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.

项目概要 老年人（年龄 ≥ 60 岁）的体力活动往往少于年轻人，参与活动的比例低于 11% 推荐的体力活动 (PA) 水平[1-3] 在黑人老年人中，这些趋势甚至更低。 老年人缺乏 PA 与全因死亡风险增加有关，尤其是在老年人中。 黑人群体[4]。大量基于人群的研究表明，中等水平的 PA 可以提供保护。 老年人的慢性疾病[5]因此，干预措施旨在改善老年黑人的 PA。 可以显着改善健康结果并有助于减少该人群之间的健康差距。 增加老年人、黑人成年人的 PA，我们使用社会生态学的角度[7]来检查障碍和 各个影响力层面（即个人内部、人际、组织/社区、 为老年黑人开发的 PA 干预措施，针对多个层面的 需要针对老年人的基于证据的健康和坚强（F&S！）计划。 由国家老龄化研究所开发的，可以进行优化以绕过这些障碍并有效地吸引老年人 尽管 F&S 计划已在多个国家成功实施，但黑人成年人仍处于持续 PA 状态。 基于社区的、种族多样化的环境，它是有限的，因为它只能面对面提供（即没有在线 组件），并在 8 周后结束，并且几乎没有持续支持，这些限制不仅增加了成本。 并降低了该计划的可访问性，但也未能优化或支持因改进而取得的成果 F&S 期间的 PA 在后续阶段会减少[8]。 能够与可穿戴设备（例如 Fitbit）同步的 F&S! 在线平台。 平台并审查其可行性和可接受性，我们将与黑人部长联盟合作 大波士顿 (BMA)，一个以黑人教会为主的组织，并在这些地区管理该计划 马萨诸塞州波士顿的教会根据本《FOA》“为以下人员提供长达两年的支持（R21 阶段）” 研究规划活动和可行性研究”，我们将进行：1）在两个 BMA 附属机构的焦点小组 教会更好地了解社会生态模型各个层面需要绕过的关键障碍 然后构建这个辅助在线计划来创建 F&S!-在线计划以及 2) 一项开放试点研究 (N=30) 调查这两个教会的 F&S!-Online 计划的可行性和可接受性。 FOA 中，R21 将“随后可能过渡到扩大研究支持（R33 阶段）” 优化干预措施并进行更大规模的可行性研究”，对于 R33 阶段，我们始终如一。 将通过将四个 BMA 附属教会随机分配到 F&S 进行更大规模的可行性研究！-Online 或标准 F&S! (N=120) 来确定在线辅助平台的可行性和可接受性 并试点其有效性和可持续性。