A tai chi/qigong intervention for older adults living with HIV: a study protocol of an exploratory clinical trial

Trials

Linda Larkey¹  Chelsea Valdivia²  Nan Hu³  Gladys E. Ibañez⁴  Angel B. Algarin⁵  Helen Lavretsky⁶  Kristopher Fennie⁷ 

[1] College of Nursing and Health Innovation, Arizona State University, 550 N 3rd St, 85004, Phoenix, AZ, USA;Department of Biostatistics, Florida International University, 11200 SW 8th St AHC5, 33199, Miami, FL, USA;Department of Biostatistics, Florida International University, 11200 SW 8th St AHC5, 33199, Miami, FL, USA;Division of Public Health, Family and Preventive Medicine, University of Utah School of Medicine, 84132, Salt Lake City, Utah, USA;Department of Epidemiology, Florida International University, 11200 SW 8th St AHC5, 33199, Miami, FL, USA;Department of Epidemiology, Florida International University, 11200 SW 8th St AHC5, 33199, Miami, FL, USA;Division of Infectious Diseases and Global Public Health, University of California San Diego, 92093, La Jolla, CA, USA;Department of Psychiatry, Semel Institute for Neuroscience and Human Behavior, The University of California, Los Angeles (UCLA), 760 Westwood Plaza, 90095, Los Angeles, CA, USA;Division of Natural Sciences, New College of Florida, 5800 Bay Shore Road, 34243, Sarasota, FL, USA;

关键词: Qigong;    Tai chi;    HIV;    Older adults;    Intervention;    Mind-body;   

DOI  :  10.1186/s13063-020-04728-x

来源: Springer

【 摘 要 】

BackgroundAlmost half of people living with HIV (PLWH) in the USA are over 50 years of age; this is expected to increase to 70% by 2020. Yet, few interventions exist for older PLWH that address psychological and physical symptoms combined, both prevalent in this population. There is a need to find innovative and accessible interventions that can help older PLWH to manage their symptoms. Mind-body interventions, like tai chi/qigong (TCQ), improve both physical and psychological health. TCQ is a series of slow, low-impact meditative movements that integrates breathwork, meditation, and stances.MethodsThe present study is an exploratory clinical trial that will evaluate the acceptability and feasibility of a 12-week, small group TCQ intervention (n = 24), a sham qigong control condition (n = 24), and a standard of care control condition (n = 24) for older people living with HIV/AIDS. It will also explore any preliminary associations between the TCQ intervention and symptom alleviation. Participants will be recruited from community-based health and social services organizations in Miami, FL, and randomized to one of the 3 conditions.DiscussionWe will assess feasibility and acceptability through questionnaires and adherence to TCQ. We will assess preliminary associations with symptoms such as depression, anxiety, social support, chronic HIV-related fatigue, and clinical outcomes. These will be described through proportions, means, and changes over time through graphing techniques. Outcomes will be assessed at baseline, at post-intervention, and at 3 months follow-up. These preliminary analyses also will provide information necessary to estimate effect size and power needed for a larger clinical trial.Trial registrationClinicalTrials.gov NCT03840525. Registered on 16 July 2018.

【 授权许可】

CC BY