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体验军团的健康结果:一项高承诺的志愿者计划。

Health outcomes of Experience Corps: a high-commitment volunteer program.

机构信息

National University of Singapore, Social work, 3 Arts Link, BLK AS3, Level 4, Singapore.

George Warren Brown School of Social Work, Washington University, United States.

出版信息

Soc Sci Med. 2010 Jul;71(2):414-420. doi: 10.1016/j.socscimed.2010.04.009. Epub 2010 Apr 29.

Abstract

Experience Corps (EC) is a high-commitment US volunteer program that brings older adults into public elementary schools to improve academic achievement of students. It is viewed as a health promotion program for the older volunteers. We evaluated the effects of the EC program on older adults' health, using a quasi-experimental design. We included volunteers from 17 EC sites across the US. They were pre-tested before beginning their volunteer work and post-tested after two years of service. We compared changes over time between the EC participants (n = 167) and a matched comparison group of people from the US Health and Retirement Study (2004, 2006). We developed the comparison group by using the nearest available Mahalanobis metric matching within calipers combined with the boosted propensity scores of those participating in the EC. We corrected for clustering effects via survey regression analyses with robust standard errors and calculated adjusted post-test means of health outcomes, controlling for all covariates and the boosted propensity score of EC participants. We found that compared to the comparison group, the EC group reported fewer depressive symptoms and functional limitations after two years of participation in the program, and there was a statistical trend toward the EC group reporting less decline in self-rated health. Results of this study add to the evidence supporting high-intensity volunteering as a social model of health promotion for older adults.

摘要

体验军团(EC)是一个美国的高承诺志愿者项目,该项目招募老年人进入公立小学,以提高学生的学业成绩。它被视为老年志愿者的一项健康促进计划。我们使用准实验设计评估了 EC 计划对老年人健康的影响。我们纳入了来自美国 17 个 EC 地点的志愿者。他们在开始志愿者工作之前进行了预测试,在两年的服务后进行了后测试。我们比较了 EC 参与者(n=167)与来自美国健康与退休研究(2004 年、2006 年)的匹配对照组随时间的变化。我们通过使用卡尺内最接近的可用马哈拉诺比斯度量匹配和 EC 参与者的增强倾向得分,来开发对照组。我们通过具有稳健标准误差的调查回归分析来纠正聚类效应,并控制所有协变量和 EC 参与者的增强倾向得分,计算健康结果的调整后后测平均值。我们发现,与对照组相比,EC 组在参与该计划两年后报告的抑郁症状和功能限制较少,EC 组报告自我评估健康状况下降较少的趋势具有统计学意义。这项研究的结果为高强度志愿服务作为老年人健康促进的社会模式提供了更多证据。

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