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.

项目摘要 体育锻炼被认为在患有全身性红斑狼疮（SLE）的成年人中至关重要 与没有SLE的同龄人相比，他们的心血管疾病和多种病情的率明显更高。 数字编程代表了老年人体育活动促进的可行选择，包括 与SLE。鉴于老年人具有SLE的独特特征，特定于SLE的适应至关重要 满足目标人群的需求。该提议的目的是确定体育锻炼 体育锻炼的水平，障碍和促进者，并准备参与数字化交付 体育锻炼计划中的衰老成年人样本（≥50岁）。中心宗旨 建议是在体育锻炼行为中定义久坐生活方式的可修改风险因素可以是 通过使用数字体育活动计划来缓解，该计划应对面临的独特挑战 试图从事体育锻炼时，患有SLE的成年人衰老。高效计划的设计将首先 需要了解PA行为的缺陷以及可修改的危险因素的久坐生活方式， 存在于目标人群中。通过当前建议收集的初步数据将告知 通过社交活动进行的12周数字化体育活动计划的适应和试点测试 支持功能。该提议的目的如下： 目的1：引起成年人的观点≥50岁，SLE参与体育锻炼，障碍 进行体育锻炼和使用数字体育锻炼计划的促进者。半结构化访谈 将解决影响身体活动行为的因素，以及可感知的有用性和易用性 参与数字体育活动计划的可能性。 目标2：量化体育活动的身体活动水平，障碍和促进者，并准备就绪 SLE的数字体育活动计划（即衰老成年人的衰老成年人（即≥50岁）中。 在AIM 1的结果中得知，我将开发一份问卷，以解决与 体育活动和影响使用数字体育活动计划以评估这些流行率的因素 较大样本中的因素并指导将来的干预适应。使用经过验证的调查，我将收集 有关体育活动水平，障碍体育活动的其他数据以及对数字健康的准备 干涉。 在研究结束时，我将拥有必要的初步数据来适应和试点数字测试 老年人的体育锻炼计划是根据自己的需求和偏好量身定制的，因此 增强衰老的成年人的能力，以提高其体育锻炼水平。通过这项工作，我将建立一个 多学科老龄化研究经验的记录，这将使我能够改善健康和 这个脆弱人群的福祉。