A cognitively enhanced online Tai Ji Quan training intervention for community-dwelling older adults with mild cognitive impairment: A feasibility trial.

A cognitively enhanced online Tai Ji Quan training intervention for community-dwelling older adults with mild cognitive impairment: A feasibility trial.
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社区老年人轻度认知障碍认知增强型在线太极拳训练干预:可行性试验。

DOI:
10.1186/s12877-021-02747-0
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发表时间:
2022-01-25
期刊:
影响因子:
4.1
通讯作者:
Winters-Stone K
Winters-Stone K
中科院分区:
医学2区
文献类型:
--
作者:
Li F;Harmer P;Fitzgerald K;Winters-Stone K

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本研究通过远程视频会议对轻度认知障碍(MCI)的老年人进行新开发的认知增强太极拳训练干预的可行性、可接受性和安全性。在一项三臂可行性试验中,居住在社区的患有MCI的老年人(N=69;平均年龄=74.6岁,57%为女性)被随机分为认知增强太极拳组(n=23)、标准太极拳组(n=22)或伸展组(n=24),并通过Zoom参加了60分钟的在线锻炼,每周两次,持续16周。参与者主要是在俄勒冈州通过群发邮件和口碑招募的。主要结果是干预的可行性(关于招募、在线干预提供、忠诚度和遵从性、自然流失率和保留率)、可接受性和安全性。我们还评估了在线数据收集和重测信度的可行性,并探索了二次结果的初步趋势,包括全局认知功能、双重任务成本和特定领域的认知功能。这项研究的平均招聘率为55%。总体成功的在线项目实施证明了可行性,具有良好的保真度、可接受的遵从性(76%)和良好的保留率(94%)。认知增强的太极拳干预被证明是参与者可以接受的,也是安全的,没有与干预相关的重大中度/严重事件。在第16周,认知强化太极拳训练组在认知功能和双重任务结果测量上表现出积极的趋势,而接受标准太极拳训练的小组在全局和领域特定的认知测量上表现出积极的趋势。这项初步研究的初步结果表明,针对患有MCI的社区老年人,通过视频会议远程向家庭环境提供定制的、认知增强的太极拳训练干预措施的可行性、可接受性和安全性。ClinicalTrials.gov标识符NCT04070703
This study examines the feasibility, acceptability, and safety of a newly developed cognitive-enhancing Tai Ji Quan training intervention, delivered via remote videoconferencing, for older adults with mild cognitive impairment (MCI). In a three-arm feasibility trial, community-dwelling older adults with MCI (N = 69; mean age = 74.6 years, 57% women) were randomized to a cognitively enhanced Tai Ji Quan (n = 23), standard Tai Ji Quan (n = 22), or stretching group (n = 24) and participated in a 60-minute online exercise session via Zoom, twice weekly for 16 weeks. Participants were recruited primarily in the state of Oregon through mass mailing and word of mouth. The primary outcomes were intervention feasibility (with respect to recruitment, online intervention delivery, fidelity and compliance, and attrition and retention rates), acceptability, and safety. We also assessed feasibility of online data collection and test-retest reliability and explored preliminary trends on secondary outcomes that included global cognitive function, dual-task cost, and domain-specific cognition function. The study had an average recruitment rate of 55%. Feasibility was demonstrated by the overall successful online program implementation, with good fidelity, acceptable compliance (76%), and excellent retention (94%). The cognitively enhanced Tai Ji Quan intervention was shown to be acceptable to participants as well as safe, with no major intervention-related moderate/severe events. At week 16, the group receiving cognitively enhanced Tai Ji Quan training showed a positive trend in the cognitive function and dual-task outcome measures whereas the group receiving standard Tai Ji Quan training exhibited positive trends on global and domain-specific cognitive measures. Preliminary findings of this pilot study indicate the feasibility, acceptability, and safety of a tailored, cognitively enhanced Tai Ji Quan training intervention delivered remotely to home settings via videoconferencing for community-dwelling older adults with MCI. Clinicaltrials.gov identifier NCT04070703
DOI: 10.1249/mss.0000000000002051
发表时间: 2019-11-01
期刊: MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子: --
作者:
Li, Fuzhong;Harmer, Peter;Chou, Li-shan
通讯作者: Chou, Li-shan
DOI: 10.1016/j.cger.2013.07.002
发表时间: 2013-11
影响因子: 3.3
作者:
Harada CN;Natelson Love MC;Triebel KL
通讯作者: Triebel KL
DOI: 10.1155/2021/6679153
发表时间: 2021
期刊: Evidence-based complementary and alternative medicine : eCAM
影响因子: --
作者:
Gu R;Gao Y;Zhang C;Liu X;Sun Z
通讯作者: Sun Z
DOI: 10.1186/s12877-016-0315-1
发表时间: 2016-07-18
期刊: BMC geriatrics
影响因子: 4.1
作者:
Lauenroth A;Ioannidis AE;Teichmann B
通讯作者: Teichmann B
DOI: 10.1080/13854046.2010.533196
发表时间: 2011-01-01
影响因子: 3.9
作者:
Bernstein, Ira H.;Lacritz, Laura;DeFina, Laura F.
通讯作者: DeFina, Laura F.