Developing an Online Tai Ji Program to Improve Health Outcomes in Older Adults

开发在线太极拳项目以改善老年人的健康状况

• 批准号: 10173489
• 负责人: FUZHONG LI
• 金额: $ 39.65万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-06-15 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10173489
• 关键词: 2019-nCoV; Abate; Address; Administrative Supplement; American; Anxiety; COVID-19; COVID-19 pandemic; Chronic; Clinical; Cognition; Cognitive; Communities; Control Groups; Coronavirus Infections; Data; Dependence; Development; Disease Outbreaks; Elderly; Environment; Evidence based intervention; Exercise; Face; Funding; Health; Health Promotion; Home environment; Impaired cognition; Impairment; Individual; Infection; Internet; Intervention; Lead; Left; Life; Measurement; Measures; Medical; Mental Health; Motor; Motor Skills; Movement; Natural Immunity; Outcome; Outcome Measure; Participant; Personal Satisfaction; Persons; Physical Exercise; Physical Function; Physical Performance; Physical activity; Policies; Population; Populations at Risk; Prevention Research; Procedures; Protocols documentation; Public Health; Randomized Controlled Trials; Request for Applications; Research Support; Risk; Risk Factors; Sampling; Secure; Shelter facility; Social Distance; Social Interaction; Stress; Stretching; Tai Ji; Testing; Time; Videoconferencing; Vulnerable Populations; Work; adaptive immunity; base; brain health; care systems; cognitive ability; cognitive function; cognitive performance; community based service; compare effectiveness; design; disorder prevention; eHealth; exercise intervention; exercise program; high risk; high risk population; immune system function; improved; mild cognitive impairment; mobile computing; novel; novel coronavirus; pandemic disease; parent project; physical conditioning; programs; protective effect; prototype; response; sedentary lifestyle; social; trial design; viral transmission; virtual

Project Summary/Abstract Background. The ongoing COVID-19 public health crisis is significantly impacting older Americans who are at higher risk for severe illness from novel coronavirus infection. The implementation of shelter-in-place and social distancing, though an essential step in reducing transmission of the virus, has imposed unintended personal life hurdles and major social constraints on cognitively impaired older adults. Many of these individuals are dependent on community-based services for care and support and therefore face great challenges to performing essential social activities, including attending community-based exercise classes. Given that the signs of the outbreak abating are still vague and that there is the likelihood of new outbreak this winter, the continued enforced societal isolation will exacerbate sedentary behaviors in a population with already low levels of physical activity and poor physical and mental health outcomes. Objectives. This application requests Administrative Supplement to support the development and testing of an Internet-based exercise intervention (Tai Ji Quan Moving to Improve Brain Health [TJQMIBH]) using real-time videoconferencing for older adults with mild cognitive impairment (MCI). The proposed work aligns with the scope of our parent project (AG059546), which is designed to evaluate the efficacy of an in-person, group- based, cognitive-motor-integrated Tai Ji Quan intervention for this vulnerable and at-risk population. The funds from this Administrative Supplement will support research work related to the following four specific aims: Specific Aim 1: to transform the in-person TJQMIBH intervention protocol into a deliverable online class protocol; Specific Aim 2: to pilot test the online TJQMIBH virtual class delivery protocol in older adults with MCI; Specific Aim 3: To develop effective and protected online assessment and data ascertainment procedures encompassing the cognitive and physical performance measures; and Specific Aim 4: to conduct a randomized controlled trial comparing the effectiveness of the virtual TJQMIBH intervention with a stretching exercise control group among older adults with MCI. Significance and Impact. Shelter-in-place and social- distancing policies in response to COVID-19 have left older adults with cognitive impairment with few or no opportunities to continue physical activity in their community. Evidence suggests that limited or no physical activity may lead to an increased risk and potential worsening of chronic health conditions for this at-risk population. Meanwhile, there are few Internet-based exercise programs available to keep older adults active and healthy in the highly contagious COVID-19 environment. Our project addresses this urgent public health need by developing and delivering a virtual exercise program at home through the Internet. If successful, the outcome from this project will exert a sustained, powerful influence on the field of disease prevention by providing a safe, accessible, and effective exercise intervention for older adults with cognitive impairment that can be implemented both under current extreme conditions and in the aftermath of the COVID-19 pandemic.

项目摘要/摘要 背景。持续正在进行的COVID-19公共卫生危机正在极大地影响 新型冠状病毒感染患严重疾病的风险更高。实施庇护所和 社会距离，尽管在减少病毒传播方面是必不可少的一步 个人生活对认知受损的老年人的障碍和重大社会限制。其中许多 个人依赖社区的护理和支持服务，因此面对伟大 进行基本社交活动的挑战，包括参加基于社区的运动课。 鉴于暴发的迹象仍然模糊，而且有新爆发的可能性 冬季，继续执行的社会隔离将加剧 体育活动的水平已经很低，身体健康状况不佳。目标。这 应用程序请求管理补品以支持基于Internet的开发和测试 运动干预（Tai ji Quan采用实时改善大脑健康[TJQMIBH]） 对患有轻度认知障碍的老年人的视频会议（MCI）。提议的工作与 我们的母公项目（AG059546）的范围，旨在评估面对面的团体的功效 基于认知运动综合的太极拳干预了这一脆弱和处于危险的人群。资金 通过这种行政补充，将支持与以下四个特定目标相关的研究工作： 特定目标1：将面对面的TJQMIBH干预协议转换为可交付的在线类别 协议;特定目标2：试点测试老年人的在线TJQMIBH虚拟类交付协议 MCI;特定目的3：开发有效和受保护的在线评估和数据确定 包括认知和身体表现指标的程序；和特定目标4：进行 一项随机对照试验，比较了虚拟TJQMIBH干预与拉伸的有效性 MCI老年人的运动控制组。意义和影响。现场和社会庇护所 响应于19 Covid-19的政策使老年人患有认知障碍，较少或没有 继续在社区中进行体育锻炼的机会。证据表明有限或没有身体 活动可能导致这种高危的慢性健康状况的风险增加和潜在恶化 人口。同时，很少有基于Internet的练习程序可让老年人活跃 在高度传染性的19009环境中健康。我们的项目解决了这种紧急公共卫生 需要通过互联网在家中制定和提供虚拟锻炼计划。如果成功， 该项目的结果将对预防疾病领域产生持续，强大的影响 为患有认知障碍的老年人提供安全，访问和有效的运动干预， 可以在当前的极端条件下以及在19日大流行之后实施。