Mindful Movement for Physical Activity and Wellbeing in Older Adults: A Community Based Randomized Hybrid Effectiveness-Implementation Study

正念运动促进老年人的身体活动和福祉：一项基于社区的随机混合有效性实施研究

• 批准号: 10175708
• 负责人: RONI L. EVANS
• 金额: $ 14.77万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-03-01 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10175708
• 关键词: Address; Adherence; Administrative Supplement; Adult; Age; Area; Attention; Award; Behavioral; COVID-19; Cities; Clinical Trials; Collaborations; Communities; Competence; Complementary Health; Data; Data Collection; Educational Intervention; Elderly; Elements; Enrollment; Ensure; Environment; Equipment and supply inventories; Evaluation; Fostering; Health; Integrative Medicine; Intervention; Intervention Studies; Measurement; Measures; Methodology; Methods; Modification; Monitor; Movement; Online Systems; Outcome; Parents; Participant; Patient Self-Report; Perception; Personal Satisfaction; Persons; Phase; Physical activity; Questionnaires; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Reporting; Research; Resources; Site; Strenuous Exercise; System; Time; Training; Translations; Twin Multiple Birth; United States; Update; active control; base; comparison group; design; effectiveness implementation study; experience; improved; innovation; mindfulness; mindfulness intervention; novel; parent project; relative effectiveness; response; secondary outcome; skills; social; telehealth; usability

PROJECT SUMMARY This application is submitted in response to NOT-AT-20-004 as a supplement to Mindful Movement for Physical Activity and Wellbeing in Older Adults: A Community Based Randomized Hybrid Effectiveness-Implementation Study (4R33AT009110). The proposed Administrative Supplement will focus on improving intervention training for YMCA facilitators to enhance fidelity of the experimental mindfulness-based intervention (MBI), and active comparison which have transitioned to remote delivery (due to COVID-19). Importantly, the supplemental aims do not affect the original scope of the awarded parent project. The long-term objective of the parent study is to optimize physical activity levels in middle to older age adults (>50 years) through mindfulness. The parent R33 has the following aims: Aim 1: To determine the relative effectiveness of 8 weeks of Mindful Movement versus Keys to Health & Wellbeing in a Randomized Controlled Trial (RCT, n=182) as measured by changes in the primary physical activity outcome of time spent per week in ≥10 minute bouts of moderate-vigorous physical activity (MVPA) at 9 weeks. Aim 2: To determine the relative effectiveness of the two interventions as measured by changes in a) secondary physical activity outcomes and b) secondary self-report measures at 9, 26, and 52 weeks. Aim 3: To facilitate interpretation of RCT results and provide resources for translation and sustainability by collecting contextual information to inform eventual broad scale intervention implementation and creating a web-based implementation toolkit that can be used by other sites. Supplemental Aims A. To enhance facilitator adherence in delivering required intervention elements with skills that foster supportive alliances which promote participant engagement. B. To assess and monitor the additional facilitators adherence and skills required for remote delivery, by adapting the parent project’s facilitator fidelity monitoring system to document them. C. To assess and monitor participants’ receipt and application of the interventions by modifying the parent project’s participant fidelity monitoring system to include new data collection of participant views of remote delivery and qualitative questions regarding barriers and facilitators to engagement. D. To examine i) participants’ views of the supportive alliance and their impact on primary/secondary outcomes and ii) whether participants’ perception of the alliance matches the facilitators’ perception and the resulting impact on primary/secondary outcomes.

项目概要 本申请是针对 NOT-AT-20-004 提交的，作为正念运动的补充 老年人的身体活动和健康：基于社区的随机混合 有效性实施研究（4R33AT009110）。 将重点改进对 YMCA 协调员的干预培训，以提高对基督教青年会的忠诚度 基于实验性正念的干预（MBI）和主动比较已转变为 远程交付（由于 COVID-19）。重要的是，补充目标不会影响原始目标。 获奖母项目的范围。 家长研究的长期目标是优化中老年人的体力活动水平 父母 R33 的目标如下： 目标 1：确定 8 周的正念运动与关键的相对有效性 随机对照试验（RCT，n=182）中的健康与福祉，通过 主要体力活动结果是每周进行 ≥10 分钟的中等强度运动所花费的时间 9 周时的体力活动 (MVPA)。 目标 2：通过 a) 的变化来确定两种干预措施的相对有效性 b) 第 9、26 和 52 周时的次要身体活动结果和 b) 次要自我报告测量。 目标 3：促进 RCT 结果的解释并为翻译和提供资源 通过收集背景信息为最终的大规模干预提供信息来实现可持续性 实施并创建一个可供其他网站使用的基于网络的实施工具包。 补充目标 A. 提高主持人对所需干预要素的坚持，并提供以下技能： 建立促进参与者参与的支持性联盟。 B. 评估和监控远程辅导员所需的额外辅导员依从性和技能 交付，通过调整父项目的协调员保真度监控系统来记录它们。 C. 通过修改干预措施来评估和监测参与者对干预措施的接受和应用 父项目的参与者保真度监控系统包括新的数据收集 对远程交付的看法以及有关参与者障碍和促进因素的定性问题 参与。 D. 检查 i) 参与者对支持性联盟的看法及其对 主要/次要结果以及 ii) 参与者对联盟的看法是否符合 促进者的看法以及由此产生的对主要/次要结果的影响。