Tai Chi Exercise and Wearable Feedback Technology to Promote Physical Activity in ACS Survivors

太极拳运动和可穿戴反馈技术促进 ACS 幸存者的身体活动

基本信息

项目摘要

Project Summary/Abstract Physical activity (PA) is a cornerstone of secondary prevention after an acute coronary syndrome (ACS) with associated improvements in cardiovascular risk, morbidity, and mortality. Unfortunately, over 80% of these cardiovascular patients remain sedentary after an event. Participation in cardiac rehabilitation programs is poor, and long-term adherence to PA remains problematic. There is a critical need for the development of novel exercise programs to improve PA in this high-risk patient population. Tai Chi (TC) is a multi-dimensional intervention that integrates low-moderate intensity physical exercise with meditative components that have been shown to improve important self-regulatory skills and cognitive- behavioral determinants of behavior change, such as self-efficacy, motivation, and emotional health. Because it is delivered in a class format, TC also fosters social support. Preliminary evidence suggests that TC may positively impact PA and selected cardiovascular risk factors. TC is an attractive exercise option for ACS survivors, who are often sedentary or deconditioned. There is also growing evidence supporting the use of wearable technology (e.g., Fitbit) as an effective behavioral strategy to promote PA. Wearable devices can utilize evidence-based techniques such as individualized goal setting and feedback in increasing motivation and self-efficacy for exercise. In patients with cardiometabolic disease, the addition of wearable technology to structured exercise has been promising to increase moderate-vigorous PA and improve cardiovascular risk. This application leverages our prior work with TC to promote PA among sedentary ACS survivors, experience with remote delivery of group-based TC, and experience combining mind-body exercise with wearables (Fitbit). We propose a multi-site feasibility study as a necessary step in preparation for a future, fully-powered trial investigating the efficacy of a multi-modal intervention (TC+Wearable) that combines virtual, group TC classes with an individual wearable device to support overall PA, and thus impact downstream cardiometabolic risk. The specific aims are: 1) To assess feasibility of a multi-site randomized controlled trial of TC+Wearable plus enhanced usual care (with cardiovascular risk factor education materials) vs. enhanced usual care alone among inactive ACS survivors. Feasibility measures will include recruitment and retention; intervention acceptability, adherence, and fidelity; and coordination/management of multi-site data collection. Patient- centered outcomes will include accelerometry-assessed PA and sedentary time, cognitive-behavioral constructs (self-efficacy, intrinsic motivation, awareness, anxiety/depression, stress), and cardiometabolic measures (exercise capacity, weight, lipids, blood pressure, glucose). 2) To obtain qualitative feedback from multiple stakeholders to inform future study conduct. We will engage patients, providers, and TC instructors in interviews/focus groups on acceptability of TC+Wearable (content, facilitators/barriers, integration of TC and device); technical aspects of remote delivery; and openness for future provider and TC instructor engagement.
项目总结/文摘

项目成果

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Elena Salmoirago-Blotcher其他文献

Elena Salmoirago-Blotcher的其他文献

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{{ truncateString('Elena Salmoirago-Blotcher', 18)}}的其他基金

Targeting cognitive function and interoceptive awareness to improve self-management in patients with co-morbid heart failure and cognitive impairment.
针对认知功能和内感受意识,改善合并心力衰竭和认知障碍患者的自我管理。
  • 批准号:
    10616751
  • 财政年份:
    2022
  • 资助金额:
    $ 56.83万
  • 项目类别:
Tai Chi Exercise and Wearable Feedback Technology to Promote Physical Activity in ACS Survivors
太极拳运动和可穿戴反馈技术促进 ACS 幸存者的身体活动
  • 批准号:
    10510577
  • 财政年份:
    2022
  • 资助金额:
    $ 56.83万
  • 项目类别:
Targeting cognitive function and interoceptive awareness to improve self-management in patients with co-morbid heart failure and cognitive impairment.
针对认知功能和内感受意识,改善合并心力衰竭和认知障碍患者的自我管理。
  • 批准号:
    10410772
  • 财政年份:
    2022
  • 资助金额:
    $ 56.83万
  • 项目类别:
Heterogeneity and predictors of stress reactivity in takotsubo syndrome
takotsubo 综合征应激反应的异质性和预测因素
  • 批准号:
    10117102
  • 财政年份:
    2020
  • 资助金额:
    $ 56.83万
  • 项目类别:
Stress and resilience in women with Takotsubo syndrome: Admin Supplement
Takotsubo 综合征女性的压力和恢复力:管理补充
  • 批准号:
    10609696
  • 财政年份:
    2020
  • 资助金额:
    $ 56.83万
  • 项目类别:
Heterogeneity and predictors of stress reactivity in takotsubo syndrome
takotsubo 综合征应激反应的异质性和预测因素
  • 批准号:
    10348715
  • 财政年份:
    2020
  • 资助金额:
    $ 56.83万
  • 项目类别:
Heterogeneity and predictors of stress reactivity in takotsubo syndrome
takotsubo 综合征应激反应的异质性和预测因子
  • 批准号:
    10763907
  • 财政年份:
    2020
  • 资助金额:
    $ 56.83万
  • 项目类别:
Heterogeneity and predictors of stress reactivity in takotsubo syndrome
takotsubo 综合征应激反应的异质性和预测因素
  • 批准号:
    10570898
  • 财政年份:
    2020
  • 资助金额:
    $ 56.83万
  • 项目类别:
Development of a Tai Chi Program to Overcome Barriers to Cardiac Rehabilitation
开发太极拳项目以克服心脏康复障碍
  • 批准号:
    8581712
  • 财政年份:
    2013
  • 资助金额:
    $ 56.83万
  • 项目类别:
Development of a Tai Chi Program to Overcome Barriers to Cardiac Rehabilitation
开发太极拳项目以克服心脏康复障碍
  • 批准号:
    8850517
  • 财政年份:
    2013
  • 资助金额:
    $ 56.83万
  • 项目类别:

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