Reducing social isolation and loneliness through physical activity to lower cardiovascular disease risk among military women and men reintegrating into civilian life

通过体育活动减少社会孤立和孤独感，以降低重返平民生活的军人的心血管疾病风险

• 批准号: 10449861
• 负责人: Natalie Marie Yarish
• 金额: $ 15.46万
• 依托单位: OLD DOMINION UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-15 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10449861
• 关键词: Address; American; Area; Behavioral; Biological Markers; Blood Pressure; Cardiovascular Diseases; Cardiovascular system; Cigarette; Communities; Coronary heart disease; Data; Development; Environment; Epidemic; Ethics; Evaluation; Family; Feeling; Feeling suicidal; Fostering; Goals; Grant; Health; Health Benefit; Individual; Intervention; Interview; Knowledge; Left; Life; Loneliness; Manuscripts; Measures; Mental Depression; Mentorship; Methods; Military Personnel; Physical activity; Population; Populations at Risk; Post-Traumatic Stress Disorders; Program Evaluation; Public Health; Randomized Controlled Trials; Reading; Reporting; Research; Research Design; Research Personnel; Research Training; Risk; Sampling; Smoking; Social Interaction; Social isolation; Social support; Societies; Spouses; Structure; Surveys; Technology; Training; Universities; Veterans; Vulnerable Populations; Woman; Writing; acceptability and feasibility; active duty; adherence rate; base; behavior change; behavioral/social science; cardiovascular disorder prevention; cardiovascular disorder risk; cardiovascular health; cardiovascular risk factor; career; community engaged research; cost effective; design; digital; exercise intervention; experience; improved; men; military men; military service; military women; pilot test; programs; research and development; satisfaction; skills; social; social relationships; social science research; social vulnerability; stroke risk; therapy design; webinar

Project Summary/Abstract Social isolation is the quantifiable measure of social interactions and relationships, whereas loneliness is the perceived level of social isolation. These experiences are especially pronounced during life transitions. Social isolation and loneliness have deleterious effects on cardiovascular health. The development of a culturally sensitive, behavior change intervention that emphasizes the provision of social support, development of a sense of belonging, and foster feelings of social connectedness has the promise to reduce the growing public health epidemic of social isolation and loneliness while improving cardiovascular health. I have developed the proposed core training objectives to acquire a unique and valuable skill set in the following areas: 1) gain proficiency in community-engaged research (CEnR) for the development of effective physical activity (PA) interventions, 2) obtain knowledge and skills related to the health implications, evaluation, and treatment of social isolation and loneliness, 3) develop expertise in mixed methods study design to conduct behavioral randomized control trials (RCT), and 4) acquire knowledge of the health and culture of veterans. Secondary training objectives include professional development to increase the impact of manuscript submissions and presentations, develop persuasive grant writing skills, and conduct ethical and responsible research. The training aims will be accomplished through a combination of formal and informal coursework, directed readings and webinars, behavioral and social science research trainings related to CEnR, RCTs, PA interventions, veterans, and practical research experiences. The research objective is to develop and examine the feasibility and acceptability of a group-based PA intervention to reduce social isolation, loneliness, and blood pressure among an at-risk population going through a significant life transition, veterans reintegrating to civilian life. To achieve this objective, the proposed research aims include: 1) characterizing the needs related to PA, social isolation, loneliness, and social connectedness among veterans reintegrating to civilian life, 2) designing a group-based PA intervention supported by digital technologies using CEnR among this population, and 3) evaluating the feasibility and acceptability and preliminary health effects of the group-based PA intervention supported by digital technologies developed partly in Aim 2 among a sample of veterans reintegrating to civilian life. The environment at San Diego State University, along with my mentorship team, form a uniquely suited setting to expand my training and research skills in pursuit of my long-term career goal of becoming a successful independent investigator, conducting large-scale, community-based PA promotion RCTs.

项目摘要/摘要 社会隔离是对社会互动和关系的可量化度量，而孤独是 感知的社会隔离水平。在生活过渡期间，这些经历尤其明显。社会的 隔离和孤独对心血管健康产生有害影响。文化的发展 敏感的，行为改变干预措施，强调提供社会支持，发展 归属感和促进社会联系的感觉有望减少不断增长的公众 社会隔离和孤独感的健康流行，同时改善心血管健康。我已经开发了 提出的核心培训目标，以在以下领域获得独特而有价值的技能：1） 熟练社区参与研究（CENR）开发有效体育活动（PA） 干预措施，2）获得与健康影响，评估和治疗有关的知识和技能 社会隔离和孤独感，3）在混合方法研究设计中发展专业知识以进行行为 随机对照试验（RCT）和4）获取对退伍军人健康和文化的了解。次要 培训目标包括专业发展，以增加手稿提交的影响和 演讲，发展有说服力的授予写作技巧，并进行道德和负责任的研究。这 培训目标将通过正式和非正式课程，定向阅读来实现 以及与CENR，RCT，PA干预有关的网络研讨会，行为和社会科学研究培训， 退伍军人和实践研究经验。研究目标是发展和检查可行性 以及基于小组的PA干预以减少社会隔离，孤独和血压的可接受性 在经历重大生活过渡的高危人群中，退伍军人重新融入了平民生活。到 实现这一目标，拟议的研究目的包括：1）表征与PA，社会有关的需求 退伍军人之间的孤立，孤独和社会联系重新融入了平民生活，2）设计一个 基于小组的PA干预由数字技术支持使用CENR在该人群中，3） 评估基于组的PA干预的可行性和可接受性和初步健康影响 由数字技术支持的部分在AIM 2中开发 平民生活。圣地亚哥州立大学的环境以及我的指导团队，形成了一个独特的 适合扩大我的培训和研究技能的环境，以追求我的长期职业目标 成功的独立研究者，进行大规模的，基于社区的PA促销RCT。