Administrative Supplement for Complementary Health Practitioner Research Experience -- Heidi Mendenhall

项目摘要 本行政补充将支持海蒂门登霍尔，脊椎指压治疗医生，在一个身临其境的 正在进行的双臂随机临床试验的研究经验，身体活动的正念运动 老年人的健康和幸福：一项基于社区的随机混合自愿性实施研究 （4R33AT009110）。家长试验目前是在第3年的5，并遵循成功完成了一个 之前的同伴R21试验研究30名参与者。这项研究的长期目标是鼓励 使用互补和综合健康（CIH）自我管理方法的适应性幸福行为， 并且与门登霍尔博士的研究职业目标非常吻合。 父母试验的具体目的包括评估正念运动的有效性（实验性）。 干预）与随机研究（n=182）中的活性对照干预相比， 主要体力活动结局，即每周≥10分钟的中度-剧烈运动时间 第9周时的体力活动（MVPA）（AIM 1）。次要措施包括久坐活动，每天的步数 和自我报告的生活质量，锻炼自我效能和期望，正念，幸福，身体疼痛， 体力活动，社会联系和保证，干预满意度，以及9，26， 第52周（AIM 2）。此外，为了便于解释RCT结果，并为以下方面提供资源： 翻译和可持续性，从参与者和其他利益相关者那里收集背景信息， 混合方法，探索参与的障碍和促进因素（AIM 3），特别是在代表性不足和 少数民族人口。 博士门登霍尔将获得宝贵的经验，作为一个多学科团队的成员招聘， 招募、干预保真度、参与者参与以及定量和定性数据收集 与母试验相关的分析活动。门登霍尔博士经验的一个重要部分将是致力于 加强征聘少数族裔和代表性不足的人口并使其参与。具体来说，她将 帮助制定、协调和部署经批准的研究中规定的创造性招聘策略 应计和保留计划，并协助关键的定性数据收集和分析与目标一致 3、父母的审判门登霍尔博士还将受益于Roni Evans博士（父母试验PI）的指导， 成功指导了20名学员进行CIH研究。最后，门登霍尔博士将进一步发展她的研究 通过明尼苏达大学的临床和转化科学提供的研究课程的技能 研究所（CTSI，UL 1 TR 002494）。 总之，行政补充将为门登霍尔博士提供全面的经验， 很有可能促进她的职业发展，并导致一个富有成效的和独立的承诺， CIH的科学研究生涯，为健康和福祉的行为。

PROJECT SUMMARY This Administrative Supplement will support Heidi Mendenhall, a Doctor of Chiropractic, in an immersive research experience in an ongoing two-arm randomized clinical trial, Mindful Movement for Physical Activity and Wellbeing in Older Adults: A Community Based Randomized Hybrid Effectiveness-Implementation Study (4R33AT009110). The parent trial is currently in year 3 of 5, and follows the successful completion of a previous companion R21 pilot study of 30 participants. The long-term goal of this research is to encourage adaptive wellbeing behaviors using complementary and integrative health (CIH) self-management approaches, and aligns well with Dr. Mendenhall’s research career goals. 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, intervention satisfaction, and adverse events at 9, 26, and 52 weeks (​AIM 2​). Additionally, 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 and minority populations. Dr. Mendenhall will gain valuable experience working as a member of a multi-disciplinary team on recruitment, enrollment, intervention fidelity, participant engagement, and quantitative and qualitative data collection analysis activities related to the parent trial. An important part of Dr. Mendenhall’s experience will be to work on enhancing recruitment and engagement of minority and underrepresented populations. Specifically, she will help develop, coordinate, and deploy creative recruitment strategies as specified in the approved Study Accrual and Retention Plan, and assist with critical qualitative data collection and analysis congruent with Aim 3 of the parent trial. 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 research skills through research courses offered through University of Minnesota’s Clinical and Translational Science Institute (CTSI, UL1TR002494). 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 scientific research career in CIH for health and wellbeing behaviors.