Adapting Chinese Qigong Mind-Body Exercise for Healthy Aging in Older Community-Dwelling Low-income Latino Adults: Pilot Feasibility Study

Zenong Yin, Cristina E Martinez, Shiyu Li, Martha Martinez, Kezhi Peng, William M Land, Sarah L Ullevig, Adelita Cantu, Sharon Falk, Arthur E Hernández, Catherine Ortega, Deborah Parra-Medina, Maureen J Simmonds, Zenong Yin, Cristina E Martinez, Shiyu Li, Martha Martinez, Kezhi Peng, William M Land, Sarah L Ullevig, Adelita Cantu, Sharon Falk, Arthur E Hernández, Catherine Ortega, Deborah Parra-Medina, Maureen J Simmonds

Abstract

Background: Research translating the evidence for the benefit of mind-body exercise in older Latinos with limited access to community-based healthy aging programs is sparse.

Objective: This study aimed to evaluate the feasibility of Function Improvement Exercises for Older Sedentary Community-Dwelling Latino Residents (FITxOlder), a Community Health Worker (CHW)-led, mobile technology-facilitated Chinese Qigong mind-body exercise program for healthy aging and to explore its impact on physical and cognitive function and quality of life (QoL) in older community-dwelling low-income Latino adults.

Methods: This study was designed as a Stage 1 feasibility study to develop and pilot-test FITxOlder. In Phase 1 (Stage 1A), a working group of seniors, CHWs, and senior center staff guided the adaptation of Chinese Qigong into a healthy aging program. In Phase 2 (Stage 1B), 49 older Latino adults participated in a 3-arm controlled study to test the feasibility and preliminary effect of CHW-led FITxOlder on physical and cognitive function and QoL measures over 16 weeks.

Results: Although the COVID-19 pandemic disrupted the implementation of the study protocol, we found favorable results regarding participant recruitment, retention, and fidelity of implementation. Notable findings included an 89.3% participant retention, 79.4% of the participants completed at least 70% of the weekly exercise goal, and no report of adverse events. The effects on intervention outcome measures were modest.

Conclusions: FITxOlder is feasible for promoting healthy aging in older Latino adults; future research needs to compare its feasibility with other low-impact exercise programs for healthy aging using a randomized controlled trial.

Trial registration: ClinicalTrials.gov NCT04284137; https://ichgcp.net/clinical-trials-registry/NCT04284137.

Keywords: community-based participatory research; five animal play; mHealth; wuqinxi.

Conflict of interest statement

Conflicts of Interest: None declared.

©Zenong Yin, Cristina E Martinez, Shiyu Li, Martha Martinez, Kezhi Peng, William M Land, Sarah L Ullevig, Adelita Cantu, Sharon Falk, Arthur E Hernández, Catherine Ortega, Deborah Parra-Medina, Maureen J Simmonds. Originally published in JMIR Aging (https://aging.jmir.org), 01.11.2021.

Figures

Figure 1
Figure 1
Subscale scores of the Exercise-induced Feeling Inventory from Group Sessions 1 to 8.

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