Prepandemic Feasibility of Tele-Exercise as an Alternative Delivery Mode for an Evidence-Based, Tai Ji Quan Fall-Prevention Intervention for Older Adults

Author:

Jones Dina L.1ORCID,Robinson Maura2,Selfe Terry Kit3ORCID,Barnes Lucinda4,Dierkes McKinzey5,Shawley-Brzoska Samantha6ORCID,Myers Douglas J.7,Wilcox Sara8ORCID

Affiliation:

1. Department of Orthopaedics, Division of Physical Therapy, Injury Control, Injury Control Research Center, West Virginia University, Morgantown, WV, USA

2. Department of Orthopaedics, West Virginia University, Morgantown, WV, USA

3. Academic Research Consulting and Services, University of Florida, Gainesville, FL, USA

4. Mountaineer Doctor Television, West Virginia University, Morgantown, WV, USA

5. Division of Physical Therapy, Clinical Translational Science Institute, West Virginia University, Morgantown, WV, USA

6. Office of Health Services Research, Department of Social & Behavioral Sciences, West Virginia University, Morgantown, WV, USA

7. School of Public and Population Health, Boise State University, Boise, ID, USA

8. Department of Exercise Science and Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA

Abstract

There is a critical need for fall-prevention interventions to reach medically underserved, hard-to-reach, rural older adults. The evidence-based Tai Ji Quan: Moving for Better Balance (TJQMBB) program reduces falls in older adults. This pre-COVID-19 pandemic study assessed the feasibility and impact of a 16-week tele-TJQMBB intervention in older adults. Instructors led six tele-TJQMBB classes via Zoom for 52 older adults (mean age ± SD 68.5 ± 7.7 years) at one academic and four community sites. Nearly all (97%) planned sessions were delivered. Average attendance was 61%. There were no adverse events. Fidelity was fair to good (mean 67%). Forty-one percent of sessions experienced technical disruptions. Participants improved their gait speed, balance, lower-extremity strength, and body mass index. Tele-TJQMBB was feasible with a positive impact on outcomes. This study was the first step toward establishing an additional delivery mode that could potentially expand TJQMBB’s reach and maintenance.

Publisher

Human Kinetics

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