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The Effect of the Home Environment on Health and Wellbeing of Low-income Older Adults

Award Number: K01AG083059
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 08/01/2024
PERIOD OF PERFORMANCE END DATE: 07/31/2029

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The Effect of the Home Environment on Health and Wellbeing of Low-income Older Adults - Each year, millions of low-income older adults experience the adverse effects of heat exposure inside their home on their health and well-being. There is therefore an urgent need to study the effects of the summertime home thermal environment on the health and wellbeing of low-income older adults. We recently developed a platform for continuous measurements of home thermal environment and daily measurements of sleep, gait, and subjective wellbeing—all of which are either directly or indirectly influenced by thermal environment. Our first aim is to determine cohort-level relationships between ambient temperature and outcomes related to sleep, gait, and comfort, and examine the extent to which these relationships vary at the individual level. Our second aim is to explore frailty and sex as potential effect modifiers of the relationships between home ambient temperature and outcomes related to sleep, gait, and well-being in older adults living in subsidized housing. Both aims will be completed by continuously measuring the home thermal environment of 50 low-income older adults living in subsidized housing facilities in Boston for four summertime months. Participants will use a validated wearable device to measure outcomes related to sleep, complete periodic smartphone-based assessments of gait, and complete daily questionnaires to report their present subjective comfort. The proposed study will establish that the home thermal environment has a substantial impact on health and wellbeing of low-income older adults and will enable us to develop clinical interventions, public health measures, and engineering solutions that minimize the impacts of heat on this vulnerable population. The career development plan builds upon the applicant’s knowledge about the built environment and helps him 1) advance his clinical and practical knowledge of the effects of aging and age-related conditions (e.g., frailty) on physiology and system function, especially as they relate to sensitivity of sleep, physical function, and other meaningful patient-reported outcomes to environmental factors; 2) Gain experience in the conduct of research involving low-income and/or underserved older adults and understand their specific needs; 3) Gain statistical, professional, and leadership skills to develop and lead an independent research program focused on aging and the built environment. The applicant will be working within a well-funded infrastructure that provides the resources of numerous NIH- and foundation-funded grants. The resources available at the Marcus Institute for Aging Research provide the intellectual expertise and support needed to conduct long-term at-home monitoring of older adults, subject recruitment, and statistical analysis that are needed for the successful completion of Aims. Additionally, Harvard Medical School provides numerous resources for career development, including career development seminars and counseling, grant-writing courses, the scientific cores of Clinical Translational Science Center (Harvard Catalyst); one of the world’s largest medical libraries, and opportunities to apply for pilot grants and special courses to enable junior faculty to expand their expertise.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $124,875 )
2025	2025	HEBREW REHABILITATION CENTER	1200 CENTRE ST	ROSLINDALE	MA	02131	SUFFOLK	USA	Aging Research	000	2	8/20/2025	NON-COMPETING CONTINUATION	$124,875
														Subtotal = $124,875

Issue Date FY: 2024 ( Subtotal = $124,875 )
2024	2024	HEBREW REHABILITATION CENTER	1200 CENTRE ST	ROSLINDALE	MA	02131	SUFFOLK	USA	Aging Research	000	1	7/26/2024	NEW	$124,875
														Subtotal = $124,875

Grand Total All Awards = $249,750

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The Effect of the Home Environment on Health and Wellbeing of Low-income Older Adults

Award Number: K01AG083059

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 08/01/2024

PERIOD OF PERFORMANCE END DATE: 07/31/2029

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