THE GREAT SMOKY MOUNTAINS STUDY OF RURAL AGING

摘要 该应用程序提出了数据收集，以扩大纵向大烟山研究（GSMS）， 为这项研究创建了一个国家数据资源，大烟山农村老龄化研究（GSMS-RA） 在农村环境中老龄化经历的早期决定因素。这项建议建立在一项研究的基础上， 独特的：社区代表性设计;在多个发展过程中反复进行深入评估， riods;高保留率（在波12/30岁时采访的82.5%）;纵向堆积的血斑可用于分析- ing;纵向地理空间编码;大型高风险美洲印第安子样本;嵌入式准实验 收入转移;多代评估。我们建议增加对参与者的全面评估， 40岁出头的健康、健康风险以及认知、社会和经济功能（目标1）。这一目标涉及 通过120分钟的家庭评估，对80%以上的GSMS参与者进行定位、重新联系和评估， 包括收集人口统计学、社会经济学和态度信息，神经认知任务， 生物测量收集。我们还建议评估日常生活和农村的成年人在农村阿巴拉契亚- chia（aim 2）.这一目标涉及以下参与者6个月1）生态瞬时评估 (EMA)评估受试者内健康、健康、经济和社会功能变异性的方案（每个 其他一周;总共26次），2）活动记录仪，以评估身体活动和睡眠（3-1周观察），和3） 使用GPS监测来评估活动空间的地理空间移动。这些深入的个人信息将 再加上通过人口普查数据链接到街区组/人口普查评估的社区和邻里概况 小册子，系统的社区社会观察，以及参与者/社区调查的集体效益， 虚构（即，社会凝聚力和非正式社会控制）。我们建议协调本项目中收集的数据 进行关键的老龄化研究，以促进城市/农村和阿巴拉契亚/国家的比较（目标3）。这一目标涉及 协调核心结构的测量，以最大限度地与关键的老龄化研究重叠， GSMS和关键研究之间的码本以及构建多研究模型数据集。最后，我们建议 建立一个全面的数据共享方案（目标4）。这一方案将最大限度地利用全球安全管理系统- RA面向用户、科学家和潜在合作者的新受众。该项目汇集了长期以来 GSMS研究人员（Copeland，Dodge和Aberg）与新的合作者谁领导了大规模的数据col， 成年中后期的选举项目（霍兹和卡格尼）。拟议项目在方法上 通过GPS监控和EMA设计， 通过结合人口普查和其他行政数据、系统的社会 观察和参与者/邻居调查。该提案旨在开发一种新的资源， 一个完整的生活弧线与亲密的细节生活和老龄化在农村的背景。

Abstract This application proposes data collection to augment the longitudinal Great Smoky Mountains Study (GSMS) to create a national data resource, the Great Smoky Mountains Study of Rural Aging (GSMS-RA), for the study of early determinants of the aging experience in a rural context. This proposal builds on a study that is already distinctive: community-representative design; repeated in-depth assessments across multiple developmental pe- riods; high retention (82.5% interviewed at wave 12/age 30); longitudinal banked bloodspots available for assay- ing; longitudinal geospatial coding; large high-risk American Indian subsample; embedded quasi-experiment of income transfers; and multi-generational assessments. We propose to add a full assessment of participant's health, health risks, and cognitive, social and economic functioning in their early 40s (aim 1). This aim involves locating, recontacting, and assessing 80%+ of the GSMS participants with a 120-minute in-home assessment, including collection of demographic and socioeconomic and attitudinal information, neurocognitive tasks, and biomeasure collection. We also propose to evaluate everyday life and the rural context of adults in rural Appala- chia (aim 2). This aim involves following participants for 6 months with 1) an Ecological Momentary Assessment (EMA) protocol assessing within-subject variability in health, wellness, economic, and social functioning (every other week; 26 times total), 2) actigraphy to assess physical activity and sleep (3-1 week observations), and 3) geospatial movement using GPS monitoring to assess activity space. This in-depth individual information will be coupled with community and neighborhood profiles assessed via Census data linkage to block groups/census tracts, systematic social observations of neighborhoods, and participant/neighborhood surveys on collective ef- ficacy (i.e., social cohesion and informal social control). We propose to harmonize data collected in this project with key aging studies to facilitate urban/rural and Appalachia/national comparisons (aim 3). This aim involves harmonizing measures of core constructs to maximize overlap with key aging studies, creating cross-walked codebooks between GSMS and key studies and constructing multi-study model datasets. Finally, we propose to create a comprehensive data-sharing program (aim 4). This program will maximize access and use of GSMS- RA for a new audience of users, scientists, and potential collaborators. The project brings together longstanding GSMS researchers (Copeland, Dodge, and Aberg) with new collaborators who have led large-scale data col- lection projects in middle and later adulthood (Hotz and Cagney). The proposed project is methodologically innovative in gathering high-quality data on everyday life via GPS monitoring and an EMA design coupled with actigraphy and rural context profiles via a combination of Census and other administrative data, systematic social observations, and participant/neighbor surveys. This proposal looks to develop a new resource that captures the full arc of a life with intimate detail about living and aging in a rural context.