Healthy Activity Improves Lives (HAIL)

健康活动改善生活 (HAIL)

• 批准号: 10890219
• 负责人: Louisa Sylvia
• 金额: $ 30.4万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-30 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10890219
• 关键词: Accelerometer; Address; Adult; Advocacy; Age; Black Populations; Black church; Black race; Boston; Bypass; Chronic Disease; Church; Communities; Development; Education; Elderly; Endowment; Exercise; Exploratory/Developmental Grant; Feasibility Studies; Feedback; Focus Groups; Funding; Health; Health Benefit; Intervention; Interview; Measures; Modeling; National Institute on Aging; Outcome; Participant; Persons; Phase; Physical activity; Pilot Projects; Policies; Population; Population Study; Program Accessibility; Public Health; Randomized; Recommendation; Reduce health disparities; Research; Research Support; Risk; Schedule; Structure; Training; acceptability and feasibility; cost; ethnic diversity; evidence base; exercise intervention; experience; fitbit; follow-up; improved; instructor; moderate-to-vigorous physical activity; mortality; peer; physical inactivity; pilot trial; programs; satisfaction; trend; wearable device; young adult

PROJECT SUMMARY Older adults (age ≥ 60 years) tend to be less physically active than younger adults, engaging in less than 11% of recommended physical activity (PA) levels[1-3]. These trends are even lower in older individuals from Black communities. Lack of PA in older adults is associated with increased risk of all-cause mortality, especially in the Black population[4]. Large population-based studies suggest that moderate levels of PA provide protection from chronic diseases in older adults[5]. Therefore, interventions aimed at improving PA in older Black adults could significantly improve health outcomes and help to reduce health disparities among this population. To increase PA in older, Black adults, we use the socioecological perspective[7] to examine the barriers and facilitators at each level of influence (i.e., intrapersonal, interpersonal, organizational/community, environmental/policy). A PA intervention developed for older, Black adults that targets multiple levels of the socioecological model is needed. The evidence-based Fit and Strong! (F&S!) program for older adults, funded by the National Institute of Aging, can be optimized to bypass these barriers and effectively engaged older Black adults in sustained PA. Although the F&S! program has been successfully implemented in multiple community-based, ethnically diverse settings, it is limited because it is only offered in-person (i.e., no online component) and ends at 8 weeks with very little ongoing support. These limitations not only increase the cost and reduce the accessibility of the program but also fail to optimize or support gains made as improvements in PA during F&S! diminish over the follow-up phase[8]. We will bypass these limitations and develop an adjunct, online platform to the F&S! program that is capable of syncing with wearable devices (e.g., fitbit). To create this platform as well as examine its feasibility and acceptability, we will partner with the Black Ministerial Alliance of Greater Boston (BMA), an organization of predominantly Black churches, and administer the program in these churches in Boston, MA. Consistent with this FOA “to provide support for up to two years (R21 phase) for research planning activities and feasibility studies” we will conduct: 1) focus groups in two BMA-affiliated churches to better understand the key barriers necessary to bypass at every level of the socioecological model and then build this adjunct, online program to create the F&S!-Online program and 2) an open pilot study (N=30) across these two churches to examine the feasibility and acceptability of the F&S!-Online program. Per the FOA, the R21 will be, “followed by a possible transition to expanded research support (R33 phase) for optimizing the intervention and conducting larger-scale feasibility studies”. Consistently, for the R33 phase, we will conduct a larger scale feasibility study by randomizing four BMA-affiliated churches to either F&S!-Online or the standard F&S! (N=120) to determine the feasibility and acceptability of the online adjunct platform as well as pilot its efficacy and sustainability.

项目摘要 老年人（年龄≥60岁）的身体活跃往往不如年轻人，少于11％ 推荐的体育活动（PA）水平[1-3]。 社区中的老年人缺乏PA与全因死亡率的风险增加有关 黑人人口[4]。 从老年人中的慢性疾病[5]。 可以大大改善健康状况，并有助于减少该人群的健康差异 增加年龄较大的黑人成年人的PA，我们使用社会生态学观点[7]来检查障碍和 各种影响力的促进者（即，人际关系，人际，组织/社区， 环境/政策）。 需要社会生态模型。 由国家老化研究所通过 持续PA的黑人成年人。 基于社区的种族不同的环境，它仅限于亲自提供（即，没有在线） 组件），在8周结束时，这些限制不仅增加了成本。 并降低程序的可获得性，但也无法优化或支持随着改进的改进 在F＆S期间，PA在后续阶段减少[8]。 F＆S的在线平台！ 平台以及检查其可行性和接受性，我们将与黑人部长联盟合作 大波士顿（BMA），主要是黑人教堂的组织，并在这些组织中管理该计划 马萨诸塞州波士顿的教堂与此FOA保持一致 研究计划活动和可行性研究'我们将进行：1）两个BMA相关的焦点小组 教会更好地了解绕过各个级别所需的关键障碍。 Andth构建辅助，在线计划来创建F＆S！ （n = 30）遍及教堂，以检查FU＆s的可访问性！ FOA，R21将是：“随后可能过渡到扩展的研究支持（R33阶段） 在R33阶段，优化间隔和大规模调查，我们 将通过将四个BMA相关教堂随机化为F＆S，进行更大的可行性！ 或标准f＆s！ 以及驾驶功效和可持续性。