Feasibility and Acceptability of an Intervention to Reduce Sedentary Behavior and Increase Light Physical Activity in Assisted Living Residents

辅助生活居民减少久坐行为和增加轻度体力活动的干预措施的可行性和可接受性

• 批准号: 10263963
• 负责人: Katelyn Elizabeth Webster
• 金额: $ 1.4万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2021-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10263963
• 关键词: Accelerometer; Activities of Daily Living; Address; Adult; Age-Years; Aging; American; Anxiety; Area; Assisted Living Facilities; Behavioral; Caring; Chronic Disease; Chronic Obstructive Airway Disease; Clinical Trials; Cognitive; Communities; Data; Education; Elderly; Equilibrium; Evaluation; Evidence based intervention; Exercise; Fatigue; Feedback; Fellowship; Foundations; Future; Gerontology; Goals; Guidelines; Health; Health Benefit; Health behavior change; Housekeeping; Independent Living; Individual; Institution; Intervention; Interview; Kinesiology; Knowledge; Life; Light; Manuscripts; Measurement; Measures; Mental Depression; Mentors; Methodology; Methods; Michigan; Moderate Exercise; Modification; Nursing Homes; Outcome; Outcome Measure; Patient Recruitments; Physical Function; Physical activity; Population; Publishing; Questionnaires; Randomized Controlled Trials; Recommendation; Research; Research Personnel; Research Project Grants; Resources; Risk; School Nursing; Self Efficacy; Services; Suggestion; Testing; Training; United States; United States National Institutes of Health; Universities; Walking; Work; acceptability and feasibility; age group; base; comorbidity; cost; cost effective; design; disability; exercise intervention; experience; faculty mentor; feasibility testing; frailty; functional decline; intervention effect; loss of function; middle age; mortality; peer; preference; preservation; prevent; primary outcome; programs; recruit; sedentary; sedentary lifestyle; skills; statistics; systematic review; therapy development

Project Summary/Abstract Too much sedentary behavior increases the risk for chronic disease, loss of physical function, disability, and all-cause mortality. The 2018 physical activity guidelines emphasize the importance of moving more and sitting less. There is a great need for interventions to reduce sedentary behavior in older adults because they are the most sedentary age group. Little work has been done to address sedentary behavior in older adults residing in assisted living (AL) facilities, even though these individuals tend to be more sedentary than community-dwelling older adults. Exercise-specific self-efficacy enhancing interventions have been successful in promoting physical activity in middle-aged adults, healthy older adults, and older adults with chronic disease. Ms. Webster modified a well-established self-efficacy enhancing intervention (Active for Life) to be appropriate for older adults in AL. She interviewed AL residents about their preferences, requested their feedback and suggestions on the intervention, and modified the intervention based on their recommendations. Specific aims are to 1) describe feasibility and acceptability of the intervention for older adults in AL settings and 2) examine the feasibility and acceptability of collecting outcome measurements of objectively- measured sedentary behavior and physical activity, self-efficacy for exercise, value of physical activity, self- rated health, physical function, anxiety, depression, and fatigue. Ms. Webster will recruit residents from four AL facilities. The intervention will be conducted in small groups, twice a week for three months. Each session will include walking, behavioral strategies/education, and circuit training (strength and balance exercises). A thorough evaluation of feasibility and acceptability will be conducted. Ms. Webster is working on a three-manuscript dissertation and this fellowship will support the completion of her work. The first manuscript is a systematic review on sedentary behavior in the oldest-old adults, >80 years of age. The second is a measurement project to identify valid methods for processing accelerometer data that can be used to measure sedentary behavior in older adults. These two projects are currently in progress. The third will describe results of the proposed feasibility and acceptability study. The proposed training plan will provide Ms. Webster with skills and knowledge to build a program of research focused on sedentary behavior and physical activity in older adults. The training plan includes objectives for developing methodological skills, becoming a proficient researcher, and obtaining expertise in the field of sedentary behavior and physical activity in older adults. Training will take place at the University of Michigan School of Nursing, an institution with abundant resources, and Ms. Webster will work with a primary sponsor who has successfully implemented similar interventions in older adult populations. Her mentoring team includes experts in kinesiology, health behavior change, gerontology and assisted living, and statistics.

项目摘要/摘要 过多久坐的行为增加了慢性疾病，身体机能丧失，残疾， 和全因死亡率。 2018年体育活动指南强调了移动更多的重要性和 少坐。非常需要干预措施来减少老年人的久坐行为，因为他们 是最久坐的年龄段。几乎没有做过解决老年人久坐行为的工作 居住在辅助生活（AL）设施中，即使这些人往往比 居住在社区的老年人。运动特定的自我效能增强干预措施已经成功 在促进中年成年人的体育锻炼，健康的老年人和患有慢性疾病的老年人方面。 韦伯斯特女士修改了建立完善的自我效能增强干预措施（活跃的生活）是合适的 适用于Al的老年人。她采访了阿尔居民的偏好，要求他们的反馈和 关于干预的建议，并根据其建议修改干预措施。 具体目的是1）描述老年人干预措施的可行性和可接受性 设置和2）检查客观地收集结果测量的可行性和可接受性 - 测量的久坐行为和体育锻炼，运动的自我效能，体育锻炼的价值，自我 评级健康，身体机能，焦虑，抑郁和疲劳。韦伯斯特女士将招募四名AL的居民 设施。干预措施将以小组进行，每周两次，持续三个月。每个会话都会 包括步行，行为策略/教育以及电路训练（力量与平衡练习）。一个 将对可行性和可接受性进行全面评估。 韦伯斯特女士正在研究三个征求论文，该奖学金将支持完成 她的工作。第一个手稿是对最古老的成年人久坐行为的系统评价，> 80年 年龄。第二个是一个测量项目，旨在确定处理加速度计数据的有效方法 可用于测量老年人的久坐行为。目前，这两个项目正在进行中。这 第三将描述拟议的可行性和可接受性研究的结果。 拟议的培训计划将为韦伯斯特女士提供技能和知识，以建立一个计划 研究的重点是老年人久坐的行为和体育活动。培训计划包括 发展方法学技能，成为一名熟练的研究人员并获得专业知识的目标 老年人久坐行为和体育活动领域。培训将在大学进行 密歇根州护理学院，拥有丰富资源的机构，韦伯斯特女士将与主要 成功在老年人人群中成功实施了类似干预措施的赞助商。她的指导 团队包括运动机能学，健康行为改变，老年病和辅助生活以及统计学的专家。