Designing Communities to Support Healthy Living in Aging Residents
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 155
- 试验地点
- 2
- 主要终点
- Change in self-reported physical activity from baseline to 9-12-months post-move-in
研究概览
简要总结
The Housing for Health team is making evidence-based recommendations to the developer and design team of an upcoming congregate-living development to support the healthy living of older adults who will be moving into the new building. There may also be opportunities to improve the surrounding neighbourhood by collaborating with the municipality where the development is located. We will evaluate whether the intervention leads to changes in the perceived, micro-scale, and macro-scale physical built environment (BE), and whether there are impacts on the physical activity (PA), healthy eating, and social connections of residents. In parallel, we will gather qualitative data to provide a more in-depth understanding of how the BE may facilitate or hinder resident's healthy living behaviours.
详细描述
Background: The Housing for Health team is making evidence-based recommendations to the developer and design team of an upcoming congregate-living development to support the healthy living of older adults who will be moving into the new building. There may also be opportunities to improve the surrounding neighbourhood by collaborating with the municipality where the development is located. We will evaluate whether the intervention leads to changes in the perceived, micro-scale, and macro-scale physical built environment (BE), and whether there are impacts on the physical activity (PA), healthy eating, and social connections of residents. In parallel, we will gather qualitative data to provide a more in-depth understanding of how the BE may facilitate or hinder resident's healthy living behaviours.
Methods: This project employs a quasi-experimental pre-post design. The quantitative built environment (BE) evaluation includes assessments of macroscale (e.g., layout of communities) and microscale (e.g., street details and characteristics) changes as measured using Geographical Information Systems (GIS) and Microscale Audit Pedestrian Streetscapes (MAPS) audits, respectively. For the quantitative resident evaluation, residents moving into the intervention site or who currently live at a control site will be invited to participate. Study outcomes will be measured using self-report (i.e., surveys) and objective tools (i.e., accelerometers, Global Positioning System). The qualitative resident-environment component will be conducted using in-depth semi-structured interviews with building residents, family members, and stakeholders involved in the design/development and/or operation of the intervention site and others living in the developments' neighbourhoods. Participant observations will be completed in the building and neighbourhood environments of the intervention site.
Discussion: Findings will provide evidence on whether and how comprehensive changes to the BE of a building, site, and/or neighbourhood of a congregate living facility can impact PA, healthy eating, and social connections of older adults. Successful aspects of interventions will be scaled up in future work. We will disseminate findings to a broad audience including the scientific community via peer-reviewed publications, conference presentations, and discussion panels; and private, public, and non-profit sectors via reports, public presentations and/or communications via our partners and their networks.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 110 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Men or women aged 18 years or older that are either moving into the intervention site(s), or living in a control site.
排除标准
- •Residents who have been told by a health care provider that they have Alzheimer's or dementia.
结局指标
主要结局
Change in self-reported physical activity from baseline to 9-12-months post-move-in
时间窗: baseline and 9-12-months post-move-in
Self-reported physical activity will be adapted from the Neighborhood - International Physical Activity Questionnaire (N-IPAQ)
Change in unhealthy eating from baseline to 9-12-months post-move-in
时间窗: baseline and 9-12-months post-move-in
Unhealthy eating will be adapted from the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Change in the micro-scale built environment from baseline to 9-12-months post-move-in
时间窗: baseline and 9-12-months post-move-in
The actual micro-scale built environment is measured using the Microscale Audit of Pedestrian Streetscapes (MAPS) audit tool
Change in the perceived neighbourhood food environment from baseline to 9-12-months
时间窗: baseline and 9-12-months post-move-in
The perceived neighbourhood food environment will be measured using the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Change in healthy eating from baseline to 9-12-months post-move-in
时间窗: baseline and 9-12-months post-move-in
Healthy eating will be adapted from the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Change in unhealthy eating from baseline to 3-6-months post-move-in
时间窗: baseline and 3-6-months post-move-in
Unhealthy eating will be adapted from the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Change in self-reported physical activity from baseline to 3-6-months post-move-in
时间窗: baseline and 3-6-months post-move-in
Self-reported physical activity will be adapted from the Neighborhood - International Physical Activity Questionnaire (N-IPAQ)
Change in healthy eating from baseline to 3-6-months post-move-in
时间窗: baseline and 3-6-months post-move-in
Healthy eating will be adapted from the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Change in the macro-scale built environment from baseline to 9-12-months post-move-in
时间窗: baseline and 9-12-months post-move-in
The actual macro-scale built environment will be measured using Geographical Information Systems (GIS)
Change in the perceived neighbourhood built environment from baseline to 9-12-months
时间窗: baseline and 9-12-months post-move-in
The perceived neighbourhood built environment will be measured using the Physical Activity Neighborhood Environment Scale (PANES)
Change in accelerometer-measured physical activity from baseline to 9-12-months post-move-in
时间窗: baseline and 9-12-months post-move-in
Accelerometer-measured physical activity will be measured using Actigraph accelerometers.
Change in accelerometer-measured physical activity from baseline to 3-6-months post-move-in
时间窗: baseline and 3-6-months post-move-in
Accelerometer-measured physical activity will be measured using Actigraph accelerometers.
Change in location-measured physical activity from baseline to 3-6-months post-move-in
时间窗: baseline and 3-6-months post-move-in
Location-measured physical activity will be measured using Qstarz Travel Recorder Geographical Positioning System (GPS) devices.
Change in the perceived neighbourhood food environment from baseline to 3-6-months
时间窗: baseline and 3-6-months post-move-in
The perceived neighbourhood food environment will be measured using the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Change in location-measured physical activity from baseline to 9-12-months post-move-in
时间窗: baseline and 9-12-months post-move-in
Location-measured physical activity will be measured using Qstarz Travel Recorder Geographical Positioning System (GPS) devices.
Change in social connections from baseline to 3-6-months post-move-in
时间窗: baseline and 3-6-months post-move-in
Social connections will be derived from several self-report items.
Change in social connections from baseline to 9-12-months post-move-in
时间窗: baseline and 9-12-months post-move-in
Social connections will be derived from several self-report items.
Change in the micro-scale built environment from baseline to 3-6-months post-move-in
时间窗: baseline and 3-6-months post-move-in
The actual micro-scale built environment is measured using the Microscale Audit of Pedestrian Streetscapes (MAPS) audit tool
Change in the perceived neighbourhood built environment from baseline to 3-6-months post-move-in
时间窗: baseline and 3-6-months post-move-in
The perceived neighbourhood built environment will be measured using the Physical Activity Neighborhood Environment Scale (PANES)
Change in the macro-scale built environment from baseline to 3-6-months post-move-in
时间窗: baseline and 3-6-months post-move-in
The actual macro-scale built environment is measured using Geographical Information Systems (GIS)
次要结局
未报告次要终点