A social model for health promotion for an aging population: Initial evidence on the experience corps model
Cite this article as: Fried, L.P., Carlson, M.C., Freedman, M. et al. J Urban Health (2004) 81: 64. doi:10.1093/jurban/jth094 Abstract
This report evaluates whether a program for older volunteers, designed for both benerativity and health promotion, leads to short-term improvements inmultiple behavioral risk factors and positive effects on intermediary risk factors for disability and other morbidities. The Experience Corps
® places older volunteers in public elementary schools in roles designed to meet schools’ needs and increase the social, physical, and cognitive activity of the volunteers. This article reports on a pilot randomized trial in Baltimore, Maryland. The 128 volunteers were 60–86 years old; 95% were African American. At follow-up of 4–8 months, physical activity, strength, people one could turn to for help, and cognitive activity increased significantly, and walking speed decreased significantly less, in participants compared to controls. In this pilot trial, physical, cognitive, and social activity increased, suggesting the potential for the Experience Corps to improve health for an aging population and simultaneously improve educational outcomes for children. Keywords Compression of morbidity Generativity Healthy aging Older volunteer Social engagement
Dr. Fried is with the Johns Hopkins University School of Medicine: Drs. Fried, Carlson, Frick, Glass, Rebok, Tielsch, and Zeger and Mr. Hill are with the Johns Hopkins University Bloomberg School of Public Health: Dr. Wasik is with the Johns Hopkins University Center for Social Organization of Schools: Dr. Seeman is with the University of California at Los Angeles: Mr. Freeman is with Civic Ventures. Inc.; and Ms. McGill is with the Greater Homewood Community Corporation.
Rowe JW, Kahn RL. Successful aging.
Aging (Milano). 1998;10:142–144.
Rowe JW, Kahn RL. Human aging: usual and successful.
Stuck AE, Walthert JM, Nikolaus T, Bula CJ, Hohmann C, Beck JC. Risk factors for functional status decline in community-living elderly people: a systematic literature review.
Soc Sci Med.
Tinetti ME, Baker DI, McAvay G, et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community.
N Engl J Med.
Appel LJ, Champagne CM, Harsha DW, et al. Writing Group for the PREMIER Collaborative Research Group. Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial.
Fried LP, Kronmal RA, Bild D, et al. Risk factors for 5-year mortality in older adults: the Cardiovascular Health Study.
Glass TA, Mendes de Leon CF, Marottoli RA, Berkman LF. Population based study of social and productive activities as predictors of survival among elderly Americans.
Moen P, Dempster McClain D, Williams RM. Social integration and longevity: an event history analysis of women’s roles and resilience.
Am Sociol Rev.
Steinbach U. Social networks, institutionalization, and mortality among elderly people in the United States.
J Gerontol: Soc Sci. 1992;47:S183-S190.
Welin L, Larsson B, Svardsudd K, Tibblin B, Tibblin G. Social network and activities in relation to mortality from cardiovascular diseases, cancer and other causes — a 12 year follow up of the study of men born in 1913 and 1923.
J Epidemiol Community Health
Garrity TF. Social involvement and activeness a predictors of morale 6 months after first myocardial infarction.
Soc Sci Med.
Glass TA. Successful aging. In: Tallis RC, Fillit HM, eds.
Brocklehurst’s Textbook of Geriatric Medicine and Gerontology. 6th. ed. London: Harcourt Health Sciences; 2003:173–181.
Lennartsson C, Silverstein M. Does engagement with life enhance survival of elderly people in Sweden? The role of social and leisure activities.
J Gerontol B Psychol Sci Soc Sci.
Maddox GL. Activity and morale: a longitudinal study of selected elderly subjects.
Unger JB, Johnson CA, Marks G. Functional decline in the elderly: evidence for direct and stress-buffering protective effects of social interactions and physical activity.
Ann Behav Med.
Bassuk SS, Glass TA, Berkman LF. Social disengagement and incident cognitive decline in community-dwelling elderly persons.
Ann Intern Med.
Fratiglioni L, Wang H, Ericsson K, Maytan M, Winblad B. Influence of social network on occurrence of dementia: a community-based longitudinal study.
Arbuckle TY, Maag U, Pushkar D, Chaikelson JS. Individual differences in trajectory of intellectual development over 45 years of adulthood.
Baltes PB, Willis SL. Plasticity and enhancement of intellectual functioning in old age: Penn State’s Adult Development and Enrichment Project (ADEPT). In: Craik FIM, Trehub SE, eds.
Aging and cognitive processes. New York: plenum press, 1982;353–389.
Wilson RS, Bennett DA, Beckett LA, et al. Cognitive activity in older persons from a geographically defined population.
J Gerontol B Psychol Sci Soc Sci. 1999;54:155-P160.
