Identifying and Addressing Social Isolation among Older Adults Living in Subsidized Housing

识别并解决生活在补贴住房中的老年人的社会孤立问题

基本信息

批准号：
10525900
负责人：
Thomas Kofi Mensah Cudjoe
金额：
$ 19.84万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-01 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10525900
关键词：
Address Aging American Baltimore Basic Science Behavior Therapy Behavioral Model Caring Characteristics Chronic Cities Communities Complex Control Groups Data Elderly Epidemiology Exposure to Foundations Funding Future General Population Gerontology Grant Health Home Hospitalization Housing Human Hypertension Impaired health Income Individual Institutionalization Intervention Investigation Knowledge Low income Mediator of activation protein Medical Medicare Mental Health Mentored Patient-Oriented Research Career Development Award Methodology Methods Modality Modification Morbidity - disease rate Needs Assessment Nursing Homes Operative Surgical Procedures Outcome Participant Patient Self-Report Population Prevalence Process Protocols documentation Public Health Reporting Research Research Personnel Research Support Resources Risk Risk Factors Savings Scientist Site Smoking Social isolation Structure Surveys Testing Time United States National Institutes of Health Work Writing acceptability and feasibility attentional control base career development cohort community engagement cost demographics experience functional disability human centered design implementation science improved innovation insight interest intervention delivery mortality novel strategies open label peer physical conditioning post intervention research and development sedentary lifestyle social social contact social determinants success therapy development

项目摘要

PROJECT SUMMARY Social isolation is the objective lack of (or limited) social contact with others. Approximately 1 in 4 older adults are socially isolated. Social isolation is a major public health issue and a risk factor for morbidity and mortality comparable to smoking, hypertension, and a sedentary lifestyle. Socially isolated older adults cost Medicare an estimated additional $6.7 billion each year. Low income older adults have two times the odds of experiencing social isolation compared to those with higher incomes. Amidst current aging projections and reports that the current cohort of older Americans have high debt and insufficient savings, the demand for subsidized housing has increased. Few studies examine social isolation among low income older adults living in subsidized housing. Despite epidemiologic evidence demonstrating the deleterious effects of social isolation on health, gaps exist in our knowledge regarding the best solutions to identify and address this major public health problem. This K23 proposal builds upon the candidates’ work funded by the Grants for Early Medical/Surgical Subspecialists’ Transitioning to Aging Research (GEMSSTAR, R03) to advance our understanding of the facilitators and barriers of social isolation among older adults living in subsidized housing. Leveraging these insights, this K23 proposal, guided by the NIH Stage Model for Behavioral Intervention Development, will conduct basic research (NIH Stage 0) to characterize social isolation and its relationship with individual and structural factors among older adults living in subsidized housing to identify participant characteristics that will inform the development of an intervention. These findings will inform the creation (NIH Stage 1A) and piloting (NIH Stage 1B) of a housing-based social isolation intervention pilot. This innovative proposal employs a transdisciplinary approach and builds the foundation for novel approaches to identify and address social isolation among older living in subsidized housing. This proposal will support the research and career development of the candidate, who aims to become an independent clinician investigator focused on developing and implementing community-based interventions that improve the health of low-income older adults.

项目概要社会孤立是指大约四分之一的老年人客观上缺乏（或有限）与他人的社会接触。成年人在社会上被孤立。社会孤立是一个重大的公共卫生问题，也是发病和患病的危险因素。死亡率与吸烟、高血压和久坐的生活方式相当。医疗保险每年估计额外花费 67 亿美元，是低收入老年人的两倍。与收入较高的人相比，经历社会孤立的可能性。预测和报告显示，目前美国老年人群体负债高且储蓄不足，对补贴住房的需求有所增加，但很少有研究考察低收入人群的社会隔离情况。尽管流行病学证据表明，居住在补贴住房中的老年人的收入。社会隔离对健康的有害影响，我们对最佳解决方案的认识存在差距确定并解决这一重大公共卫生问题。这项 K23 提案以候选人的工作为基础。由早期医学/外科专家过渡到老龄化研究的赠款资助（GEMSSTAR，R03）加深我们对社会隔离的促进因素和障碍的理解 NIH 指导下的 K23 提案利用了这些见解。行为干预开发阶段模型，将进行基础研究（NIH 0 阶段）老年人社会孤立的特征及其与个体和结构因素的关系居住在补贴住房中，以确定参与者的特征，从而为住房的发展提供信息这些发现将为创建（NIH 第 1A 阶段）和试点（NIH 第 1B 阶段）提供信息。这项创新提案采用了跨学科的方法。方法并为识别和解决社会隔离问题的新方法奠定基础该提案将支持居住在补贴住房中的老年人的研究和职业发展。候选人，旨在成为一名独立的临床研究者，专注于开发和实施以社区为基础的干预措施，改善低收入老年人的健康。