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

• 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
• 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

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.

项目总结/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重症的风险更高。实施就地安置， 保持社交距离虽然是减少病毒传播的重要一步，但却造成了意想不到的后果。 个人生活障碍和主要的社会限制对认知受损的老年人。许多这些 个人依赖于社区服务的照顾和支持，因此面临着巨大的困难。 开展基本社会活动，包括参加社区健身班的挑战。 鉴于疫情减弱的迹象仍然模糊，而且今年有可能出现新的疫情， 冬季，持续的强制性社会隔离将加剧人群的久坐行为， 体育活动水平已经很低，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 运动干预（太极拳运动，以改善大脑健康[TJQMIBH]），使用实时 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 我们的母项目（AG 059546）的范围，旨在评估一个人的功效，组- 基于认知运动的太极拳综合干预对这一弱势和高危人群的影响。资金 本行政补充文件中的研究经费将用于支持与以下四个具体目标有关的研究工作： 具体目标1：将面对面的TJQMIBH干预方案转化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：开展有效和受保护的在线评估和数据确认 包括认知和身体表现指标的程序;以及具体目标4：开展 一项比较虚拟TJQMIBH干预与拉伸的有效性的随机对照试验 运动控制组中的老年MCI患者。意义和影响。就地庇护所和社会- 为应对COVID-19而采取的疏远政策使患有认知障碍的老年人很少或根本没有 有机会在社区中继续进行体育活动。有证据表明，有限的或没有物理 活动可能会导致风险增加，并可能恶化慢性健康状况的这种风险 人口与此同时，很少有基于互联网的锻炼计划可以让老年人保持活跃 在高传染性的COVID-19环境中保持健康。我们的项目致力于解决这一紧迫的公共卫生问题 通过开发和提供一个虚拟的锻炼计划在家里通过互联网的需要。如果成功，则 该项目的成果将对疾病预防领域产生持续、强大的影响， 为有认知障碍的老年人提供安全、方便和有效的运动干预， 可在当前极端条件下和COVID-19疫情后实施。