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

基本信息

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
项目类别：
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

项目摘要

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.

项目概要/摘要背景。持续的 COVID-19 公共卫生危机正在严重影响美国老年人新型冠状病毒感染导致严重疾病的风险更高。落实就地避难保持社交距离虽然是减少病毒传播的重要步骤，但却无意中强加了认知障碍老年人的个人生活障碍和主要社会限制。其中许多个人依赖社区服务来获得护理和支持，因此面临着巨大的困难进行基本社交活动的挑战，包括参加社区锻炼课程。鉴于疫情消退迹象仍不明显，且今年有可能出现新的疫情爆发冬季，持续的强制社会隔离将加剧人群的久坐行为体力活动水平本来就低，身心健康状况不佳。目标。这应用程序请求行政补充，以支持基于互联网的开发和测试使用实时运动干预（太极拳改善大脑健康[TJQMIBH]）为患有轻度认知障碍 (MCI) 的老年人提供视频会议。拟议的工作符合我们父项目 (AG059546) 的范围，旨在评估面对面、小组的有效性针对这一弱势群体和高危人群进行基于认知运动整合的太极拳干预。资金本行政补充文件将支持与以下四个具体目标相关的研究工作：具体目标 1：将面对面的 TJQMIBH 干预方案转变为可交付的在线课程协议;具体目标 2：在老年人中试点测试在线 TJQMIBH 虚拟课堂交付协议 MCI；具体目标 3：开发有效且受保护的在线评估和数据查明包括认知和身体表现测量的程序；具体目标 4：开展一项随机对照试验，比较虚拟 TJQMIBH 干预与拉伸的有效性患有 MCI 的老年人的运动对照组。意义和影响。就地庇护所和社会- 针对 COVID-19 的疏远政策使患有认知障碍的老年人很少或根本没有在社区中继续进行体育活动的机会。有证据表明，有限或没有身体活动可能会导致该高危人群的慢性健康状况风险增加并可能恶化人口。与此同时，很少有基于互联网的锻炼项目可以让老年人保持活跃在高度传染性的 COVID-19 环境中保持健康。我们的项目解决了这一紧迫的公共卫生问题通过互联网在家中开发和提供虚拟锻炼计划。如果成功的话，该项目的成果将对疾病预防领域产生持续、强大的影响为患有认知障碍的老年人提供安全、方便且有效的运动干预，可以在当前的极端条件下以及在 COVID-19 大流行之后实施。