With the number of older adults expected to double and the proportion of people 65 and older expected to rise to 22% by 2020, it is critical to develop and test population-based approaches for large scale, effective health promotion for our aging society. This will permit evidence-based decisions as to how to deploy resources in order to have optimal impact on the health of older adults. This Administrative Core supports the operations and overall coordination of a program project dedicated to contributing to this goal by conducting a randomized, controlled trial of the Experience Corps program and its cost-effectiveness and cost-benefit impact locally and societally. This program is a senior volunteer program which places people 60 and older in meaningful roles in public elementary schools, roles designed to have high impact on children's'outcomes;the program attracts and retains older adults, 15 hours per week, for its opportunity to give back. However, designed into the program is a health promotion program, intending to increase social, cognitive and physical activity. This application will, in a University-community-city collaboration, conduct a rigorous evaluation of the impact of the scaled-up program through a randomized controlled evaluation: of older volunteers to determine whether Experience Corps prevents or slows physical disability, falls and cognitive decline (Project 1);of schools, to determine if children improve academically, behaviorally and in readiness to learn as a result of the social capital offered by Experience Corps and, hence, our aging society (Project 2);of the potential mechanisms of program action on brain structure and executive function (Project 3);of program effects on social and psychological mechanisms and outcomes (Project 4);and, finally, we will conduct a cost-benefit analysis of the program, taking impact on both older adults and children into account. The work of the 5 projects and 3 supporting cores will be mutually interconnected and synergistic, and will be interdigitated through a Steering Committee and an Executive Committee operated within this Administrative Core (Core A). This Core will project coordination and interdigitation, overall organization and budget management for all Projects and cores, monitor progress and effectiveness, produce reports, organize DSMB meetings, and coordinate community relations. Overall, this program project is designed to evaluate the utility and effectiveness of Experience Corps as a social model for health promotion for an aging society.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Program Projects (P01)
Project #
3P01AG027735-05S3
Application #
8629898
Study Section
Special Emphasis Panel (ZAG1-ZIJ-9 (J3))
Program Officer
Haaga, John G
Project Start
2006-07-01
Project End
2013-06-30
Budget Start
2013-03-15
Budget End
2013-06-30
Support Year
5
Fiscal Year
2013
Total Cost
$50,000
Indirect Cost
$19,136
Name
Johns Hopkins University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Varma, Vijay R; Carlson, Michelle C; Parisi, Jeanine M et al. (2015) Experience Corps Baltimore: Exploring the Stressors and Rewards of High-intensity Civic Engagement. Gerontologist 55:1038-49
Chuang, Yi-Fang; Eldreth, Dana; Erickson, Kirk I et al. (2014) Cardiovascular risks and brain function: a functional magnetic resonance imaging study of executive function in older adults. Neurobiol Aging 35:1396-403
Tan, Erwin J; McGill, Sylvia; Tanner, Elizabeth K et al. (2014) The evolution of an academic-community partnership in the design, implementation, and evaluation of experience corpsýý Baltimore city: a courtship model. Gerontologist 54:314-21
Jonassaint, Charles R; Varma, Vijay R; Chuang, Yi-Fang et al. (2014) Lower hemoglobin is associated with poorer cognitive performance and smaller brain volume in older adults. J Am Geriatr Soc 62:972-3
Yasar, Sevil; Xia, Jin; Yao, Wenliang et al. (2013) Antihypertensive drugs decrease risk of Alzheimer disease: Ginkgo Evaluation of Memory Study. Neurology 81:896-903
Agbedia, Owhofasa O; Varma, Vijay R; Seplaki, Christopher L et al. (2011) Blunted diurnal decline of cortisol among older adults with low socioeconomic status. Ann N Y Acad Sci 1231:56-64
Tan, Erwin J; Tanner, Elizabeth K; Seeman, Teresa E et al. (2010) Marketing public health through older adult volunteering: Experience Corps as a social marketing intervention. Am J Public Health 100:727-34
Barron, Jeremy S; Tan, Erwin J; Yu, Qilu et al. (2009) Potential for intensive volunteering to promote the health of older adults in fair health. J Urban Health 86:641-53