Experience Corps Trial: Improving Health of Older Populations through Generativit

体验军团试验：通过 Generativit 改善老年人的健康

• 批准号: 7499920
• 负责人: LINDA P FRIED
• 金额: $ 7.5万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7499920
• 关键词: Accounting; Achievement; Address; Adult; Advocate; Affect; Age; Aggressive behavior; Aging; Alzheimer' s Disease; American; Appointment; Arts; Back; Baltimore; Behavior; Behavioral; Behavioral Mechanisms; Biomedical Research; Biometry; Biostatistics Core; Brain; Brain imaging; Budgets; Cardiovascular system; Caring; Characteristics; Child; Child Behavior; Cities; City Government; Class; Climate; Clinical Research; Clinical Trials; Cognitive; Collaborations; Commit; Communities; Community Relations; Complex; Computers; Contracts; Control Groups; Cost-Benefit Analysis; Costs and Benefits; Data; Data Analyses; Data Collection; Dependency; Development; Disadvantaged; Doctor of Medicine; Doctor of Philosophy; Dose; Drops; Early Intervention; Economics; Education; Educational Status; Effectiveness; Elderly; Employee; Ensure; Environment; Epidemiology; Equation; Equipment; Etiology; Evaluation; Exercise; Faculty; Feedback; Feeds; Fertilization; Foundations; Functional Magnetic Resonance Imaging; Fund Raising; Funding; Future; Future Generations; Generations; Genetic; Ginkgo biloba; Goals; Growth; Habits; Head; Health; Health Benefit; Health Policy; Health Promotion; Health behavior; Healthcare; Home environment; Hour; Housing; Ice; Illinois; Impact evaluation; Impaired cognition; Informatics; Institutes; Institution; Intervention; Intervention Trial; Investments; Knowledge; Laboratories; Lead; Leadership; Learning; Left; Letters; Libraries; Life; Location; Magnetic Resonance Imaging; Mails; Maryland; Measures; Medical; Medicare; Medicine; Memory; Memory Loss; Mental Depression; Mental Health; Methods; Mission; Modeling; Monitor; Morbidity - disease rate; Motivation; Multivariate Analysis; Myron; Natural History; Natural Increases; Natural Resources; Neighborhoods; Numbers; Nursing Schools; Observational Study; Older Population; Operative Surgical Procedures; Outcome; Participant; Pathway interactions; Performance; Personal Satisfaction; Persons; Pharmaceutical Preparations; Physical activity; Pilot Projects; Play; Policy Maker; Population; Prevention; Prevention Research; Price; Principal Investigator; Productivity; Psyche structure; Psychological Factors; Public Health Nurses; Public Health Nursing; Public Health Schools; Purpose; Radiology Specialty; Randomized; Randomized Clinical Trials; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Range; Rate; Readiness; Reading; Recording of previous events; Recruitment Activity; Relative (related person); Reporting; Research; Research Design; Research Personnel; Research Project Grants; Research Training; Resources; Retirement; Risk; Risk Factors; Role; Running; School Nursing; School Teachers; Schools; Self Efficacy; Services; Side; Site; Social Security; Social support; Societies; Spectrum Analysis; Speed; Standards of Weights and Measures; Structure; System; Technology; Testing; Time; Training; Training Programs; Transportation; Universities; Ursidae Family; Validation; Vocabulary; Walking; Week; Women' s Health; Work; base; bioimaging; career; clinical epidemiology; cohort; community organizations; cost; cost effectiveness; data management; design; disability; discount; early childhood; elementary school; executive function; experience; falls; follow-up; foot; frailty; functional decline; health disparity; health economics; improved; improved functioning; innovation; intergenerational; medical schools; member; method development; mortality; multidisciplinary; next generation; novel; novel strategies; prevent; programs; prospective; psychologic; retiree; satisfaction; scale up; social; social capital; social model; social skills; teacher; therapy design; volunteer

With the number of older adults expected to double and the proportion of people 65 and older expected to rise to 22% by 2020, it is critical to develop and test population-based approaches for large scale, effective health promotion for our aging society. This will permit evidence-based decisions as to how to deploy resources in order to have optimal impact on the health of older adults. This Administrative Core supports the operations and overall coordination of a program project dedicated to contributing to this goal by conducting a randomized, controlled trial of the Experience Corps program and its cost-effectiveness and cost-benefit impact locally and societally. This program is a senior volunteer program which places people 60 and older in meaningful roles in public elementary schools, roles designed to have high impact on childrens' outcomes; the program attracts and retains older adults, 15 hours per week, for its opportunity to give back. However, designed into the program is a health promotion program, intending to increase social, cognitive and physical activity. This proposal will, in a University-community-city collaboration, conduct a rigorous evaluation of the impact of the scaled-up program through a randomized controlled evaluation: of older volunteers to determine whether Experience Corps prevents or slows physical disability, falls and cognitive decline (Project 1); of schools, to determine if children improve academically, behaviorally and in readiness to learn as a result of the social capital offered by Experience Corps and, hence, our aging society (Project 2); of the potential mechanisms of program action on brain structure and executive function (Project 3); of program effects on social and psychological mechanisms and outcomes (Project 4); and, finally, we will conduct a cost-benefit analysis of the program, taking impact on both older adults and children into account. The work of the 5 projects and 3 supporting cores will be mutually interconnected and synergistic, and will be interdigitated through a Steering Committee and an Executive Committee operated within this Administrative Core (Core A). This Core will project coordination and interdigitation, overall organization and budget management for all Projects and cores, monitor progress and effectiveness, produce reports, organize DSMB meetings, and coordinate community relations. Overall, this program project is designed to evaluate the utility and effectiveness of Experience Corps as a social model for health promotionfor an aging society.

预计老年人的数量将翻一番，而65岁及以上的人数则为 到2020年，至22％，至关重要 为我们的衰老社会促进健康。这将允许基于证据的决定 资源以对老年人的健康产生最佳影响。这个行政核心支持 一个计划项目的运营和整体协调，致力于为这一目标做出贡献 对体验团计划进行随机，对照试验及其成本效益和 成本效益在本地和社会上影响。该计划是一项高级志愿者计划，使人们置于 60岁及以上的公立小学有意义的角色，旨在对 儿童的结果；该计划每周15小时吸引并保留老年人，以便有机会 回馈。但是，该计划设计的是一个健康促进计划，旨在增加社交， 认知和体育锻炼。该建议将在大学 - 社区城市合作中进行 通过随机对照评估对扩展程序的影响进行严格评估： 年长的志愿者确定体验军团是否阻止或减慢身体残疾，跌倒和 认知下降（项目1）；学校，确定孩子在学术，行为和行为上是否有所改善 愿意通过经验兵团提供的社会资本以及我们的老龄化社会而进行学习 （项目2）;计划行动对大脑结构和执行功能的潜在机制（项目 3）;计划对社会和心理机制和结果的影响（项目4）；最后，我们将 对该计划进行成本效益分析，并考虑到老年人和儿童。 5个项目和3个支持核心的工作将相互联系和协同作用，并且将是 通过指导委员会和执行委员会在此行政部门中进行的互助 核心（核心A）。该核心将投影协调和互犯，整体组织和预算 所有项目和核心的管理，监控进度和有效性，产生报告，组织 DSMB会议和协调社区关系。总体而言，该计划项目旨在评估 体验兵队作为衰老社会的健康促进的社会模式的实用性和有效性。