Caring for caregivers with mind-body exercise

照顾者(CG)经常经历严重的心理和身体痛苦，导致明显的 照顾者的健康和生活质量(QOL)下降。减少慢性心绞痛有改善的潜力 CG精神和身体健康，提高整体生活质量，并导致他们提供的护理改善。 然而，几乎没有能够广泛提供并容易坚持的有效干预措施得到严格执行。 已评估。 气功是一种越来越受欢迎的多模式心身锻炼，在解决 广泛的心理社会和身体因素与慢性精神分裂症高度相关。具有许多共同的特征 太极、气功结合了缓慢柔和的动作、呼吸训练和一些认知技能。 包括更高的身体意识，集中的精神注意力和想象--这些加在一起可能 与单峰疗法相比，对健康的好处更大。强有力的证据支持气功和 团体太极拳训练可改善身心健康、生活质量、自我等多个领域 在不同人群中的功效。值得注意的是，最近的全国调查表明，美国有相当大一部分人 报告使用气功和太极健康的人群更喜欢从DVD和 互联网资源。虽然一些研究支持基于网络或基于DVD的学习的潜力 在心身实践中，对这类项目的评估还没有得到很好的测试，特别是在CGs中。 使用癌症护理人员(CCG)作为更大CG人口的代表人群，我们的长期- 学期目标是进行一项明确的试验，评估一种广泛使用的、以前研究过的气功养生法。 (八锦、八段锦、气功)。干预措施将在以社区为基础的小组中进行，由 教师或通过互联网向通过记录的指导教学进行学习的个人提供补充 来自教师的间歇性虚拟实时反馈。结果将包括生活质量、疲劳、睡眠障碍， 心理困扰、照顾者负担和身体功能。这款R34的短期目标是 进行一项混合方法的先导随机对照试验(RCT)，以告知 最终的审判。我们将通过将(1：1：1)42个CCG随机分配到以下三种条件之一来实现这些目标：(1)a 基于社区的气功项目；(2)基于互联网的气功项目；或(3)等待名单控制组。 具体目标1是敲定气功干预内容和交付方案。《特定目标2》将评估 通过基于社区的小组课程和基于网络的协议，使用 新奇的熟练程度工具。具体目标3将评估招募和留住CCG的可行性 12周的临床试验，并完成所有结果测试方案。研究的可行性和可取之处将会进一步 通过对研究完成者、退出的参与者的离职访谈进行正式定性分析，以及 气功指导员。

Caregivers (CGs) often experience significant psychological and physical distress leading to marked reductions in caregivers' health and quality of life (QOL). Reducing CG distress has the potential to improve CG mental and physical health, improve overall QOL, and lead to improvements in the care they provide. However, few effective interventions that can be widely delivered and easily adhered to have been rigorously evaluated. Qigong is an increasingly popular multi-modal mind-body exercise that shows promise in addressing a broad range of psychosocial and physical factors highly relevant to CGs. Sharing many characteristics with Tai Chi, Qigong incorporates elements of slow gentle movement, breath training, and number of cognitive skills including heightened body awareness, focused mental attention, and imagery—which collectively may afford greater benefits to health compared to unimodal therapies. A robust evidence base supports that Qigong and Tai Chi training in groups can improve multiple domains of physical and emotional health, QOL, and self- efficacy in diverse populations. Of note, recent national surveys indicate that a significant proportion of the US population that report using Qigong and Tai Chi for health preferred self-directed learning from DVDs and internet resources. While a handful of studies support the potential for web-based or DVD-based learning of mind-body practices, evaluations of such programs have not been well-tested, especially in CGs. Using cancer caregivers (CCGs) as a representative population of the larger CG population, our long- term goal is to conduct a definitive trial evaluating a widely accessible and previously studied Qigong regimen (Eight Brocades, Baduanjin Qigong). Interventions will be delivered either in community-based groups led by instructors or via internet to individuals learning through recorded guided instruction supplemented with intermittent virtual live feedback from instructors. Outcomes will include QOL, fatigue, sleep disturbances, psychological distress, caregiver burden, and physical function. The short-term goals of this R34 are to conduct a mixed-methods pilot randomized controlled trial (RCT) to inform the feasibility and design of a definitive trial. We will address these goals by randomizing (1:1:1) 42 CCGs to one of three conditions: (1) a community-based qigong program; (2) an internet-based qigong program; or (3) a wait-list control group. Specific Aim 1 is to finalize Qigong intervention content and delivery protocols. Specific Aim 2 will assess the 'learnability' of Qigong delivered in community-based group classes and via a web-based protocol using a novel proficiency instrument. Specific Aim 3 will evaluate the feasibility of recruiting and retaining CCGs into a 12-week clinical trial, and completing all outcomes testing protocols. Study feasibility and merit will be further informed by formal qualitative analysis of exit interviews of study completers, participants that withdraw, and Qigong instructors.