Center for Research and Education on Aging and Technology Enhancement - CREATE

老龄化与技术增强研究与教育中心 - CREATE

• 批准号: 10835280
• 负责人: SARA J CZAJA
• 金额: $ 9.98万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-15 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10835280
• 关键词: Adult; Affect; African American population; Aging; Area; Attitude; Caring; Case Manager; Chronic; Chronic Disease; Cognitive; Communities; Complex; Cost efficiency; Data; Disease Management; Disparity; Education; Elderly; Enhancement Technology; Environment; Evaluation; Exclusion; Feeling; Future; Geriatric Psychiatry; Geriatrics; Guidelines; Health; Health Care Costs; Health Care Rationing; Healthcare; Home; Impairment; Incidence; Income; Individual; Intervention; Intervention Studies; Interview; Knowledge; Left; Loneliness; Measurable; Medical; Medicare; Mental Depression; Mental Health; Mentorship; Methods; Minority; Minority Groups; Moods; Nature; Nursing Homes; Outcome; Palliative Medicine; Personal Satisfaction; Persons; Pilot Projects; Population; Population Heterogeneity; Postdoctoral Fellow; Prevalence; Psyche structure; Qualifying; Quality of life; Reporting; Research; Resources; Risk; Role; Sampling; Self Efficacy; Services; Social Interaction; Social isolation; Target Populations; Technology; Testing; Training; Transportation; Travel; Underserved Population; United States National Institutes of Health; Woman; Work; acceptability and feasibility; aging and technology; care coordination; career development; coping; design; digital; disability; equity, diversity, and inclusion; experience; follow-up; health care service utilization; health equity; health management; high risk; improved; intervention program; meetings; mild cognitive impairment; multiple chronic conditions; negative affect; preference; prevent; programs; recruit; resilience; social; social contact; social engagement; social interventions; stressor; telehealth; therapy design; usability; user centered design; virtual; virtual reality; virtual reality environment; virtual reality intervention; willingness

Project Summary/Abstract About two million homebound (HB) older adults live in the community in the US, which is almost 1.5 times the total of older adults in nursing homes. HB older adults are a diverse population, with complex medical and social needs, and experience high levels of chronic conditions. Minoritized populations are disproportionally affected by HB status and multiple chronic conditions (MCC). In addition to the lack of financial resources, transportation, and physical limitations, multiple stressors associated with managing MCC pose significant barriers to maintaining social contacts and activities. However, the wide range of interventions involving older adults who are HB and living with MCC have not addressed social engagement in this population. Social engagement is a critical indicator of well-being and health, and provides individuals living with MCC a sense of purpose, control, and self-efficacy in coping with MCC. Still, minority groups are highly underrepresented in most interventions, and knowledge about HB older minority with MCC’s challenges with social engagement and the implementation and evaluation of technology-based social engagement interventions in this target population are not known. The proposed 2-year project will address these significant gaps. Using an asset-based approach, our aims are: 1) Ascertain social engagement needs and challenges, and preferences regarding technology-delivered interventions among HB minority older adults with MCC, and elicit case managers’ perspectives on social engagement challenges of HB aging adults; 2) Conduct usability testing with HB minority older adults with MCC of a Virtual Reality intervention designed to facilitate social engagement. The Virtual Reality intervention will be adapted based on the findings in Aim1; 3) Conduct an uncontrolled pilot study to evaluate, using standard metrics, the acceptability and feasibility, and further data on usability of the social Virtual Reality intervention in a sample of older minority HB adults with MCC in home settings. We will use a qualitative approach in Aim 1 to better understand the perceived benefits and drawbacks of social engagement in HB minority older adults, a mixed methods approach to test the usability of the adapted intervention in Aim 2, and a pre-post design to gauge the feasibility and acceptability of this intervention in Aim 3. Our interdisciplinary team is uniquely qualified and has an optimal range of backgrounds, expertise, and experience to conduct this study. Findings from this project will generate evidence on technology-delivered social interventions as means to facilitate social engagement in the target population, to help mitigate loneliness and social isolation, and inform future design guidelines.

项目概要/摘要 在美国，大约有 200 万居家 (HB) 老年人生活在社区中，几乎是美国社区老年人的 1.5 倍。 养老院的老年人总数是一个多元化的群体，具有复杂的医疗和健康状况。 社会需求和慢性病患病率较高。 受 HB 状况和多种慢性病 (MCC) 的影响，除了缺乏财政资源外， 交通运输和身体限制，与管理 MCC 相关的多种压力因素造成了显着的影响 然而，广泛的干预措施涉及老年人。 患有 HB 并患有 MCC 的成年人尚未解决该人群的社会参与问题。 参与度是福祉和健康的一个重要指标，并为患有 MCC 的个人提供一种归属感 尽管如此，少数群体在应对 MCC 时的代表性仍然严重不足。 大多数干预措施以及对 HB 老年少数群体的了解以及 MCC 在社会参与方面面临的挑战 以及针对该目标的基于技术的社会参与干预措施的实施和评估 拟议的为期两年的项目将解决这些重大差距。 使用基于资产的方法，我们的目标是：1) 确定社会参与需求和挑战，以及 患有 MCC 的 HB 少数民族老年人对技术干预的偏好，并得出 案例管理者对 HB 老年人社会参与挑战的看法 2) 进行可用性测试； 与患有 MCC 的 HB 少数民族老年人进行虚拟现实干预，旨在促进社交 虚拟现实干预将根据目标 1 中的发现进行调整； 非受控试点研究，使用标准指标评估可接受性和可行性，以及进一步的数据 社交虚拟现实干预对家中患有 MCC 的老年少数民族 HB 成年人样本的可用性 设置。 我们将在目标 1 中使用定性方法来更好地了解可感知的优点和缺点 HB 少数民族老年人的社会参与，一种混合​​方法来测试适应的可用性 对目标 2 进行干预，并进行事前设计，以衡量此干预对目标的可行性和可接受性 3. 我们的跨学科团队具有独特的资格，并拥有最佳的背景、专业知识和 进行这项研究的经验将产生技术交付的证据。 社会干预作为促进目标人群社会参与的手段，以帮助缓解 孤独和社会隔离，并为未来的设计指南提供信息。