- 作者：Linda P. Fried ; Michelle C. Carlson ; Sylvia McGill ; Teresa Seeman ; Qian-Li Xue ; Kevin Frick ; Erwin Tan ; Elizabeth K. Tanner ; Jeremy Barron ; Constantine Frangakis ; Rachel Piferi ; Iveris Martinez ; Tara Gruenewald ; Barbara K. Martin ; Laprisha Berry-Vaughn ; John Stewart ; Kay Dickersin ; Paul R. Willging ; George W. Rebok
- 关键词：BHS ; Brain Health Study ; CARE ; Baltimore City Commission on Aging and Retirement Education ; COAH ; Johns Hopkins Center on Aging and Health ; EC ; Experience Corps&trade ; GHCC ; Greater Homewood Community Corporation ; IADL ; Instrumental Activities of Daily L
- 刊名：Contemporary Clinical Trials
- 出版年：2013
- 出版时间：September, 2013
- 年：2013
- 卷：36
- 期：1
- 页码：1-13
- 全文大小：797 K
Background
As the population ages, older adults are seeking meaningful, and impactful, post-retirement roles. As a society, improving the health of people throughout longer lives is a major public health goal. This paper presents the design and rationale for an effectiveness trial of Experience Corps?, an intervention created to address both these needs. This trial evaluates (1) whether senior volunteer roles within Experience Corps? beneficially impact children's academic achievement and classroom behavior in public elementary schools and (2) impact on the health of volunteers.Methods
Dual evaluations of (1) an intention-to-treat trial randomizing eligible adults 60 and older to volunteer service in Experience Corps?, or to a control arm of usual volunteering opportunities, and (2) a comparison of eligible public elementary schools receiving Experience Corps? to matched, eligible control schools in a 1:1 control:intervention school ratio.
Outcomes
For older adults, the primary outcome is decreased disability in mobility and Instrumental Activities of Daily Living (IADL). Secondary outcomes are decreased frailty, falls, and memory loss; slowed loss of strength, balance, walking speed, cortical plasticity, and executive function; objective performance of IADLs; and increased social and psychological engagement. For children, primary outcomes are improved reading achievement and classroom behavior in Kindergarten through the 3rd grade; secondary outcomes are improvements in school climate, teacher morale and retention, and teacher perceptions of older adults.
Summary
This trial incorporates principles and practices of community-based participatory research and evaluates the dual benefit of a single intervention, versus usual opportunities, for two generations: older adults and children.