Lindquist Lee A, Muhammad Ruqayyah, Miller-Winder Amber P, Opsasnick Lauren, Kim Kwang-Youn, Benavente Julia Yoshino, Wolf Michael, Ramirez-Zohfeld Vanessa
Division of General Internal Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Contemp Clin Trials Commun. 2021 Mar 16;22:100756. doi: 10.1016/j.conctc.2021.100756. eCollection 2021 Jun.
Remaining in one's own home and community is a priority for many older adults as they age. Decision-making and planning is critical to ensure successful aging-in-place (AIP), especially when individuals experience age-related changes such as cognitive decline. : We are testing how decision-making and planning for AIP is impacted by changes in older adults' cognition and function, chronic conditions, social influences, environmental factors and identifying the mediating/moderating interactions between factors. We will also assess whether decision-making and planning for AIP translates into timely adoption of plans and goal concordance between older adults and their surrogate/caregiver decision makers.
We will conduct a longitudinal single-group interventional clinical trial of community-dwelling older adults who are enrolled in LitCog, (R01AG03611) and expose them to an online intervention, PlanYourLifespan.org, which facilitates decision-making and planning for AIP. Enrolled participants (n = 398) will complete interviews at baseline, one month, and every six months up to 42 months in conjunction with the LitCog study, where cognitive, social, functional, and health literacy data is collected. Additionally, we will collect data on decision-making, resource use, communication of plans, timing of plan implementation, and goal concordance.
Findings from this study may generate evidence on how age-related changes in older adults may affect decision-making and implementation in relation to AIP as well as the impact of social relationships and support. Ultimately these findings may help shape the design of programs and practices that may improve the lives of older adults and the capacity of institutions to adapt to societal aging and AIP.
随着年龄增长，许多老年人优先选择留在自己家中和社区。决策和规划对于确保成功的就地养老（AIP）至关重要，尤其是当个体经历与年龄相关的变化，如认知衰退时。我们正在测试老年人认知与功能的变化、慢性病、社会影响、环境因素如何影响AIP的决策和规划，并确定各因素之间的中介/调节相互作用。我们还将评估AIP的决策和规划是否能转化为计划的及时采纳，以及老年人与其替代/照顾者决策者之间的目标一致性。
我们将对参加LitCog（R01AG03611）的社区居住老年人进行一项纵向单组干预性临床试验，并让他们参与在线干预PlanYourLifespan.org，该干预有助于AIP的决策和规划。登记的参与者（n = 398）将在基线、1个月、每6个月直至42个月时结合LitCog研究完成访谈，在LitCog研究中收集认知、社会、功能和健康素养数据。此外，我们将收集关于决策、资源使用、计划沟通、计划实施时间和目标一致性的数据。
本研究的结果可能会产生关于老年人与年龄相关的变化如何影响与AIP相关的决策和实施以及社会关系和支持的影响的证据。最终，这些发现可能有助于塑造项目和实践的设计，从而改善老年人的生活以及机构适应社会老龄化和AIP的能力。
