南提供参考。

Project Summary/Abstract About two million homebound (HB) older adults live in the community in the US, which is almost 1.5 times the total of older adults in nursing homes. HB older adults are a diverse population, with complex medical and social needs, and experience high levels of chronic conditions. Minoritized populations are disproportionally affected by HB status and multiple chronic conditions (MCC). In addition to the lack of financial resources, transportation, and physical limitations, multiple stressors associated with managing MCC pose significant barriers to maintaining social contacts and activities. However, the wide range of interventions involving older adults who are HB and living with MCC have not addressed social engagement in this population. Social engagement is a critical indicator of well-being and health, and provides individuals living with MCC a sense of purpose, control, and self-efficacy in coping with MCC. Still, minority groups are highly underrepresented in most interventions, and knowledge about HB older minority with MCC’s challenges with social engagement and the implementation and evaluation of technology-based social engagement interventions in this target population are not known. The proposed 2-year project will address these significant gaps. Using an asset-based approach, our aims are: 1) Ascertain social engagement needs and challenges, and preferences regarding technology-delivered interventions among HB minority older adults with MCC, and elicit case managers’ perspectives on social engagement challenges of HB aging adults; 2) Conduct usability testing with HB minority older adults with MCC of a Virtual Reality intervention designed to facilitate social engagement. The Virtual Reality intervention will be adapted based on the findings in Aim1; 3) Conduct an uncontrolled pilot study to evaluate, using standard metrics, the acceptability and feasibility, and further data on usability of the social Virtual Reality intervention in a sample of older minority HB adults with MCC in home settings. We will use a qualitative approach in Aim 1 to better understand the perceived benefits and drawbacks of social engagement in HB minority older adults, a mixed methods approach to test the usability of the adapted intervention in Aim 2, and a pre-post design to gauge the feasibility and acceptability of this intervention in Aim 3. Our interdisciplinary team is uniquely qualified and has an optimal range of backgrounds, expertise, and experience to conduct this study. Findings from this project will generate evidence on technology-delivered social interventions as means to facilitate social engagement in the target population, to help mitigate loneliness and social isolation, and inform future design guidelines.