A Health Education Program to Increase Hope and Improve Energy Balance Among Seniors in the Urban Subarctic

为亚北极城市老年人增加希望并改善能量平衡的健康教育计划

• 批准号: 10360340
• 负责人: Britteny M Howell
• 金额: $ 38.28万
• 依托单位: UNIVERSITY OF ALASKA ANCHORAGE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-02-01 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10360340
• 关键词: Address; Affect; Aging; Alaska; Alaska Native; Alzheimer' s disease related dementia; Arctic Regions; Area; Behavior; Behavioral; Body mass index; Breathing; COVID-19; COVID-19 pandemic; Characteristics; Collection; Communities; Country; Coupled; Data; Data Analyses; Diet; Dietary intake; Diffuse; Diffusion; Educational Curriculum; Elderly; Energy Intake; Environment; Environmental Risk Factor; Event; Exercise; Fostering; Fruit or Vegetable; Future; Goals; Health; Health Promotion; Health Status; Health behavior; Health behavior change; Health education; Housing; Infrastructure; Institution; Intake; Intervention; Knowledge; Leisures; Longevity; Low income; Measures; Mental Depression; Minority; Minority Groups; Morbidity - disease rate; Native-Born; Nutritional; Obesity; Outcome; Participant; Patient Self-Report; Perception; Persons; Phase; Physical Function; Physical activity; Pilot Projects; Population; Population Heterogeneity; Populations at Risk; Process; Program Evaluation; Provider; Quality of life; Research; Research Assistant; Research Personnel; Risk; Sampling; Self Efficacy; Self Perception; Site; Students; Testing; Time; Underserved Population; United States National Institutes of Health; Universities; Weight Gain; Woman; Work; aging population; base; behavior change; design; dietary; effective intervention; energy balance; experience; follow-up; fruits and vegetables; graduate student; health care availability; health communication; health disparity; healthy aging; high risk population; improved; innovation; interest; journal article; learning outcome; mortality; novel; obesity risk; optimism; programs; psychological outcomes; resilience; sedentary lifestyle; sociodemographics; symposium; trend; undergraduate research; undergraduate student

Project Summary Obesity rates have increased among older (age 60+) adults in the U.S., from 31% in 2008 to approximately 43% in 2018. Older adults are a high-risk population because obesity is associated with increased morbidity, including Alzheimer’s Disease and Related Dementias (ADRD), early mortality, and decreased physical functioning and quality of life. Studies show that the primary driver of weight gain across the lifespan is behavioral: sedentary behaviors coupled with excessive energy intake, resulting in energy imbalance. Health education has been shown to improve dietary and physical activity behaviors for older adults, resulting in increased quality of life; however, changes appear difficult for older adults to maintain. This project uses preliminary data from a pilot project to: create a curriculum using asset-based, positive, hope-based healthy aging messaging; create rigorous program evaluation measures; and improve the research environment at UAA by substantially involving undergraduate students throughout the project. The research team will address these overall goals with the following specific aims: 1) to create and deliver an innovative, positive healthy aging curriculum that includes persuasive hope messages of resilience for an underserved population of Alaska Native and other minority older adults; and 2) to examine the impact of this positive healthy aging program on short- and long-term health outcomes, including an exploration of participant and environmental factors associated with program efficacy. This work is significant because it will fill knowledge gaps regarding appropriate health behavior change interventions for diverse older adult struggling with negative self-perceptions and health disparities, and to test the short- and long-term impact of persuasive hope messaging in this population. The project will strengthen the research environment at this primarily undergraduate-serving institution by creating an infrastructure to expand the work of the UAA Healthy Aging Research Lab. This project will gather small groups of older adults to increase hope and healthy behaviors during the COVID-19 pandemic that has resulted in increased isolation and depression among older adults. This project will allow two graduate students and 10 undergraduate research assistants to contribute to the design of the program, collection and analysis of data, as well as presenting results via co-authored journal articles and conference presentations. By developing and delivering a health education program using asset-based, hopeful messages of resilience and healthy aging, this project will improve dietary and exercise behaviors and energy balance. Impacts include identifying practices that foster positive perceptions of aging and improving health and quality of life of a diverse, at-risk population.

项目概要 美国老年人（60 岁以上）的肥胖率有所上升，从 2008 年的 31% 上升到约 43% 2018 年。老年人是高危人群，因为肥胖与发病率增加有关，包括 阿尔茨海默氏病和相关痴呆症 (ADRD)、过早死亡以及身体机能下降和 研究表明，一生中体重增加的主要驱动因素是行为：久坐。 行为加上能量摄入过多，造成能量失衡。 事实证明可以改善老年人的饮食和身体活动行为，从而提高生活质量； 然而，对于老年人来说，这些变化似乎很难维持。该项目使用了试点的初步数据。 项目旨在：使用基于资产的、积极的、基于希望的健康老龄化信息创建课程； 项目评估措施；并通过实质性参与改善UAA的研究环境 研究团队将在整个项目中解决这些总体目标。 遵循以下具体目标：1）创建并提供创新的、积极的健康老龄化课程，其中包括 为服务不足的阿拉斯加原住民和其他少数族裔老年人提供有说服力的希望信息，以增强其复原力 成年人；2) 研究这一积极的健康老龄化计划对短期和长期健康的影响 结果，包括对与计划功效相关的参与者和环境因素的探索。 这项工作意义重大，因为它将填补有关适当健康行为改变的知识空白 对与消极自我认知和健康差异作斗争的不同老年人进行干预，并测试 该项目将加强有说服力的希望信息对这一人群的短期和长期影响。 通过创建基础设施来扩展这个主要为本科生服务的机构的研究环境 UAA 健康老龄化研究实验室的工作将聚集一小群老年人来增加。 COVID-19 大流行期间的希望和健康行为导致隔离和隔离加剧 该项目将允许两名研究生和 10 名本科生进行研究。 协助程序设计、数据收集和分析以及展示结果的助理 通过共同撰写的期刊文章和会议演讲通过开发和提供健康教育。 计划使用基于资产的、充满希望的复原力和健康老龄化信息，该项目将改善饮食 锻炼行为和能量平衡的影响包括确定培养积极认知的做法。 老龄化和改善多元化高危人群的健康和生活质量。