Aging in Precarious Place: Building Resilience Among Older Adults Living in Environmentally Vulnerable Areas

在不稳定的环境中老龄化：生活在环境脆弱地区的老年人的复原力建设

• 批准号: 10429405
• 负责人: Alexis Merdjanoff
• 金额: $ 12.62万
• 依托单位: NEW YORK UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10429405
• 关键词: Active Learning; Acute; Acute Disease; Address; Affect; Age; Aging; Area; Award; Back; Biometry; Buffers; Cessation of life; Chronic; Climate; Cognitive; Collection; Communities; County; Data; Data Analyses; Desire for food; Disasters; Elderly; Enrollment; Environment; Environmental Risk Factor; Equation; Event; Exposure to; Floods; Focus Groups; Frequencies; Future; Gerontology; Goals; Health; Heat Waves; Hurricane; Individual; Intervention; Intervention Studies; Interview; K-Series Research Career Programs; Longitudinal cohort study; Measurement; Measures; Mediating; Mediator of activation protein; Mental Health; Mentors; Mentorship; Methods; Modeling; Morbidity - disease rate; New Jersey; Pathway interactions; Personal Satisfaction; Phase; Population; Procedures; Process; Program Acceptability; Public Health; Qualitative Methods; Readiness; Recovery; Research; Research Methodology; Research Personnel; Resources; Risk; Sampling; Science; Scientist; Self Efficacy; Services; Severities; Social Network; Structure; Surveys; Tablets; Testing; Time; Training; Trauma; Wildfire; acceptability and feasibility; age group; aging in place; base; comorbidity; design; disaster resilience; emotional distress; experience; informant; intergenerational; mortality; multidisciplinary; physical conditioning; pilot test; primary outcome; research data dissemination; resilience; response; sea level rise; secondary outcome; skills; social; social cohesion; sociodemographics; theories; therapy design; virtual platform; willingness; young adult

PROJECT SUMMARY Acute disasters like hurricanes, floods, heatwaves, and wildfires, as well as gradual-onset environmental events like sea level rise and coastal erosion, are growing in frequency and severity. These events disproportionately affect the health and well-being of older adults (65+) due to chronic health conditions, cognitive limitations, and depleted social networks. Across all age groups, older adults are the least likely to be prepared for disasters, are the most at-risk during all phases of a disaster (e.g., mitigation, preparedness; response; recovery) and, they have the highest rate of disaster-related deaths. In addition to increasing the morbidity and mortality of older adults, disaster exposure can also disrupt the ability of community-dwelling older adults to successfully age. Despite their vulnerability, disaster resilience interventions and activities are not usually tailored for community-dwelling older adults. The rapidly growing older adult population—along with the mounting risk of disasters—makes it imperative to understand the factors that influence older adult resilience in the context of disasters (e.g., disaster resilience) and how this adaptive process can be nurtured to promote successful aging (SA). The main research objective of this career development award is to generate data that will inform future R-level awards, led by the candidate, that address resilience-building strategies to promote SA, despite growing disaster risk. This proposed research aims to promote successful aging by identifying the factors that increase the disaster resilience of community-dwelling older adults, and subsequently leveraging these factors in the design and piloting of an intervention for those aging in disaster- prone areas. We hypothesize that a direct relationship between disaster exposure and SA can be mediated by increased disaster resilience. To test this hypothesis, the broad goals of this project are to (1) test a conceptual model that theorizes the relationship among disaster exposure, individual disaster resilience and SA; (2) identify the factors that contribute to disaster resilience among older adults with qualitative data; and (3) design and pilot an intergenerational intervention that aims to increase disaster resilience among community-dwelling older adults. The main training objective of this CDA is to provide the PI with skills in (1) advanced quantitative methods; and (2) intervention science. The mentoring team includes an exceptional multidisciplinary group of scholars with expertise in intervention design and implementation; social gerontology; public health disaster science; resilience theory; and biostatistics. To accomplish these goals, the PI and mentoring team have co- designed a training plan with didactic, mentored, and experiential learning that will provide the PI with dedicated time to focus on research, dissemination of findings, and the collection of pilot data to inform future research. With mentorship from her team of senior researchers, additional coursework, and applied experience, the PI will be able to transition into a successful independent researcher who can effectively bridge gerontology, public health disaster science, and intervention science.

项目概要 飓风、洪水、热浪、野火等急性灾害，以及逐渐发生的环境灾害 海平面上升和海岸侵蚀等事件的频率和严重程度正在增加。 由于慢性健康问题，对老年人（65 岁以上）的健康和福祉造成不成比例的影响， 在所有年龄段中，老年人最不可能出现认知限制和社交网络枯竭的情况。 为灾害做好准备的人，在灾害的各个阶段（例如，减灾、备灾； 除了增加灾害相关的死亡率外，它们的死亡率也最高。 老年人的发病率和死亡率，灾害暴露也会破坏社区居住的能力 尽管老年人很脆弱，但抗灾干预措施和活动仍然是成功老龄化的关键。 通常不适合社区居住的老年人以及快速增长的老年人口。 灾害风险不断增加——必须了解影响老年人的因素 灾害背景下的复原力（例如灾害复原力）以及如何培育这种适应性过程 促进成功老龄化（SA） 该职业发展奖的主要研究目标是 生成数据，为未来由候选人领导的 R 级奖项提供信息，解决复原力建设问题 尽管灾害风险不断增加，但仍采取促进 SA 的战略 这项拟议的研究旨在促进成功。 通过确定提高社区老年人抗灾能力的因素来应对老龄化，以及 随后在针对灾难中老年人的干预措施的设计和试点中利用这些因素 我们认为，灾害暴露与 SA 之间的直接关系可以通过以下方式来调节。 为了检验这一假设，该项目的总体目标是 (1) 检验概念。 将灾害暴露、个人抗灾能力和 SA 之间的关系理论化的模型 (2) 通过定性数据确定有助于老年人抗灾能力的因素；(3) 设计； 并试行代际干预措施，旨在提高社区居民的抗灾能力 该 CDA 的主要培训目标是为 PI 提供 (1) 高级定量技能。 方法；(2) 干预科学。 具有干预设计和实施方面的专业知识的学者； 为了实现这些目标，PI 和指导团队共同努力。 设计了一个包含教学、指导和体验式学习的培训计划，为 PI 提供 投入时间专注于研究、传播研究结果以及收集试点数据以告知未来 在她的高级研究人员团队的指导下，进行额外的课程作业和应用。 经验丰富，PI 将能够转变为一名成功的独立研究员，能够有效地沟通 老年学、公共卫生灾害科学和干预科学。