Optimizing a technology-based body and mind intervention to prevent falls and reduce health disparities in low-income populations.

优化基于技术的身心干预措施，以防止跌倒并减少低收入人群的健康差距。

• 批准号: 10790425
• 负责人: Ladda Thiamwong
• 金额: $ 35.69万
• 依托单位: UNIVERSITY OF CENTRAL FLORIDA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-26 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10790425
• 关键词: Administrative Supplement; Award; Balance training; Behavioral Research; Biomedical Research; Cognitive; Collaborations; Data; Data Analyses; Data Collection; Data Science; Development; Discipline of Nursing; Elderly; Engineering; Equilibrium; Exercise; Fall prevention; Feedback; First Generation College Students; Florida; Health Sciences; Home; Hospitalization; Independent Living; Injury; Intervention; Kinesiology; Low Income Population; Low income; Manuscripts; Mentors; Mentorship; Neuropsychology; Outcome; Outcome Measure; Parents; Periodicity; Physical activity; Physiological; Postdoctoral Fellow; Preparation; Randomized, Controlled Trials; Reduce health disparities; Research; Research Personnel; Research Proposals; Role; Sleep; System; Technology; Time; Training; arm; biomedical scientist; career; circadian; community living; disability; equity, diversity, and inclusion; ethnic diversity; ethnic health disparity; exercise program; exercise training; experience; fall risk; falls; fear of falling; follow-up; graduate student; health disparity; improve minority health; improved; innovative technologies; mind/body; next generation; novel; parent grant; peer; portability; pre-doctoral; primary outcome; programs; racial diversity; skills; strength training; success; underserved rural area; Administrative Supplement; Award; Balance training; Behavioral Research; Biomedical Research; Cognitive; Collaborations; Data; Data Analyses; Data Collection; Data Science; Development; Discipline of Nursing; Elderly; Engineering; Equilibrium; Exercise; Fall prevention; Feedback; First Generation College Students; Florida; Health Sciences; Home; Hospitalization; Independent Living; Injury; Intervention; Kinesiology; Low Income Population; Low income; Manuscripts; Mentors; Mentorship; Neuropsychology; Outcome; Outcome Measure; Parents; Periodicity; Physical activity; Physiological; Postdoctoral Fellow; Preparation; Randomized, Controlled Trials; Reduce health disparities; Research; Research Personnel; Research Proposals; Role; Sleep; System; Technology; Time; Training; arm; biomedical scientist; career; circadian; community living; disability; equity, diversity, and inclusion; ethnic diversity; ethnic health disparity; exercise program; exercise training; experience; fall risk; falls; fear of falling; follow-up; graduate student; health disparity; improve minority health; improved; innovative technologies; mind/body; next generation; novel; parent grant; peer; portability; pre-doctoral; primary outcome; programs; racial diversity; skills; strength training; success; underserved rural area

