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

基本信息

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
项目类别：
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

项目摘要

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.