A tai chi/qigong intervention for older adults living with HIV: a study protocol of an exploratory clinical trial.

A tai chi/qigong intervention for older adults living with HIV: a study protocol of an exploratory clinical trial.
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DOI:
10.1186/s13063-020-04728-x
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发表时间:
2020-09-22
期刊:
影响因子:
2.5
通讯作者:
Lavretsky H
Lavretsky H
中科院分区:
医学4区
文献类型:
--
作者:
Ibañez GE;Fennie K;Larkey L;Hu N;Algarin AB;Valdivia C;Lavretsky H

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在美国,几乎一半的艾滋病毒感染者(PLWH)年龄超过50岁;预计到2020年将增加到70%。然而,针对老年艾滋病毒携带者的干预措施很少能够解决该人群中普遍存在的心理和身体症状。有必要找到创新的和可获得的干预措施,可以帮助老年PLWH管理他们的症状。身心干预,如太极拳/气功(TCQ),可以改善身体和心理健康。TCQ是一系列缓慢,低影响的冥想运动,整合了呼吸,冥想和姿势。本研究是一项探索性临床试验,将评估12周的可接受性和可行性,小组TCQ干预(n = 24),假气功控制条件(n = 24),和护理标准控制条件(n = 24)的老年人艾滋病毒/艾滋病。它还将探讨TCQ干预和症状缓解之间的任何初步关联。参与者将从佛罗里达州迈阿密的社区健康和社会服务组织招募,并随机分配至3种条件之一。我们将通过问卷调查和TCQ依从性评估可行性和可接受性。我们将评估与抑郁、焦虑、社会支持、慢性HIV相关疲劳和临床结果等症状的初步关联。这些将通过比例,手段,并通过图形技术随时间的变化进行描述。将在基线、干预后和3个月随访时评估结局。这些初步分析还将提供必要的信息,以估计更大规模临床试验所需的效应量和功效。ClinicalTrials.gov NCT03840525。于2018年7月16日注册。
Almost half of people living with HIV (PLWH) in the USA are over 50 years of age; this is expected to increase to 70% by 2020. Yet, few interventions exist for older PLWH that address psychological and physical symptoms combined, both prevalent in this population. There is a need to find innovative and accessible interventions that can help older PLWH to manage their symptoms. Mind-body interventions, like tai chi/qigong (TCQ), improve both physical and psychological health. TCQ is a series of slow, low-impact meditative movements that integrates breathwork, meditation, and stances. The present study is an exploratory clinical trial that will evaluate the acceptability and feasibility of a 12-week, small group TCQ intervention (n = 24), a sham qigong control condition (n = 24), and a standard of care control condition (n = 24) for older people living with HIV/AIDS. It will also explore any preliminary associations between the TCQ intervention and symptom alleviation. Participants will be recruited from community-based health and social services organizations in Miami, FL, and randomized to one of the 3 conditions. We will assess feasibility and acceptability through questionnaires and adherence to TCQ. We will assess preliminary associations with symptoms such as depression, anxiety, social support, chronic HIV-related fatigue, and clinical outcomes. These will be described through proportions, means, and changes over time through graphing techniques. Outcomes will be assessed at baseline, at post-intervention, and at 3 months follow-up. These preliminary analyses also will provide information necessary to estimate effect size and power needed for a larger clinical trial. ClinicalTrials.gov NCT03840525. Registered on 16 July 2018.
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影响因子: 5.9
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