Sign Chi Do Exercise for Adaptation to Aging

1
Sign Chi Do Exercise for Adaptation to Aging
Carol Rogers, MSN, APRN-BC Anna
Schwartz, PhD

• Background
• The population of older adults in Arizona
  increased 10 between 1990 and 2000 and is
  expected to increase 60 by 2050
• Preventable conditions among the top 10 causes of
  death and disability reported in 2003 were
  diseases of the heart, cerebrovascular diseases,
  diabetes, and unintentional injuries (mostly
  falls)
• In 2005, 47 of people 65 to 74 and 60 over 75
  years of age reported sedentary lifestyle
• 150 billion the cost of healthcare related to
  chronic conditions as a result of sedentary
  lifestyle
• Exercise improves physical function, adaptation,
  and quality of life (QOL)
• Sedentary lifestyle results in disuse
  consequences, compromised adaptation, and poorer
  QOL among community dwelling adults 65 years of
  age
• Previous studies have not included the
  recruitment of Hispanic population required for
  generalization to the population in Arizona
• No research has examined a mind-body intervention
  to improve QOL in older adults

• Significance
• Aging adults face multiple challenges in
  adaptation and related QOL
• Research demonstrated physical activity is an
  important component of successful adaptation and
  QOL among older adults
• Mind-body exercise may be beneficial to
  adaptation and QOL
• There has been limited research of mind-body
  exercise interventions to promote adaptation in
  the population of aging adults
• The proposed pilot project will focus on the
  evaluation of the efficacy of a mind-body
  intervention (SCD exercise) to promote adaptation
  and QOL among sedentary community dwelling adults
  65 years and older

• Methods
• Determine the efficacy of a theory-based
  intervention to improve adaptation and QOL among
  sedentary community dwelling older adults
• Design A randomized experimental design with
  repeated measures will be used to test the
  efficacy of the intervention
• Sample N 60 sedentary adults over 65 years of
  age
• Setting Community Senior Center in Arizona
• Procedures Following IRB approval, eligible
  subjects will sign informed consent and be
  randomized to SCD or Wait-list Control group.
  Data collection will occur at baseline, 12 weeks,
  and 6 months
• Intervention Structure
• 1 hour SCD class X 12 weeks
• 30 minutes SCD home-based exercise 3-5 days per
  week X 12 weeks
• Each session includes a 5 minute warm up and cool
  down with 50 minutes of instruction and practice
  of SCD
• Measures Measures at baseline, 12 weeks, and 6
  months
• Physiologic Physical function measured by Timed
  Up Go (TUG)

• Theoretical Perspective for Adaptation to Aging
• Guided by Roys Adaptation Model
• Humans are holistic, dynamic, adaptive systems,
  interacting with the environment
• Adaptation is a process and outcome of making
  conscious awareness and choice
• Adaptation is described in three levels
  integrated (well adjusted), compensatory
  (attempts to re-establish integration occur) or
  compromised (compensatory process not adequate)
• Adaptation is measured in four modes
  physiologic, role model, self-concept, and
  interdependence

• Implications
• Determine if a mind, body, spiritual exercise
  intervention improves adaptation to aging and QOL
  among sedentary older adults
• Inclusion of Hispanic population may provide
  evidence of culturally appropriate intervention
  for the state of Arizona
• Promote the NINR mission to improve health and
  QOL with a community-based approach
• Develop a program of research testing effective
  strategies to promote QOL

Previous Study Evaluation of effect of Sign Chi
Do (SCD) class on balance, physical activity, and
satisfaction among adults (N22) over 50 yo Study
group was 68 White and 18 Hispanic No
significant change in Timed Up Go from pre to
post t20)0.87, p.05) Significant change in
Seven Day Physical Activity Recall
t(19)-3.01,pclass and 79 would take the class again
Specific Aims Aim 1. Evaluate the efficacy of SCD
exercise compared to Attention Control group on
the theoretical mediating variables of adaptation
among sedentary community dwelling adults 65
years of age at baseline, 12 weeks, and 6
months Aim 2. Evaluate the efficacy of SCD
compared to an Attention Control group on QOL Aim
3. Determine the effect size of SCD on QOL