Remillard Elena T, Mitzner Tracy L, Mumma Kara T
Center for Inclusive Design and Innovation, Georgia Institute of Technology, Atlanta, GA, USA.
Person in Design, Atlanta, GA, USA.
Contemp Clin Trials Commun. 2025 Aug 28;47:101543. doi: 10.1016/j.conctc.2025.101543. eCollection 2025 Oct.
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.
NCT04696887.
许多患有行动障碍的老年人在参加锻炼项目和社交活动时面临障碍，而虚拟项目能让他们更方便地参与，从而从中受益。太极远程临床试验正在评估一项基于证据的针对老年人的面对面太极项目——关节炎与预防跌倒太极（坐姿版），在改编为在线小组干预（通过视频会议）并为患有行动障碍的老年人安排有主持人的社交时间后的可接受性和有效性。具体而言，我们正在研究该干预措施对目标人群增加身体活动和社交联系的疗效，这是主要的结局指标。次要结局指标包括运动自我效能感、跌倒效能感、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），他们自我认定患有行动障碍（即使用行动辅助器具或在行走或爬楼梯方面有严重困难）至少10年。在8周干预结束时及之后1个月进行随访评估。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、技术介导的方法，即如何为患有行动障碍的老年人改编面对面干预措施，这可为开展类似试验或项目的研究人员和从业者提供路线图。
NCT04696887
