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

项目摘要。此更新申请是根据PA-19-031-管理要求提交的 补充卫生从业人员研究经验的补充，以支持第二年的 支持海蒂门登霍尔，脊椎指压治疗医生。更新将建立在富有成效的第一年， 继续为门登霍尔博士提供父母研究性研究Mindful的沉浸式研究体验 运动促进老年人的身体活动和健康：基于社区的随机混合 重复性-实施研究（4 R33 AT 009110）。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，提供独特的 在社区和团队为基础的研究经验培训的机会。 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， 在第9、26和52周（AIM 2）时进行身体活动、社会联系和保证以及其他。以促进 对RCT结果进行解释，并为翻译和可持续发展提供资源， 使用混合方法从参与者和其他利益相关者那里收集，以探讨 目标3（AIM 3），特别是在代表性不足的人群中。 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， 招募和参与者参与;定量和定性数据收集和分析以及其他 与母公司试验相关的活动。门登霍尔博士经验的一个重要部分将是致力于 采用行为和执行模式和框架，加强代表性不足的人的参与 补充和综合健康（CIH）研究。具体来说，她将帮助发展， 协调和部署研究累积和保留计划中规定的创造性招聘策略， 并协助关键的定性数据收集和分析与目标3一致。门登霍尔博士还将 受益于Roni Evans博士（家长试验PI）的指导，他已成功指导了CIH的20名学员 research.最后，门登霍尔博士将通过在大学的研究课程进一步发展她的技能 在明尼苏达州的YMCA的平等领导研究所接受培训。总之，行政 补充将提供博士.门登霍尔一个全面的经验，这是非常有可能促进她的职业生涯 发展，并导致承诺在社区为基础的CIH的生产和独立的职业生涯 研究，达到所有人更好的健康和福祉。

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.