Wildfires and arrhythmias: evaluating associations and intervention strategies

本研究的主要目的是获得初步数据，以支持未来r01水平的调查。未来试验的重点将是检验我们在试点工作中开发的一种预防身体虚弱的新方法的功效：咖啡运动。cafemove使用简单而强大的力量，流动性和平衡评估，使人们能够快速轻松地了解他们的身体功能，相对于规范数据（考虑年龄，身高等）。所有cafemove评估都可以在正规卫生保健环境之外进行（例如，在个人家中），从而促进自主并减少获取障碍。在这项研究中，我们计划通过三种方式（“用餐”、“售货亭”和“送货”）在选定的独立生活的老年人社区提供caf<s:1> Move。“用餐”选项将包括在预定的社区活动中进行面对面的评估。“自助服务亭”选项将通过社区内的cafemove站点提供，类似于当地药店的血压检查站；训练有素的人员就在附近，但人们可以自己与平台互动。最后，“交付”选项将允许人们订购（便宜的）评估用品并在他们自己的家中进行测量。我们将进行一项双基线队列研究，旨在获得必要的数据，以计算感兴趣的结果测量（例如，健康行为，参与预防策略的比率）的站点内和站点间方差，这将为r01水平试验的设计提供信息。

The primary goal of this study is to acquire preliminary data to support a future R01-level investigation. The focus of this future trial will be to examine the efficacy of a novel approach to preventing physical frailty, which we have developed in our pilot work: Café Move. Café Move uses simple yet robust assessments of strength, mobility and balance to enable people to quickly and easily gain insight to their physical function, relative to normative data (accounting for age, height, etc.). All of the Café Move assessments can be performed outside of formal healthcare settings (e.g., in a person’s home), thus promoting autonomy and reducing barriers to access. In this study, we plan to make Café Move available in select independent-living senior communities via three modalities (“dine-in,” “kiosk,” and “delivery”). The “dine-in” option will involve face-to-face assessments at scheduled community events. The “kiosk” option will be available via Café Move stations hosted locally within the community, analogous to a blood pressure check station at the local drug store; trained personnel are nearby, but people can interact with the platform on their own. Finally, the “delivery” option will allow people to order the (inexpensive) assessment supplies and perform measurements in their own home. We will conduct a double-baseline cohort study intended to yield the data necessary to calculate within- and between-site variance in the outcome measures of interest (e.g., health behaviors, rates of engagement with prevention strategies), which will inform the design of an R01-level trial.