Examining the Feasibility of the Delivery of a Tailored Chinese Qigong Program in Older Low-Income Community-Dwelling Latino Adults (Preprint)

Abstract

BACKGROUND Older Latinos are disproportionally affected by various chronic conditions such as impairments in physical and cognitive function, which are essential for healthy aging and independent living. OBJECTIVE This study was: 1) to evaluate the feasibility and acceptability of FITxOlder, a 12-week mind-body exercise program, in low-income community dwelling older Latinos; and 2) to assess the preliminary effects of FITxOlder on health parameters relevant to healthy aging and independent living. METHODS This study is a 12-week single-arm Stage 1B feasibility study with a pre- and post- study design. 13 older Latino participants (76.4±7.9) of a congregate meals program in a senior center were enrolled in the study. The FITxOlder was a tailored Chinese mind-body exercise using Five Animal Frolics, led by a bilingual community health worker (CHW) to practice twice a week at the senior center and facilitated by mobile health technology (mHealth) to practice at home with incremental goal from once a week to at least three times a week. Feasibility and acceptability of the study were examined using both quantitative and qualitative data. Healthy aging related outcomes (e.g., physical and cognitive function, activities of daily living) were assessed using paired t-tests. Qualitative interview data was analyzed using content analysis. RESULTS The attendance rate of the 24 exercise sessions was high (94.4%, 22.7/24), ranging from 93.0% (1.8/2) to 96.8% (1.9/2) over the 12 weeks. The participants were compliant to the incremental weekly home and program exercise goal with 54.6% (2.8 days/week) and 63.3% (4.7 days/week) meeting the home and program goal in the program, respectively. Approximately 82% (10/12) to 92% (11/12) participants provided favorable feedback on survey questions regarding the study and program such as the program content and support, delivery by CHW, enjoyment and appeal of Five Animal Frolics, study burden and incentives, and safety concerns. The qualitative interview data revealed that FITxOlder was well-accepted; participants perceived enjoyment and health benefits, and would like to continue to practice it and share with others. The 5-times sit to stand test (mean changes at posttest=-1.62, p<.001; Cohen’s d=0.97) and SF-12 physical component scores (mean changes at posttest=5.71, p<.001; Cohen’s d=0.88) exhibited changes with large effect size from baseline to 12 weeks; other parameters showed small or medium effect size. CONCLUSIONS The research findings indicated that the CHW-led and mHealth-facilitated Chinese Qigong exercise program is feasible and acceptable among low-income older Latino adults. The trending health benefits of this 12-week FITxOlder program might be promising to promote physical activity engagement in underserved older populations to improve health outcomes for healthy aging and independent living. Future research with larger samples and longer interventions is warranted to assess the health benefits of FITxOlder program and its suitability.