Schaie KW. (1996).
Intellectual Development in Adulthood: the Seattle Longitudinal Study. New York: Cambridge University Press.
Scarmeas N, Levy G, Tang MX, Manly J, Stern Y. Influence of leisure activity on the incidence of Alzheimer’s disease.
Wang HX, Karp A, Winblad B, Fratiglioni L. Late-life engagement in social and leisure activities is associated with a decreased risk of dementia: a longitudinal study from the Kungsholmen project.
Am J Epidemiol
Wilson RS, Mendes De Leon CF, Barnes LL, et al. Participation in cognitively stimulating activities and risk of incident Alzheimer disease.
Wagner EH, LaCroix AZ, Buchner DM, Larson EB. Effects of physical activity on health status in older adults. I: Observational studies.
Annu Rev Public Health
Wagner EH, LaCroix AZ, Grothaus L, et al. Preventing disability and falls in older adults: a population-based randomized trial.
Am J Public Health
Andersen RE, Blair SN, Cheskin LJ, Bartlett SJ. Encouraging patients to become more physically active: the physician’s role.
Ann Intern Med.
Young DR, He X, Harris J, Mabry I. Environmental, policy, and cultural factors related to physical activity in well-educated urban African American women.
Young DR, Gittelsohn J, Charleston J, Felix-Aaron K, Appel LJ. Motivations for exercise and weight loss among African-American women: focus group results and their contribution towards program development.
Ball K, Berch DB, Helmers KF, et al. Effects of cognitive training interventions with older adults: a randomized controlled trial.
Jobe JB, Smith DM, Ball K, et al. ACTIVE: a cognitive intervention trial to promote independence in older adults.
Control Clin Trials.
Riley MW, ed.
Age and Structural Lag: Society’s Failure to Provide Meaningful Opportunities in Work, Family, and Leisure. New York: John Wiley and Sons; 1994.
Riley MW, Kahn R, Foner N.
Age and Structural Lag. New York: John Wiley and Sons; 1996.
Andersen R, Crespo C, Bartlett S, Cheskin L, Pratt M. Relationship of physical activity and television watching with body weight and level of fatness among children.
Fried LP. Health status and related care-seeking behavior of older women. In: Falik M, Collins KS, eds.
Women’s Health: the Commonwealth Fund Survey. Baltimore, MD: Johns Hopkins University Press; 1996:175–204.
Fried LP, Freedman M, Endres TE, Wasik B. Building communities that promote successful aging.
West J Med.
Freedman M, Fried L.
Launching Experience Corps: Findings From a 2-Year Pilot Project Mobilizing Older Americans to Help Inner-City Elementary Schools. Oakland, CA:Civic Ventures; January 1999.
Rebok GW, Carlson M, Glass TA, et al. Effects of Experience Corps participation on young children, teachers, and schools: Results from a randomized pilot trial.
J Urban health
Glass TA, Carlson M, Freedman M, et al. Experience Corps: design of an intergenerational health-promotion program to boost social capital.
J Urban health
Seniors for Schools Evaluation Report, 1999–2000 School Year San Mateo, CA: Project Star; 2001.
Folstein MF, Folstein SE, McHugh PR. “Mini-Mental State.» A practical method for grading the cognitive state of patients for the clinician.
J Psychiatr Res.
Reitan R. Validity of the Trail Making Test as an indicator of organic brain damage.
Perceptual Motor Skills
Guralnik JM, Fried LP, Simonsick EM, Kasper JD, Laffery ME, eds.
The Women’s Health and Aging Study: Health and Social Characteristics of Older Women With Disability. Bethesda, MD: National Institute on Aging; 1995. NIH Publication 95-4009.
Fried LP, Borhani NO, Enright P, et al. for the Cardiovascular Health Study (CHS) Collaborative Research Group. The Cardiovascular Health Study: design and rationale.
Schuster TL, Kessler RC, Aseltine RH Jr. Supportive interactions, negative interactions, and depressed mood.
Am J Community Psychol.
Carlson MC, Xue QL, Rebok GW, Matteini A, Bandeen-Roche K, Fried LP. Moderate intensity cognitive activity in late life predicts reduced cognitive decline and reduced cognitive impairment: The Women’s Health and Aging Study II. Manuscript submitted.
Fried LP, Epidemiology of aging.
Frick KD, Carlson M, Fried LP, Glass TG, Rebok G. Modeled Cost-Effectiveness of the Experience Corps Baltimore Based on a Pilot Randomized Trial.
J Urban health
Andersen RE, Wadden TA, Bartlett SJ, Zemel B, Verde TJ, Franckowiak SC. Effects of lifestyle activity versus structured aerobic exercise in obese women: a randomized trial.
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