Mindful movement for physical activity and wellbeing in older adults

正念运动有利于老年人的身体活动和健康

基本信息

批准号：
9921299
负责人：
RONI L. EVANS
金额：
$ 26.39万
依托单位：
UNIVERSITY OF MINNESOTA
依托单位国家：
美国
项目类别：
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/9921299
关键词：
Accelerometer Address Adherence Adult Adverse event Affect Age Aging Attention Awareness Behavior Behavioral Belief Chronic Disease Cities Communities Complementary Health Curiosities Data Data Collection Education Effectiveness Elderly Emotions Enrollment Ensure Exercise Health Health Care Costs Health behavior Human Resources Individual Informal Social Control Intervention Intervention Studies Leadership Measures Medical Methodology Mind Minnesota Morbidity - disease rate Motivation Movement Online Systems Outcome Pain Participant Patient Self-Report Perception Personal Satisfaction Phase Physical activity Pilot Projects Population Procedures Protocols documentation Public Health Quality of life Randomized Randomized Controlled Trials Recommendation Research Resources Risk Role Self Care Self Efficacy Shapes Site Social support Strenuous Exercise Testing Thinking Time Training Translational Research Translations Twin Multiple Birth United States Universities Work age group base body-mind complement C2a cost design effectiveness implementation study evidence base exercise intervention expectation experience falls follow-up healthy aging improved innovation instructor interest mindfulness mindfulness intervention mindfulness meditation moderate-to-vigorous physical activity mortality mortality risk multidisciplinary novel novel strategies pandemic disease physical inactivity primary outcome programs protocol development recruit relative effectiveness response secondary outcome sedentary sedentary activity sedentary lifestyle theories

项目摘要

ABSTRACT Physical inactivity in the United States has become a critical public health concern for all age groups. With a large segment of the population rapidly aging, there is growing interest in ensuring mid to older age adults (50+) stay active and reduce sedentariness, to decrease their morbidity and mortality risk. While older adults are advised to engage in at least 150 minutes/week of moderate to vigorous physical activity (PA), most do not. Specific theory based behavioral strategies have been shown to positively affect health and activity behaviors. There is also emerging evidence that mindfulness based interventions (MBI) may facilitate PA through increased mind-body awareness and self-regulation. However, research for MBIs and PA is currently limited, both in quantity and methodological rigor. The broad long-term objective is to optimize physical and sedentary activity levels in middle-older age adults through an integrated mindfulness and behavioral approach scalable for broad dissemination. The University of Minnesota (UMN) will work with the YMCA Greater Twin Cities, a community based organization committed to providing accessible resources to “build healthy spirit, mind and body for all” and making healthy aging a priority. To decrease time between discovery and translation, a two-phase hybrid effectiveness-implementation design will be used. Phase I (R21) will address the following: Aim 1 will focus on project organization, barrier/facilitator assessment, protocol development, and training. Aim 2 will test project protocols at multiple levels in a randomized pilot study (n=30) of Mindful Movement versus a modified 10 Keys to Healthy Aging educational control using transition milestones. Phase II (R33) will address: Aim 3 to determine the relative effectiveness of Mindful Movement versus control in a full-scale randomized controlled trial (RCT, n=182) using accelerometer based PA at 12 weeks (primary outcome) and at 26 and 52 weeks (secondary outcomes). Other secondary measures include sedentary activity, quality of life, exercise self-efficacy and expectations, mindfulness, wellbeing, bodily pain, and adverse events. Aim 4 will facilitate RCT interpretation by providing contextual data from participants, staff, and organizational leadership. These will include: enrollment, adherence, follow up, and fidelity rates; and perceptions of barriers/facilitators, relevance, practicality, affordability and acceptability. This information will be used to create a toolkit for implementation at other YMCA sites. This project is innovative in that it will be among the first to assess MBIs for enhancing older adults' PA in community based settings using a design intended to facilitate and accelerate research translation. Through the UMN and YMCA partnership, there is great potential to develop a sustainable and replicable PA intervention with meaningful impact and nationwide reach.

抽象的美国的身体不活动已成为所有年龄段的关键公共卫生关注。与大部分人口迅速衰老，对确保中年至年龄较大的成年人的兴趣越来越大（50+）保持活跃并降低久坐性，以降低其发病率和死亡风险。而老年人建议至少进行150分钟/周的中度至剧烈的体育锻炼（PA），大多数都不参加。基于特定理论的行为策略已被证明对健康和活动行为产生积极影响。也有新的证据表明，基于正念的干预措施（MBI）可能会通过增加心身意识和自我调节。但是，目前对MBI和PA的研究有限，数量和方法论严格。广泛的长期目标是优化中年年龄较大的成年人的身体和久坐活动水平通过综合的正念和行为方法可扩展，以进行广泛的传播。大学明尼苏达州（UMN）将与YMCA大双城合作，这是一个致力于社区的组织提供可访问的资源，以“为所有人建立健康的精神，思想和身体”，并使健康的衰老成为优先事项。为了减少发现和翻译之间的时间，两相混合有效性实现设计将被使用。第一阶段（R21）将解决以下内容：AIM 1将专注于项目组织，障碍/促进器评估，协议开发和培训。 AIM 2将测试多个项目协议正念运动的随机试验研究（n = 30）与改良的10个钥匙的水平使用过渡里程碑的教育控制。第二阶段（R33）将解决：目标3以确定相对在全尺度随机对照试验（RCT，n = 182）中，正念运动与控制的有效性基于加速度计的PA在12周（主要结果）和26和52周（次要结果）。其他次要措施包括久坐活动，生活质量，运动自我效能和期望，正念，健康，身体疼痛和不良事件。 AIM 4将通过提供RCT解释参与者，员工和组织领导的上下文数据。这些将包括：注册，遵守，后续和忠诚率；以及对障碍/促进者的看法，相关性，实践，负担能力和可接受性。此信息将用于创建一个工具包，以在其他基督教青年会站点。该项目具有创新性，因为它将是最早评估MBI的人之一成人在基于社区的环境中使用旨在促进和加速研究的设计翻译。通过UMN和YMCA合作伙伴关系，有很大的潜力发展可持续和可复制的PA干预，具有有意义的影响和全国范围内。