PROPOSAL SUMMARY/ABSTRACT Falls and fear of falling are the leading cause of injury, disability, and hospitalization in racially diverse low- income older adults. Our parent grant (R01MD018025) targets maladaptive fall risk appraisal (FRA)- a condition expressed in more than half of older adults, in which there is a discrepancy between perceived fall risk and physiological fall risk. The parent grant aims to prevent falls, improve physical activity, facilitate a shift from maladaptive to adaptive FRA, and reduce health disparities for ethnically diverse low-income older adults using our developed in-home Physio-fEedback Exercise pRogram (PEER), which includes a) physio-feedback using a real-time portable innovative technology—the BTrackS Balance System: BBS; b) cognitive reframing based on a novel fall risk appraisal matrix; and c) peer-led exercise by focusing on balance and strength training. We use a two-arm clustered randomized controlled trial, and the intervention is offered at the low- income independent living communities/units in Central Florida. We collect data (N=340) at baseline and measure outcomes after program completion, follow-up at 3 months, and 6 months. The purposes of this Administrative Supplements to Recognize Excellence in Diversity, Equity, Inclusion, and Accessibility (DEIA) Mentorship are thus to 1) enhance our current parent study with an additional subproject led by a postdoctoral researcher titled “Associations between Physical Activity, Sleep, Circadian Rhythmicity, Health Disparities, and Falls; 2) support our current three graduate students from DEIA backgrounds to focus on cognitive reframing and primary outcomes of the parent grant including falls and health disparities; and 3) add two predoctoral trainees from DEIA backgrounds to focus on technology-based physio feedback and peer-led exercise training. The interdisciplinary mentoring will include three broad sets of activities across two years: 1) coursework; 2) research, including data collection, data analysis, preparation of manuscripts and research proposal or dissertation/ thesis defense; and 3) professional development led by the parent study PI and her interdisciplinary team. While the training will focus heavily on research skills, it will also include professional development activities relevant to their roles and career progression within the biomedical and behavioral research enterprise. As a first-generation college graduate growing up in a rural underserved area and experiencing personal and professional challenges in achieving and maintaining academic and scientific success, the PI has committed to sharing and mentoring the next generation of biomedical scientists from DEIA backgrounds. The parent grant and this supplement award will provide an excellent example of how an interdisciplinary team representing nursing, kinesiology, neuropsychology, engineering, and data science can successfully collaborate to produce impactful outcomes on improving minority health and enhancing diversity, equity, inclusion, and accessibility in the biomedical and health sciences.

提案摘要/摘要 跌倒和对跌倒的恐惧是受伤，残疾和住院的主要原因 收入老年人。我们的父母赠款（R01MD018025）针对不良适应性跌倒风险评估（FRA） - a 在超过一半的老年人中表达的状况，其中感知到秋天之间存在差异 风险和身体跌落风险。父母赠款旨在防止跌倒，改善体育锻炼，促进转变 从适应不良到适应性FRA，并减少种族多元化的低收入老年人的健康差异 使用我们开发的家庭物理反馈运动计划（PEER），其中包括a）Physio Feptback 使用实时便携式创新技术 - Btracks平衡系统：BBS； b）认知重新构图 基于新颖的秋季风险评估矩阵； c）通过关注平衡和力量来同行主导的练习 训练。我们使用两臂聚类的随机对照试验，干预措施是在低 - 佛罗里达州中部的收入独立生活社区/单位。我们在基线时收集数据（n = 340），然后 测量计划完成后的结果，3个月和6个月的随访。这个目的 行政补品以认识多样性，公平，包容性和可及性（DEIA）的卓越性（DEIA） 因此，指导是1）通过博士后领导的额外的子项目来增强我们当前的父母研究 研究人员的标题为“体育活动，睡眠，昼夜节律，健康差异和 瀑布; 2）支持我们目前的三名来自DEIA背景的研究生，专注于认知重新构架 以及父母赠款的主要结果，包括跌倒和健康差异； 3）添加两个 来自DEIA背景的受训者专注于基于技术的物理反馈和同伴主导的运动培训。 跨学科的指导将包括两年中的三组广泛的活动：1）课程； 2） 研究，包括数据收集，数据分析，手稿的准备和研究建议或 论文/论文辩护； 3）由父母研究PI和她领导的专业发展 跨学科团队。虽然培训将重点关注研究技能，但也将包括专业 与其角色和生物医学和行为中的职业发展相关的发展活动 研究企业。作为第一代大学毕业生，在一个服务不足的地区长大， 在实现和维护学术和科学方面面临个人和专业挑战 成功，PI致力于分享和心理化的下一代生物医学科学家 Deia背景。父母赠款和该补充奖项将提供一个很好的例子 代表护士，运动学，神经心理学，工程和数据科学的跨学科团队可以 成功合作，为改善少数民族健康和增强多样性而产生有影响力的成果， 生物医学和健康科学中的公平，包容性和可及性。