Virtual delivery of improvisational movement and social engagement interventions in the IMOVE trial during the COVID-19 pandemic.
Virtual delivery of improvisational movement and social engagement interventions in the IMOVE trial during the COVID-19 pandemic.
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DOI：
10.1016/j.conctc.2023.101102
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发表时间：
2023-06
影响因子：
1.5
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中科院分区：
文献类型：
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IMOVE评估了运动和社会参与对生活质量，大脑网络连接以及早期阿尔茨海默病患者与护理人员一起参与的运动和社会情感功能的贡献。为应对COVID-19的限制，我们进行了一项试点研究，以评估干预关键要素的完整性和虚拟干预交付的可行性。母研究中的参与者被随机分配到4种研究条件之一（运动组[MG]，单独运动[MA]，社会组[SG]或家庭护理[UC;对照]）。为了测试每个条件的虚拟适应，三个参与者，照顾者二人组（6个人）谁已经完成了父母的试验参加了虚拟适应类。我们采用了一种受工程启发的快速改进模型，以优化社交联系，乐趣和体力消耗方面的虚拟干预。在完成一次迭代后，参与者给出反馈，并对干预措施进行调整。重复该过程，直到不需要进一步调整。MA臂很容易转换为虚拟格式。虚拟MG干预需要最多的迭代，参与者报告需要额外的技术支持，更高水平的体力消耗和更强的社会联系。虚拟秘书长的干预报告了良好的社会联系，但需要额外的技术指导和措施，以促进平等参与。我们的试点研究结果强调了为老年人提供远程社交和/或舞蹈干预的可行性，并为其他有兴趣通过调整远程交付的面对面群体行为干预来增加其影响力的研究团队提供了有用的路线图。COVID-19迫使远程交付3项社会和/或运动干预措施（IMOVE）。过去的参与者参与了迭代改进会议。虚拟干预措施的弱点得到了确认和反复纠正。参与者对虚拟干预感到满意，IMOVE远程恢复。
IMOVE evaluated the contributions of movement and social engagement to quality of life, brain network connectivity, and motor and social-emotional functioning in people with early-stage Alzheimer's disease participating with a caregiver. In response to COVID-19 restrictions, a pilot study was conducted to assess integrity of key elements of the intervention and feasibility of virtual intervention delivery. Participants in the parent study were randomized to one of 4 study conditions (Movement Group [MG], Movement Alone [MA], Social Group [SG], or Usual Care [UC; control]). To test virtual adaptations of each condition, groups of three participant-caregiver dyads (6 individuals) who had completed the parent trial participated in virtual adaptation classes. We adopted an engineering-inspired, rapid refinement model to optimize virtual interventions on the dimensions of social connectedness, fun, and physical exertion. After completing one iteration, participants gave feedback and adjustments were made to the intervention. This process was repeated until no further adjustments were needed. The MA arm easily transitioned to virtual format. The virtual MG intervention required the most iterations, with participants reporting needs for additional technology support, higher level of physical exertion, and stronger social connection. The virtual SG intervention reported good social connection, but needed additional technology instruction and measures to promote equal participation. Our pilot study results underscore the feasibility of delivering remote social and/or dance interventions for older adults and provide a useful road map for other research teams interested in increasing their reach by adapting in-person group behavioral interventions for remote delivery. COVID-19 forced remote delivery of 3 social and/or movement interventions (IMOVE). Past participants engaged in iterative refinement sessions. Weak points in virtual interventions were identified and rectified iteratively. Participants were satisfied with virtual interventions and IMOVE resumed remotely.