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

项目总结。此续订申请是根据PA-19-031-管理提交的 补充健康从业者研究经验补充，以支持第二年 支持脊椎按摩医生海蒂·门登霍尔。更新将建立在第一年富有成效的基础上，并且 继续为门登霍尔博士在母公司研究研究中提供身临其境的研究体验 老年人运动对身体活动和幸福感的影响：基于社区的随机混合研究 有效性--实施研究(4R33AT009110)。门登霍尔博士的职业目标仍然是 与母公司研究的目标和范围非常一致，这提供了独特的 在社区和团队研究中进行体验式培训的机会。 家长试验的具体目标包括评估正念运动(实验性)的有效性 干预)与主动对照干预(n=182)的随机研究 每周参加≥10分钟中等强度运动的主要体力活动结果 9周时体力活动(MVPA)(AIM 1)。次要措施包括久坐活动，每天步行 和自我报告的生活质量，锻炼自我效能和期望，正念，健康，身体疼痛， 9周、26周和52周时的体力活动、社会联系和安全感等(目标2)。为了方便 对区域工作队结果的解释，并提供翻译资源和可持续性、上下文信息 是从参与者和其他利益相关者那里收集的，使用混合方法来探索障碍和促进者 参与度(目标3)，特别是在代表性不足的人群中。 门登霍尔博士将获得作为多学科招聘团队成员的宝贵经验， 注册和参与者参与度；定量和定性数据收集和分析以及其他 与家长试验相关的活动。门登霍尔博士经验的一个重要部分将是致力于 应用行为和实施模型和框架以加强代表不足的人的参与 补充和综合健康(CIH)研究中的个人。具体地说，她将帮助开发， 协调和部署《学习应计和保留计划》中规定的创造性招聘战略； 并协助收集与目标3一致的关键定性数据和分析。门登霍尔博士还将 受益于罗尼·埃文斯博士(家长试用PI)的指导，他在CIH成功指导了20名学员 研究。最后，门登霍尔博士将通过在该大学的研究课程进一步发展她的技能 并在基督教青年会的公平领导力学院接受培训。总括而言，行政当局 补充剂将为门登霍尔博士提供全面的经验，这极有可能促进她的职业生涯 发展并致力于在社区CIH从事富有成效和独立的职业生涯 让所有人都能获得更好的健康和福祉的研究。

PROJECT SUMMARY. This renewal application is submitted in response to PA-19-031-Administrative Supplements for Complementary Health Practitioner Research Experience to support a second year of support for Heidi Mendenhall, a Doctor of Chiropractic. Renewal will build upon a productive first year, and continue to provide Dr. Mendenhall an immersive research experience in the parent research study, Mindful Movement for Physical Activity and Wellbeing in Older Adults: A Community Based Randomized Hybrid Effectiveness-Implementation Study (4R33AT009110). Dr. Mendenhall’s career goals continue to be exceptionally well-aligned with the aims and scope of the parent research study which provide unique opportunities for experiential training in community and team-based research. The specific aims of the parent trial include assessing the effectiveness of Mindful Movement (experimental intervention) versus an active control intervention in a randomized study (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 1). Secondary measures include sedentary activity, steps per day and self-reported quality of life, exercise self-efficacy and expectations, mindfulness, wellbeing, bodily pain, physical activity, social connectedness and assurance, and others, at 9, 26, and 52 weeks (AIM 2). To facilitate interpretation of the RCT results and provide resources for translation and sustainability, contextual information is collected from participants and other stakeholders using mixed methods to explore barriers and facilitators to engagement (AIM 3), especially in underrepresented populations. Dr. Mendenhall will gain valuable experience working as a member of a multi-disciplinary team on recruitment, enrollment and participant engagement; quantitative and qualitative data collection and analysis and other activities related to the parent trial. An important part of Dr. Mendenhall’s experience will be to work on applying behavioral and implementation models and frameworks to enhance participation of underrepresented individuals in complementary and integrative health (CIH) research. Specifically, she will help develop, coordinate, and deploy creative recruitment strategies as specified in the Study Accrual and Retention Plan, and assist with critical qualitative data collection and analysis congruent with Aim 3. Dr. Mendenhall will also benefit from mentorship from Dr. Roni Evans (parent trial PI) who has successfully guided 20 mentees in CIH research. Finally, Dr. Mendenhall will further develop her skills through research coursework at the University of Minnesota and training at the YMCA’s Equity Leadership Institute. In summary, the Administrative Supplement will provide Dr. Mendenhall a comprehensive experience that is highly likely to facilitate her career development and lead to a commitment to a productive and independent career in community based CIH research that reaches all individuals for better health and wellbeing.