TechSAge Tele Tai Chi for People Aging With Mobility Disabilities

Aging Clinical Trial

Official title:

TechSAge Tele Tai Chi for People Aging With Mobility Disabilities

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04696887
• Other study ID #: H19560
• Status: Completed
• Phase: N/A
• Start date: February 22, 2021
• Est. completion date: October 3, 2023

Study information

• Verified date: October 2023
• Source: Georgia Institute of Technology
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study uses videoconferencing to deliver an evidence-based exercise program, Seated Tai Chi for Arthritis, to adults aging with long-term mobility disabilities. In the 8-week Tele Tai Chi intervention, participants will use a tablet or computer to join a small-group, online class (1hr, twice weekly) from home; during each session, participants will exercise as a group along with the pre-recorded video lessons and have the opportunity for social interaction (via video chat) before and after class. The study will examine the effects of the Tele Tai Chi program on physical activity and social connectedness for adults aging with long-term mobility disabilities, a population likely to experience barriers to exercise participation.

Description:

This study is part of the Rehabilitation Engineering Research Center on Technologies to Support Aging-in-Place for People with Long-Term Disabilities (RERC TechSAge). This study uses videoconferencing to translate an evidence-based exercise program for older adults, Seated Tai Chi for Arthritis, from an in-person setting to a remote class and to a different population, adults aging with mobility disabilities. In the 8-week Tele Tai Chi intervention, participants will use a tablet or computer to join a small-group, online class (1hr, twice weekly) from home; during each session, participants will exercise as a group along with the pre-recorded video lessons and have the opportunity for social interaction (via video chat) before and after class. The study will examine the effects of the Tele Tai Chi program on physical activity and social connectedness (primary outcomes), as well as exercise self-efficacy, falls efficacy, depression, quality of life, and pain (secondary outcomes) for adults aging with long-term mobility disabilities, a population likely to experience barriers to in-person exercise participation.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: October 3, 2023
• Est. primary completion date: October 3, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 60 Years to 80 Years

Eligibility

Inclusion Criteria:

• Be between the ages of 60-80

• Self-identify as having a mobility disability, use a mobility aid (i.e., cane, crutches, wheelchair, walker, or scooter) or have serious difficulty walking or climbing stairs

• Mobility disability for at least 10 years

• Passing score on Physical Activity Readiness Questionnaire (PAR-Q) or letter from physician stating approved to participate in the intervention

• Passing score on Telephone Interview for Cognitive Status (TICS)-score 26 and above included

• Passing score of brief Technology Proficiency Screen (e.g., be able to do send and receive email)

• Have access to a webcam on computer or tablet

• Plan to have internet access for six months from screening

• Live in the US

• Be conversational in English

• Available to attend 1 hr online class 2x a week for 8 weeks

Exclusion Criteria:

• Blind or deaf

• Significant Tai Chi practice during the past 6 months

Related Conditions & MeSH terms

• Aging
• Disability Physical

Intervention

Behavioral:
• Tele Tai Chi Intervention for Persons Aging with Long-Term Mobility Disabilities
• 8-week Tele Tai Chi intervention, participants will use a tablet or computer to join a small-group, online class (1hr, twice weekly) from home; during each session, participants will exercise as a group along with the pre-recorded video lessons and have the opportunity for social interaction (via video chat) before and after class.

Locations

Country	Name	City	State
United States	Center for Inclusive Design and Innovation	Atlanta	Georgia

Sponsors (5)

Lead Sponsor	Collaborator
Georgia Institute of Technology	National Institute on Disability, Independent Living, and Rehabilitation Research, Tai Chi for Health Institute, University of Georgia, University of Illinois at Urbana-Champaign

Country where clinical trial is conducted

United States, 

References & Publications (14)

2Cunningham, G. B. (2020). Development of the Physical Activity Class Satisfaction Questionnaire (PACSQ). Measurement in Physical Education and Exercise Science, 11(3), 161-176.

Amtmann D, Cook KF, Jensen MP, Chen WH, Choi S, Revicki D, Cella D, Rothrock N, Keefe F, Callahan L, Lai JS. Development of a PROMIS item bank to measure pain interference. Pain. 2010 Jul;150(1):173-182. doi: 10.1016/j.pain.2010.04.025. — View Citation

Cornwell EY, Waite LJ. Measuring social isolation among older adults using multiple indicators from the NSHAP study. J Gerontol B Psychol Sci Soc Sci. 2009 Nov;64 Suppl 1(Suppl 1):i38-46. doi: 10.1093/geronb/gbp037. Epub 2009 Jun 9. — View Citation

Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13, 319-340.

