Mindful Movement for Physical Activity and Wellbeing in Older Adults: A Community Based Randomized Hybrid Effectiveness-Implementation Study

项目摘要 本申请作为对NOT-AT-20-004的回应提交，作为对正念运动的补充 老年人的身体活动和健康：基于社区的随机混合 重复性-实施研究（4 R33 AT 009110）。拟议的行政补编 将专注于改善基督教青年会辅导员的干预培训，以提高 实验性正念干预（MBI）和主动比较，已经过渡到 远程交付（由于COVID-19）。重要的是，补充的目标不影响原来的目标。 授予的父项目的范围。 父母研究的长期目标是优化中老年人的身体活动水平 成年人（>50岁）通过正念。父R33具有以下目标： 目的1：确定8周正念运动与关键的相对有效性， 随机对照试验（RCT，n=182）中的健康与福祉，通过变化来衡量 主要体力活动结局，每周中度-剧烈运动发作≥10分钟的时间 第9周时的体力活动（MVPA）。 目标2：确定两种干预措施的相对有效性，通过a） 次要体力活动结果和B）第9、26和52周的次要自我报告测量。 目标3：促进RCT结果的解释，并提供翻译和 通过收集背景信息，为最终的大规模干预提供信息， 执行和创建一个可供其他网站使用的基于网络的执行工具包。 补充目标 A.提高辅导员在提供所需干预要素时的依从性， 建立支持性联盟，促进参与者的参与。 B。评估和监控远程培训所需的额外辅导员依从性和技能 交付，通过调整母项目的促进者忠诚度监控系统来记录它们。 C.评估和监测参与者对干预措施的接受和应用， 父项目的参与者忠诚度监控系统，包括新的数据收集， 参与者对远程交付的看法以及关于障碍和促进因素的定性问题 到订婚 D.研究i）参加者对支援联盟的意见及其对 主要/次要结果和ii）参与者对联盟的看法是否与 促进者的看法和对主要/次要结果的影响。

PROJECT SUMMARY This application is submitted in response to NOT-AT-20-004 as a supplement to Mindful Movement for Physical Activity and Wellbeing in Older Adults: A Community Based Randomized Hybrid Effectiveness-Implementation Study (4R33AT009110). The proposed Administrative Supplement will focus on improving intervention training for YMCA facilitators to enhance fidelity of the experimental mindfulness-based intervention (MBI), and active comparison which have transitioned to remote delivery (due to COVID-19). Importantly, the supplemental aims do not affect the original scope of the awarded parent project. The long-term objective of the parent study is to optimize physical activity levels in middle to older age adults (>50 years) through mindfulness. The parent R33 has the following aims: Aim 1: To determine the relative effectiveness of 8 weeks of Mindful Movement versus Keys to Health & Wellbeing in a Randomized Controlled Trial (RCT, n=182) as measured by changes in the primary physical activity outcome of time spent per week in ≥10 minute bouts of moderate-vigorous physical activity (MVPA) at 9 weeks. Aim 2: To determine the relative effectiveness of the two interventions as measured by changes in a) secondary physical activity outcomes and b) secondary self-report measures at 9, 26, and 52 weeks. Aim 3: To facilitate interpretation of RCT results and provide resources for translation and sustainability by collecting contextual information to inform eventual broad scale intervention implementation and creating a web-based implementation toolkit that can be used by other sites. Supplemental Aims A. To enhance facilitator adherence in delivering required intervention elements with skills that foster supportive alliances which promote participant engagement. B. To assess and monitor the additional facilitators adherence and skills required for remote delivery, by adapting the parent project’s facilitator fidelity monitoring system to document them. C. To assess and monitor participants’ receipt and application of the interventions by modifying the parent project’s participant fidelity monitoring system to include new data collection of participant views of remote delivery and qualitative questions regarding barriers and facilitators to engagement. D. To examine i) participants’ views of the supportive alliance and their impact on primary/secondary outcomes and ii) whether participants’ perception of the alliance matches the facilitators’ perception and the resulting impact on primary/secondary outcomes.