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.

项目摘要 诸如飓风，地板，热浪和野火等急性灾难以及年级发作环境 海平面上升和沿海侵蚀等事件的频率和严重程度正在增长。这些事件 由于慢性健康状况，不成比例地影响老年人的健康和福祉， 认知局限性和耗尽的社交网络。在所有年龄段，老年人最不可能 为灾难做准备，是灾难的所有阶段中最高风险的（例如缓解，准备； 回复;恢复），它们的死亡率最高。除了增加 老年人的发病率和死亡率，灾难暴露也会破坏社区居住的能力 老年人成功年龄。尽管它们的脆弱性，但灾难的复原力干预和活动是 通常不为社区居住的老年人量身定制。迅速增长的老年人口 - 以及 灾难的越来越风险 - 必须了解影响老年人的因素 在灾难的背景下（例如，灾难的复原力）以及如何护理这种适应性过程的韧性 促进成功的衰老（SA）。该职业发展奖的主要研究目标是 生成将为未来的R级奖项提供的数据，该奖项由候选人领导，以解决弹性建设 促进SA，目的地增长灾难风险的策略。这项拟议的研究旨在促进成功 通过确定增加社区居住老年人的灾难抵御能力的因素来衰老，以及 随后利用这些因素来设计和试点灾难中的人们的干预措施 - 俯卧的地区。我们假设灾难暴露与SA之间的直接关系可以由 增加灾难的韧性。为了检验这一假设，该项目的广泛目标是（1）测试概念 模型，将灾难暴露，个人灾难弹性和SA之间的关系理论化； （2） 确定有助于具有定性数据的老年人的灾难恢复能力的因素； （3）设计 并试行一种代际干预措施，旨在提高社区居民之间的灾难恢复能力 老年人。该CDA的主要培训目标是为PI提供（1）高级定量的技能 方法; （2）干预科学。心理团队包括一个杰出的多学科小组 具有干预设计和实施专业知识的学者；社会老年学；公共卫生灾难 科学;弹性理论；和生物统计学。为了实现这些目标，PI和心理团队共同 设计了一个教学，指导和经验丰富的学习的培训计划，该计划将为PI提供 专注于研究，调查结果的传播和试点数据的收集以告知未来的时间 研究。在她的高级研究人员团队中，额外的课程和申请 经验，PI将能够过渡到一个成功的独立研究人员，他们可以有效地桥接 老年医学，公共卫生灾难科学和干预科学。