Finlayson M, Peterson EW, Cho C. Pilot study of a fall risk management program for middle aged and older adults with MS. NeuroRehabilitation. 2009;25(2):107-15. doi: 10.3233/NRE-2009-0505. — View Citation

Hays RD, DiMatteo MR. A short-form measure of loneliness. J Pers Assess. 1987 Spring;51(1):69-81. doi: 10.1207/s15327752jpa5101_6. — View Citation

Kroll T, Kehn M, Ho PS, Groah S. The SCI Exercise Self-Efficacy Scale (ESES): development and psychometric properties. Int J Behav Nutr Phys Act. 2007 Aug 30;4:34. doi: 10.1186/1479-5868-4-34. — View Citation

Pilkonis PA, Choi SW, Reise SP, Stover AM, Riley WT, Cella D; PROMIS Cooperative Group. Item banks for measuring emotional distress from the Patient-Reported Outcomes Measurement Information System (PROMIS(R)): depression, anxiety, and anger. Assessment. — View Citation

Siebens HC, Tsukerman D, Adkins RH, Kahan J, Kemp B. Correlates of a Single-Item Quality-of-Life Measure in People Aging with Disabilities. Am J Phys Med Rehabil. 2015 Dec;94(12):1065-74. doi: 10.1097/PHM.0000000000000298. — View Citation

Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. J Gerontol. 1990 Nov;45(6):P239-43. doi: 10.1093/geronj/45.6.p239. — View Citation

Venkatesh, V. (2000). Determinants of perceived ease of use: Integrating perceived behavioral control, computer anxiety and enjoyment into the technology acceptance model. Information Systems Research, 11, 342-365.

Venkatesh, V., & Bala, H. (2008). Technology Acceptance Model 3 and a research agenda on interventions. Decision Sciences, 39(2), 273-315. https://doi.org/10.1111/j.1540-5915.2008.00192.x

Walker JE, Howland J. Falls and fear of falling among elderly persons living in the community: occupational therapy interventions. Am J Occup Ther. 1991 Feb;45(2):119-22. doi: 10.5014/ajot.45.2.119. — View Citation

Washburn RA, Zhu W, McAuley E, Frogley M, Figoni SF. The physical activity scale for individuals with physical disabilities: development and evaluation. Arch Phys Med Rehabil. 2002 Feb;83(2):193-200. doi: 10.1053/apmr.2002.27467. — View Citation

* Note: There are 14 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Technology Acceptance	Change in technology acceptance, as measured the Technology Acceptance Questionnaire (modified12,13,14). Higher score means greater technology acceptance. A lower score means less greater technology acceptance. Range (20-140).	Baseline, Post-Intervention (8 week assessment)
Other	Physical Activity Class Satisfaction	Class Satisfaction as measured by the dimensions of mastery experience, teaching, interaction with others, improvement of health and fitness, and relaxation from the Physical Activity Class Satisfaction Questionnaire2, a self-report measure of satisfaction related to exercise classes (Range 22-176); Higher score means greater satisfaction with physical activity class.	Post-Intervention (8 week assessment)
Primary	Physical activity	Change in physical activity (mode, frequency, duration, intensity) as measured by the leisure activity dimension of the Physical Activity Scale for Persons with Physical Disabilities1, a self-report measure of physical activity (Range 0-98.67; Higher score means greater physical activity. Lower score means less physical activity). Self-report completion of Tai Chi practice (Range 1-4; Higher score indicates greater frequency of practice. Lower score indicates less frequent of practice).	Baseline, Week 1-8 of intervention, Post-Intervention (8 week assessment), 1 month follow-up
Primary	Social connectedness	Change in perception of social connectedness (loneliness), as measured by the UCLA Loneliness Scale (ULS-8)3 (Range 8-32; Higher score indicates a greater degree of loneliness. Lower score reflects a lower degree of loneliness), Social Isolation Questionnaire4 (Social Disconnectedness Scale, Social Isolation Scale, Perceived Social Isolation scale; Range 15-67; Higher score indicates a greater degree of loneliness. Lower score reflects a lower degree of loneliness).	Baseline, Post-Intervention (8 week assessment), 1 month follow-up
Secondary	Exercise Self-Efficacy	Change in confidence in being able to exercise, as measured by the Exercise Self-Efficacy Scale (ESES) Scale5. A higher score indicates a greater confidence in being able to exercise. A lower score reflects less confidence in being able to exercise. Range (10-40).	Baseline, Post-Intervention (8 week assessment), 1 month follow-up
Secondary	Falls Efficacy	Change in confidence in being able to engage in activities without falling, as measured by the Falls Efficacy Scale6 (Range 10-100; Lower score indicates greater confidence in being able to engage in activities without falling. Higher score reflects less confidence in being able to engage in activities without falling; Total score of greater than 70 indicates that the person has a fear of falling), and a 3-item indicator of fear of falling (adapted from7-8; Range 0-5; Lower score indicates less fear of falling. Higher score reflects greater fear of falling).	Baseline, Post-Intervention (8 week assessment), 1 month follow-up
Secondary	Depression	Change in emotional distress (depression), as measured by the PROMIS Emotional Distress - Depression - Short Form9. Higher score means greater emotional distress. A lower score means less emotional distress. Range (8-40).	Baseline, Post-Intervention (8 week assessment), 1 month follow-up
Secondary	Quality of Life (QOL)	Change in self-reported quality of life, as measured by the Kemp Quality of Life single item scale10. Higher score means higher quality of life. A lower score means lower quality of life. Range (1-7).	Baseline, Post-Intervention (8 week assessment), 1 month follow-up
Secondary	Pain Interference	Change in pain interference, as measured the PROMIS Pain Interference - Short Form11. Higher score means greater pain interference. A lower score means less pain interference. Range (4-20).	Baseline, PPost-Intervention (8 week assessment), 1 month follow-up