Voice-Activated Technology to Improve Mobility & Reduce Health Disparities: EngAGEing African American Older Adult-Care Partner Dyads

语音激活技术可提高移动性

基本信息

批准号：
10437374
负责人：
Megan J Huisingh-Scheetz
金额：
$ 73.03万
依托单位：
UNIVERSITY OF CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-24 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10437374
关键词：
Activities of Daily Living Adopted Adoption Adult African American Aging Behavior Behavioral Cardiovascular system Caregiver support Caring Cessation of life Chicago Chronic Chronic Disease Cognition Communities Complex Effectiveness Elderly Evidence based intervention Exercise Face Feasibility Studies Feedback Focus Groups Frequencies Goals Habits Hand Strength Health Health Services Hispanics Home Hospitals Hour Household Illinois Individual Internet Intervention Intervention Trial Long-Term Care Longevity Low income Lower Extremity Medicare Metabolic Methodology Musculoskeletal Musculoskeletal Physiology Not Hispanic or Latino Paper Persons Physical Function Physical Performance Physical activity Physiological Physiology Psychological reinforcement Quality of Care Race Randomized Research Resources Services Social Functioning Social Reinforcement Speed Structure Syndrome System Technology Testing Theory of Change Time Training Treatment Efficacy Upper Extremity Voice Vulnerable Populations age group base behavior change comorbidity design disability disability risk efficacy testing efficacy trial ethnic minority population exercise intervention experience frailty functional gain functional independence health disparity high risk improved improved mobility informal care informal caregiver innovation literacy multiple chronic conditions novel preservation prevent primary outcome programs racial and ethnic recruit rehabilitation service remote intervention sedentary social social engagement social relationships tool treatment as usual user-friendly

项目摘要

PROJECT SUMMARY Physical activity is essential for all age groups, across all comorbidities and geriatric syndromes; it has been described as the ‘ideal’ intervention for preserving functional independence during aging. Physical activity interventions have repeatedly been shown to improve frailty and physical performance, and to prevent mobility disability and death among high-risk older adults. Multimorbid, homebound, older adults face substantial physiologic and functional challenges and structural barriers to maintaining physical activity over time. Multimorbidity is more severe and more prevalent among African-Americans over their lifespan, and they experience more accelerated aging than any other race in the US. Disrupted physiology, the need for assistance to leave home, reliance on care partners who have limited training or tools to provide support, and lack of coverage for long-term exercise services in the home prohibit exercise participation in this vulnerable group most likely to experience functional gains from interventions. Increasing physical activity among multimorbid, homebound older adults requires a shift in interventions to target the older adult-care partner dyads and to test innovative vehicles for remote intervention delivery. We developed a socially-motivated exercise tool targeting multimorbid, African-American, homebound older adults and their care partners called EngAGE that leverages voice-activated technology. EngAGE was co-designed with targeted users through iterative participatory design methodology. Following a successful feasibility study providing preliminary evidence of effectiveness, we now propose a randomized, in-home, efficacy trial of EngAGE (intervention) versus paper exercise handouts (usual care) in n=124 multimorbid, African-American, homebound older adult-care partner dyads. Over 7 million U.S. older adults cannot easily reach health services outside of the home and >34.2 million informal U.S. caregivers support their care without guidance. Results from this proposal will demonstrate the effectiveness of a novel, scalable program promoting exercise among this difficult-to-reach group of older adults while supporting the care partners with critical tools.

项目概要身体活动对于所有年龄段、所有合并症和老年综合症都至关重要；被描述为在衰老过程中保持功能独立性的“理想”干预措施。干预措施已多次被证明可以改善虚弱和身体机能，并防止行动不便高风险老年人的残疾和死亡多病、居家的老年人面临着巨大的风险。随着时间的推移，维持身体活动的生理和功能挑战以及结构性障碍。在非洲裔美国人的一生中，多重疾病更为严重和普遍，而且他们与美国其他种族相比，他们的衰老速度更快。生理机能紊乱，需要帮助。离开家、依赖接受过有限培训或提供支持的工具有限的护理伙伴，以及缺乏家庭长期锻炼服务的覆盖范围最禁止这一弱势群体参与锻炼可能会从干预措施中获得功能上的好处，居家老年人需要改变干预措施，以针对老年人护理伙伴二人组并进行测试我们开发了一种针对远程干预的创新工具。多病、非裔美国人、居家老年人及其护理伙伴，称为 EngAGE，利用 EngAGE 是通过迭代参与式设计与目标用户共同设计的。在成功的可行性研究提供了有效性的初步证据之后，我们现在提出一项 EngAGE（干预）与纸质练习讲义（通常 n = 124 名患有多种疾病、非裔美国人、居家老年护理伴侣的美国人口超过 700 万。老年人无法轻松获得家庭以外的医疗服务，并且超过 3,420 万美国非正式护理人员在没有指导的情况下支持他们的护理。该提案的结果将证明新颖的有效性，可扩展的计划，促进这一难以接触到的老年人群体的锻炼，同时支持护理与关键工具合作。