Physical Activity Behaviors and Readiness for a Digital Health Physical Activity Intervention inOlder Adults with Systemic Lupus Erythematosus

患有系统性红斑狼疮的老年人的身体活动行为和数字健康身体活动干预的准备

• 批准号: 10726230
• 负责人: Sarah Beth Lieber
• 金额: $ 18.17万
• 依托单位: HOSPITAL FOR SPECIAL SURGERY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-05 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10726230
• 关键词: 18 year old; Address; Adult; Age; Age Years; Aging; Behavior; Behavior Therapy; Cardiovascular Diseases; Characteristics; Collection; Data; Dimensions; Dissemination and Implementation; Education; Elderly; Exclusion; Exercise; Fatigue; Foundations; Future; General Population; Goals; Guidelines; Health; Health Technology; Individual; International; Intervention; Interview; Longevity; Lupus; Mentors; Modeling; Motivation; Muscle; Musculoskeletal; Outcome; Personal Satisfaction; Physical activity; Population; Prevalence; Questionnaires; Readiness; Recommendation; Reporting; Research; Resources; Risk Factors; Sampling; Social support; Structure; Surveys; System; Systemic Lupus Erythematosus; Tablets; Target Populations; Technology; Therapeutic; Therapeutic exercise; Vulnerable Populations; Work; acceptability and feasibility; bone quality; chronic pain; common symptom; community-level factor; design; digital; digital delivery; digital health; digital tool; empowerment; evidence base; exercise intervention; experience; frailty; improved; indexing; interest; meetings; middle age; modifiable risk; mortality; multidisciplinary; multiple chronic conditions; peer; peer support; pilot test; preference; programs; remote delivery; rheumatologist; sedentary lifestyle; tool

PROJECT SUMMARY Physical activity is thought to be critically important in aging adults with systemic lupus erythematosus (SLE), who have significantly higher rates of cardiovascular disease and multimorbidity than their peers without SLE. Digital programming represents a viable option for physical activity promotion in older adults, including those with SLE. Given the unique characteristics of older adults with SLE, SLE-specific adaptation is critical to meeting the needs of the target population. The objective of this proposal is to determine physical activity levels, impediments to and facilitators of physical activity, and readiness to participate in a digitally-delivered physical activity program in a sample of aging adults with SLE (≥50 years of age). The central tenet of this proposal is that deficits in physical activity behaviors and modifiable risk factors for a sedentary lifestyle can be mitigated through the use of the digital physical activity program that addresses the unique challenges faced by aging adults with SLE when attempting to engage in physical activity. Design of an efficacious program will first require an understanding of the deficits in PA behaviors and modifiable risk factors for a sedentary lifestyle that are present in the target population. Preliminary data gathered through the current proposal will inform adaptation and pilot testing of an established 12-week digitally-delivered physical activity program with social support features. The aims of this proposal are as follows: Aim 1: To elicit perspectives of adults ≥50 years of age with SLE on engagement in physical activity, barriers to and facilitators of physical activity, and use of a digital physical activity program. Semi-structured interviews will address factors that influence physical activity behavior, as well as perceived usefulness and ease of use of and likeliness to engage in a digital physical activity program. Aim 2: To quantify physical activity levels, barriers to and facilitators of physical activity, and readiness for a digital physical activity program in a national cross-sectional sample of aging adults (i.e., ≥50 years) with SLE. Informed by the results of Aim 1, I will develop a questionnaire addressing barriers to and facilitators of physical activity and factors impacting use of a digital physical activity program to evaluate prevalence of these factors in a larger sample and guide future intervention adaptation. Using validated surveys, I will collect additional data on physical activity levels, impediments to physical activity, and readiness for a digital health intervention. At the conclusion of the study, I will have the necessary preliminary data to adapt and pilot test a digital physical activity program in older adults with SLE that is tailored to their needs and preferences, thus empowering aging adults with SLE to increase their physical activity levels. Through this work, I will build a track record of experience in multidisciplinary aging research that will allow me to improve the health and wellbeing of this vulnerable population.

项目概要 身体活动被认为对于患有系统性红斑狼疮 (SLE) 的老年人至关重要， 与没有 SLE 的同龄人相比，他们的心血管疾病和多种疾病的发病率明显更高。 数字节目是促进老年人身体活动的可行选择，包括那些 鉴于患有 SLE 的老年人的独特特征，针对 SLE 的适应至关重要。 满足目标人群的需求 该提案的目的是确定身体活动。 身体活动的水平、障碍和促进因素，以及参与数字化交付的准备情况 患有 SLE 的老年人样本（≥50 岁）的身体活动计划的核心原则。 建议是，体力活动行为的缺陷和久坐生活方式的可改变的风险因素可以 通过使用数字体育活动计划来缓解，该计划解决了人们面临的独特挑战 患有系统性红斑狼疮的老年人在尝试进行体育活动时首先要设计一个有效的计划。 需要了解 PA 行为的缺陷以及久坐生活方式的可改变的风险因素 通过当前提案收集的初步数据将提供信息。 对既定的为期 12 周的数字化体育活动计划进行调整和试点测试 该提案的目标如下： 目标 1：征求 50 岁以上患有 SLE 的成年人对参与体育活动、障碍的看法 身体活动的促进者，以及数字身体活动计划的使用。 将解决影响身体活动行为以及感知有用性和易用性的因素 参与数字体育活动计划的可能性和可能性。 目标 2：量化身体活动水平、身体活动的障碍和促进因素以及对身体活动的准备情况 针对患有 SLE 的老年人（即 ≥ 50 岁）的全国横断面样本进行数字体育活动计划。 根据目标 1 的结果，我将制定一份调查问卷，解决以下问题： 身体活动以及影响使用数字身体活动计划来评估这些疾病患病率的因素 我将使用经过验证的调查来收集更大样本中的因素并指导未来的干预措施。 有关身体活动水平、身体活动障碍以及数字健康准备情况的附加数据 干涉。 在研究结束时，我将获得必要的初步数据来适应和试点测试数字化 患有系统性红斑狼疮的老年人的身体活动计划是根据他们的需要和喜好量身定制的，因此 通过这项工作，我将帮助患有系统性红斑狼疮的老年人提高他们的身体活动水平。 在多学科衰老研究方面的经验记录将使我能够改善健康状况并 这些弱势群体的福祉。