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

项目总结 本申请是对NOT-AT-20-004的回应，是对正念运动的补充 老年人的体育锻炼和幸福感：一种基于社区的随机混合 有效性--实施研究(4R33AT009110)。拟议的行政副刊 将专注于改善对基督教青年会促进者的干预培训，以提高对 基于正念的实验性干预(MBI)和已过渡到 远程投递(由新冠肺炎支付)。重要的是，补充目标不会影响原始目标 获奖的父项目的范围。 家长研究的长期目标是优化中老年人的体力活动水平 通过正念使成年人(&gt；50岁)老龄化。父R33有以下目标： 目标1：确定8周正念运动与关键运动的相对有效性 参加随机对照试验的健康和幸福感(RCT，n=182)，通过 每周参加≥10分钟中等强度运动的主要体力活动结果 9周时进行体力活动(MVPA)。 目标2：根据a)的变化来确定两种干预措施的相对有效性 第二次体力活动结果和b)第二次自我报告测量在9、26和52周。 目标3：促进对区域工作队结果的解释，并为翻译和 通过收集背景信息实现可持续性，为最终的大规模干预提供信息 实施并创建一个可供其他网站使用的基于网络的实施工具包。 补充目标 A.在提供所需干预要素的过程中提高推动者的忠诚度，使其具备以下技能 建立支持性的联盟，促进参与者的参与。 B.评估和监控远程培训所需的其他促进员的遵从性和技能 交付，通过调整母项目的促进者忠诚度监测系统来记录它们。 C.评估和监测参与者接受和应用干预措施的情况，方法是修改 父项目的参与者保真度监控系统将包括新的数据收集 学员对远程交付的看法以及有关障碍和促进者的定性问题 敬敬战。 D.考察i)参与者对支持性联盟的看法及其对 主要/次要结果以及ii)参与者对联盟的看法是否与 促进者的看法及其对初级/次级成果的影响。

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.