Author: Tongjian You1, Yael Koren2, William J Butts3, Catarina Ambrizzi Moraes3, Gloria Y Yeh4, Peter M Wayne5, Suzanne G Leveille2
1 Department of Exercise and Health Sciences. Electronic address: email@example.com.
2 Department of Nursing, Robert and Donna Manning College of Nursing and Health Sciences, University of Massachusetts, Boston, MA, United States of America.
3 Department of Exercise and Health Sciences.
4 Division of General Medicine, Beth Israel Deaconess Medical Center, Boston, MA, United States of America; Osher Center for Integrative Medicine, Brigham and Women's Hospital, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America.
5 Osher Center for Integrative Medicine, Brigham and Women's Hospital, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America.
Conference/Journal: Contemp Clin Trials
Date published: 2023 Mar 18
Other: Special Notes: doi: 10.1016/j.cct.2023.107164. , Word Count: 247
Multisite musculoskeletal pain is highly prevalent among older adults yet undertreated. Studies support the promise of Tai Chi for managing pain and lowering fall risk. Since the COVID-19 pandemic, effective alternatives to classroom-based exercise programming are warranted.
To recruit 100 racially diverse older adults with multisite pain and increased fall risk, who are interested in participating in a future Tai Chi clinical trial, and to evaluate the feasibility and acceptability of a short-term, remotely delivered home-based Tai Chi program.
A random sample of adults aged 65 years or older living in diverse Boston neighborhoods were sent mailed invitations to participate in a telephone screening survey. Eligible adults were invited to join a 4-week Tai Chi program offered online via Zoom. Primary outcomes were class attendance, experience, and program safety.
Among 334 survey respondents, 105 were eligible for the intervention. Average age of eligible participants was 74 years, 75% were women, and 62% were Black. We assigned 32 participants to 4 Tai Chi or 2 light exercise groups conducted via Zoom; of these, 24 (75%) completed the program and 79% attended ≥6 of 8 classes. There were no adverse events reported. Two-thirds reported it was very easy to join the online classes and 88%, very easy to see the instructor.
Mailed invitations were effective for recruiting a racially diverse sample. Remote exercise programming delivered online via live Zoom sessions is safe and feasible for diverse older adults who have multisite pain and risk of falls.
Keywords: Diverse older adults; Multisite pain; Remote exercise; Tai chi.
PMID: 36940813 DOI: 10.1016/j.cct.2023.107164