Digital Health Physical Activity Program for Older Family Care Partners of Patients with Heart Failure

针对心力衰竭患者的老年家庭护理伙伴的数字健康体育活动计划

基本信息

批准号：
10627874
负责人：
Dawon Baik
金额：
$ 17.18万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-06-01 至 2027-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10627874
关键词：
Address Affect Aging COVID-19 pandemic Cardiac Cardiovascular Diseases Caregiver support Caring Chronic Chronic Disease Clinical Trials Colorado Communities Complex Data Dementia Development Development Plans Discipline of Nursing Disease Elderly Emotional Ensure Environment Exercise Family Feedback Foundations Frequencies Friends Goals Health Health Benefit Health Promotion Health Status Health Technology Healthcare Heart failure Home Individual Intervention Intervention Trial Interview K-Series Research Career Programs Knowledge Malignant Neoplasms Mental Health Mentored Patient-Oriented Research Career Development Award Mentorship Methods Older Population Outcome Patient Care Patients Perception Personal Satisfaction Persons Physical Function Physical activity Population Population Heterogeneity Preparation Public Health Public Health Informatics Quality of life Randomized Reporting Research Risk Self Care Self Efficacy Self Management Sleep Sleep disturbances Social isolation Social support Spouses Symptoms Technology Testing Text Messaging Time Universities Videoconferencing age related attentional control behavior change behavioral health intervention biobehavior care giving burden care recipients career career development caregiving clinical trial implementation college design digital health efficacy study exercise intervention experience family burden family support field study fitbit improved mHealth novel participant retention physical conditioning posthospitalization care prevent primary outcome programs psychologic psychological distress psychological outcomes research and development sedentary skills sleep health stressor tailored text messaging telehealth training opportunity usability wearable sensor technology

项目摘要

PROJECT SUMMARY/ABSTRACT My career goal is to establish an independent aging research program focused on designing and evaluating high quality, technology-based behavioral health interventions to improve self-management and quality of life (QoL) of community-dwelling older adults, particularly older family care partners (FCPs). More than 17 million FCPs, including family, friends, and relatives, provide care for older adults with chronic illness in the US. High caregiving burden places FCPs at risk for physical function decline, psychological distress, and poor health status. Specifically, older FCPs are more vulnerable than younger FCPs because of greater physical and psychological burden, more age-related health care needs, and less emotional and social support. Physical activity (PA) has the potential to promote the health and well-being of older FCPs. Because caregiving duties limit FCPs to the home and preclude face-to-face interactions (more so during the COVID-19 pandemic), using digital health technologies is an effective way to engage older FCPs in home-based PA interventions. However, there is a gap in research for digital health PA interventions targeting older FCPs; I intend to fill this gap. This K23 award will provide me with the protected time to acquire advanced skills and knowledge in (1) design and implementation of clinical trials in older adults, (2) physical activity behavior change, (3) expansion of health informatics, and (4) professional development for a successful independent research career. The research environment at the University of Colorado, the interdisciplinary mentorship team I have assembled, and support from the College of Nursing provide an exceptional training opportunity. The overall objective of the proposed study is to rigorously design and test a tailored PA coaching program using digital health technologies, TPA4You, and conduct a pilot RCT to assess feasibility of TPA4You and its effects on health outcomes among older FCPs. Older FCPs of patients with heart failure (HF-FCPs) will be the focus of this study because HF-FCPs are an understudied population that is vulnerable to their own health-related issues. The specific aims of this proposal are to: (1) develop the TPA4You intervention by evaluating its technology features (n=15; Year 1), (2) conduct field-testing of TPA4You to optimize usability and acceptability (n=20; Year 2), and (3) conduct a pilot RCT to assess feasibility and preliminary effects of the TPA4You intervention (n=62; Years 3-5). For Aim 1, using scenario-based design methods, we will elicit HF-FCPs' perceptions about the integrated technology components in one-on-one interviews. For Aim 2, we will iteratively enhance TPA4You to meet HF-FCPs' PA needs and optimize usability and acceptability. For Aim 3, older HF-FCPs will be randomized to receive the TPA4You program or attention control for 12 weeks. This proposed study's novel TPA4You program has the potential to increase PA, and improve physical function, psychological outcomes, and QoL among older HF-FCPs. This proposal will provide the foundation for an R01 efficacy study of the TPA4You program in a larger, more diverse population of older HF-FCPs.

项目概要/摘要我的职业目标是建立一个独立的衰老研究项目，专注于设计和评估高质量、基于技术的行为健康干预措施，以改善自我管理和生活质量社区居住的老年人，特别是老年家庭护理伙伴（FCP）的生活质量（QoL）。超过1700万 FCP（包括家人、朋友和亲戚）为美国患有慢性病的老年人提供护理。高的护理负担使 FCP 面临身体功能下降、心理困扰和健康状况不佳的风险地位。具体而言，老年 FCP 比年轻 FCP 更容易受到伤害，因为他们的身体和心理负担，更多与年龄相关的医疗保健需求，以及更少的情感和社会支持。身体的活动 (PA) 有潜力促进老年 FCP 的健康和福祉。因为照顾职责将 FCP 限制在家里并禁止面对面的互动（在 COVID-19 大流行期间更是如此），使用数字健康技术是让老年 FCP 参与家庭 PA 干预的有效方法。然而，针对老年 FCP 的数字健康 PA 干预措施的研究存在差距；我打算填补这个空白。这 K23 奖将为我提供受保护的时间来获得以下方面的高级技能和知识：(1) 设计和在老年人中实施临床试验，(2) 体力活动行为改变，(3) 健康扩展信息学，以及（4）成功的独立研究生涯的专业发展。研究科罗拉多大学的环境、我组建的跨学科导师团队，以及护理学院的支持提供了绝佳的培训机会。总体目标拟议的研究是使用数字健康严格设计和测试量身定制的 PA 辅导计划技术、TPA4You，并进行试点随机对照试验，以评估 TPA4You 的可行性及其对健康的影响老年 FCP 的结果。心力衰竭患者的老年 FCP（HF-FCP）将是本次研究的重点因为 HF-FCP 是一个未被充分研究的人群，他们很容易受到自身健康相关问题的影响。该提案的具体目标是：（1）通过评估其技术来开发 TPA4You 干预措施功能（n=15；第 1 年），(2) 对 TPA4You 进行现场测试，以优化可用性和可接受性（n=20；第 1 年）第 2) 和 (3) 进行试点随机对照试验，以评估 TPA4You 干预措施的可行性和初步效果（n=62；3-5 年）。对于目标 1，使用基于场景的设计方法，我们将引出 HF-FCP 对以下方面的看法：一对一访谈中的集成技术组件。对于目标2，我们将迭代增强 TPA4You 满足 HF-FCP 的 PA 需求并优化可用性和可接受性。对于目标 3，较旧的 HF-FCP 将被随机分配接受 TPA4You 计划或注意力控制 12 周。这项拟议的研究新颖 TPA4You 计划有可能增加 PA，并改善身体功能、心理结果、和老年 HF-FCP 的生活质量。该提案将为 R01 功效研究奠定基础 TPA4You 计划针对规模更大、更多样化的老年 HF-FCP 人群。