TY - JOUR
AU - J. Chen
AU - T. K. Maguire
AU - R. G. McCoy
AU - S. Thomas
AU - C. F. 3rd Reynolds
A1 - 
AB - As the aging population in the United States grows, the need for an integrated approach to support older adults has become increasingly urgent. The SUNSHINE framework, Seniors Uniting Nationwide to Support Health, INtegrated Care, and Evolution, offers a model for advancing resilience, defined as the capacity of individuals, families, systems, and communities to adapt and thrive in the face of adversity. SUNSHINE promotes this goal through the alignment of older and aging adults, families, healthcare systems, public health agencies, social services, and community resources. Using the Theory of Change modeling, SUNSHINE emphasizes whole-person health, interdisciplinary collaboration, and the strategic use of technology to address the evolving needs of aging populations. The framework promotes systems integration supported by research infrastructure and multi-sector collaboration to enhance the well-being of older adults and family caregivers. SUNSHINE places a strong emphasis on mental health, particularly depression, and highlights the importance of social connection and prevention in addressing health disparities and care gaps associated with aging. It conceptualizes resilience as both a desired outcome and a driver of transformation, guiding the redesign and evaluation of health and social systems. The framework also identifies opportunities to leverage artificial intelligence and machine learning (AI/ML) technologies, grounded in scientific evidence, to support personalized prevention, treatment, and care strategies. These technologies are critical for optimizing decision-making, improving care delivery, and enhancing system flexibility. Finally, SUNSHINE aspires to advance a future of aging that is healthy, resilient, and fair, guided by principles of equity, defined as fairness and impartiality in health opportunities and outcomes.
AD - Department of Health Policy and Management (JC, TKM, RGM, ST), School of Public Health, University of Maryland, College Park, MD; School of Public Health (JC, TKM), The Hospital And Public Health InterdisciPlinarY Research (HAPPY) Lab, University of Maryland, College Park, MD; University of Maryland Center on Aging (JC, TKM, RGM); University of Maryland Institute for Health Computing (RGM), North Bethesda, MD. Electronic address: jichen@umd.edu.; Department of Health Policy and Management (JC, TKM, RGM, ST), School of Public Health, University of Maryland, College Park, MD; School of Public Health (JC, TKM), The Hospital And Public Health InterdisciPlinarY Research (HAPPY) Lab, University of Maryland, College Park, MD; University of Maryland Center on Aging (JC, TKM, RGM).; Department of Health Policy and Management (JC, TKM, RGM, ST), School of Public Health, University of Maryland, College Park, MD; University of Maryland Center on Aging (JC, TKM, RGM); Division of Endocrinology (RGM), Diabetes and Nutrition, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD; University of Maryland Institute for Health Computing (RGM), North Bethesda, MD.; Department of Health Policy and Management (JC, TKM, RGM, ST), School of Public Health, University of Maryland, College Park, MD; Center for Health Equity (ST), University of Maryland School of Public Health, College Park, MD.; Geriatric Psychiatry (CFR), University of Pittsburgh School of Medicine, Emeritus Faculty, Pittsburgh, PA.
AN - 40484798
BT - Am J Geriatr Psychiatry
C5 - Healthcare Disparities; HIT & Telehealth
CP - 9
DA - Sep
DO - 10.1016/j.jagp.2025.05.007
DP - NLM
ET - 20250518
IS - 9
JF - Am J Geriatr Psychiatry
LA - eng
N2 - As the aging population in the United States grows, the need for an integrated approach to support older adults has become increasingly urgent. The SUNSHINE framework, Seniors Uniting Nationwide to Support Health, INtegrated Care, and Evolution, offers a model for advancing resilience, defined as the capacity of individuals, families, systems, and communities to adapt and thrive in the face of adversity. SUNSHINE promotes this goal through the alignment of older and aging adults, families, healthcare systems, public health agencies, social services, and community resources. Using the Theory of Change modeling, SUNSHINE emphasizes whole-person health, interdisciplinary collaboration, and the strategic use of technology to address the evolving needs of aging populations. The framework promotes systems integration supported by research infrastructure and multi-sector collaboration to enhance the well-being of older adults and family caregivers. SUNSHINE places a strong emphasis on mental health, particularly depression, and highlights the importance of social connection and prevention in addressing health disparities and care gaps associated with aging. It conceptualizes resilience as both a desired outcome and a driver of transformation, guiding the redesign and evaluation of health and social systems. The framework also identifies opportunities to leverage artificial intelligence and machine learning (AI/ML) technologies, grounded in scientific evidence, to support personalized prevention, treatment, and care strategies. These technologies are critical for optimizing decision-making, improving care delivery, and enhancing system flexibility. Finally, SUNSHINE aspires to advance a future of aging that is healthy, resilient, and fair, guided by principles of equity, defined as fairness and impartiality in health opportunities and outcomes.
PY - 2025
SN - 1064-7481
SP - 1005
EP - 1017+
ST - Reimagining Resilience in Aging: Leveraging AI/ML, Big Data Analytics, and Systems Innovation
T1 - Reimagining Resilience in Aging: Leveraging AI/ML, Big Data Analytics, and Systems Innovation
T2 - Am J Geriatr Psychiatry
TI - Reimagining Resilience in Aging: Leveraging AI/ML, Big Data Analytics, and Systems Innovation
U1 - Healthcare Disparities; HIT & Telehealth
U3 - 10.1016/j.jagp.2025.05.007
VL - 33
VO - 1064-7481
Y1 - 2025
ER -