老年行动障碍者的远程太极：新方法和结构化适应方法

IF 1.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

Contemporary Clinical Trials Communications Pub Date : 2025-08-28 DOI:10.1016/j.conctc.2025.101543

Elena T. Remillard , Tracy L. Mitzner , Kara T. Mumma

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引用次数: 0

摘要

许多行动不便的老年人在亲自参加锻炼项目和社交活动时遇到了障碍，他们可以从虚拟项目中受益，使参与更容易。远程太极临床试验正在评估老年人面对面太极拳项目的可接受性和有效性，太极拳关节炎和跌倒预防（坐式版），当适应为在线团体干预（通过视频会议）时，对行动不便的老年人进行适度的社交时间。具体来说，我们正在研究目标人群增加身体活动和社会联系的干预效果，这是主要的结果衡量指标。次要结局指标包括运动自我效能、跌倒效能、抑郁、生活质量和疼痛。参与者样本（N = 60）包括社区居住的成年人（60 - 77岁），他们自认为有行动障碍（即使用行动辅助设备或行走或爬楼梯有严重困难）至少10年。随访评估在8周干预结束后和干预后1个月进行。这篇以方法为重点的论文强调了我们新颖的、以用户为中心的、以技术为媒介的方法，以适应对行动不便的老年人进行亲自干预，这可以作为研究人员和从业人员开展类似试验或项目的路线图。

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Tele Tai Chi for people aging with mobility disabilities: Novel methodology and structured adaptation approach

Many people aging with mobility disabilities experience barriers engaging in exercise programs and social events in-person and could benefit from virtual programs that make participation more accessible. The Tele Tai Chi clinical trial is assessing the acceptability and effectiveness of an evidence-based in-person Tai Chi program for older adults, Tai Chi for Arthritis and Fall Prevention (seated version), when adapted to be an online group intervention (via videoconferencing) with moderated social time for individuals aging with mobility disabilities. Specifically, we are examining the intervention efficacy for the target population for increasing physical activity and social connectedness, which are the primary outcome measures. Secondary outcome measures include exercise self-efficacy, falls efficacy, depression, quality of life, and pain. The participant sample (N = 60) includes community-dwelling adults (60–77 years of age) with a self-identified mobility disability (i.e., using a mobility aid or having serious difficulty walking or climbing stairs) for at least 10 years. Follow-up assessments occurred at the end of the 8-week intervention and 1 month thereafter. This methods-focused paper highlights our novel, user-centered, technology-mediated approach to adapting an in-person intervention for individuals aging with mobility disabilities, which can be used as a roadmap for researchers and practitioners launching similar trials or programs.

ClinicalTrials.gov no

NCT04696887.

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来源期刊

Contemporary Clinical Trials Communications Pharmacology, Toxicology and Pharmaceutics-Pharmacology

CiteScore

2.70

自引率

6.70%

发文量

146

审稿时长

20 weeks

期刊介绍： Contemporary Clinical Trials Communications is an international peer reviewed open access journal that publishes articles pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from a wide range of disciplines including medicine, life science, pharmaceutical science, biostatistics, epidemiology, computer science, management science, behavioral science, and bioethics. Contemporary Clinical Trials Communications is unique in that it is outside the confines of disease specifications, and it strives to increase the transparency of medical research and reduce publication bias by publishing scientifically valid original research findings irrespective of their perceived importance, significance or impact. Both randomized and non-randomized trials are within the scope of the Journal. Some common topics include trial design rationale and methods, operational methodologies and challenges, and positive and negative trial results. In addition to original research, the Journal also welcomes other types of communications including, but are not limited to, methodology reviews, perspectives and discussions. Through timely dissemination of advances in clinical trials, the goal of Contemporary Clinical Trials Communications is to serve as a platform to enhance the communication and collaboration within the global clinical trials community that ultimately advances this field of research for the benefit of patients.