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Tai chi or health education for older adults with hypertension: effects on mental health and psychological resilience to COVID-19.
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- Author(s): Kohn, Jordan N.; Lobo, Judith D.; Troyer, Emily A.; Wilson, Kathleen L.; Ang, Gavrila; Walker, Amanda L.; Pruitt, Christopher; Pung, Meredith A.; Redwine, Laura S.; Hong, Suzi
- Source:
Aging & Mental Health. Mar2023, Vol. 27 Issue 3, p496-504. 9p. 1 Diagram, 2 Charts, 1 Graph. - Source:
- Additional Information
- Subject Terms: PREVENTION of mental depression; HYPERTENSION & psychology; ANXIETY prevention; MENTAL illness prevention; HEALTH education; WELL-being; HYPERTENSION; CONFIDENCE intervals; SELF-evaluation; AGE distribution; COMMUNITY health services; INDIVIDUALIZED medicine; TREATMENT duration; HEALTH status indicators; REGRESSION analysis; TAI chi; TREATMENT effectiveness; RANDOMIZED controlled trials; PRE-tests & post-tests; RESEARCH funding; SLEEP deprivation; DESCRIPTIVE statistics; STATISTICAL sampling; EMOTIONS; LOGISTIC regression analysis; ODDS ratio; PSYCHOLOGICAL resilience; COVID-19 pandemic; GROUP process; LONGITUDINAL method; EVALUATION; OLD age
- Subject Terms:
- Abstract: To compare the effectiveness of 12 weeks of community-based, in-person, group Tai Chi (TC) and Health Education (HAP-E) in improving health and wellbeing in older adults with hypertension and in promoting psychological resilience during COVID-19. A 12-week randomized controlled trial (RCT) in San Diego County, USA. Self-reported depressive symptoms, anxiety, sleep disturbances, gratitude, resilience, mental and physical health were assessed in-person pre- and post-intervention, and by long-term follow-up surveys during COVID-19. Linear mixed-effects models were used to assess study arm differences over time and logistic regression to identify predictors of positive intervention response. Of 182 randomized participants (72.6 ± 7.9 yrs; 72% female), 131 completed the intervention. Modest improvements in health and wellbeing occurred post-intervention in both arms (Cohen's d: TC = 0.38, 95% CI: 0.25–0.51; HAP-E = 0.24, 0.11–0.37), though positive intervention responses were more than twice as likely in TC (OR = 2.29, 1.07–4.57). Younger age, higher anxiety, and poorer mental health at baseline predicted greater odds of response. Small declines in health and wellbeing were reported at the first COVID-19 follow-up, with smaller declines in the TC arm (Cohen's d: TC = −0.15, −0.31–0.00; HAP-E = −0.34, −0.49 to −0.19). Health and wellbeing stabilized at the second COVID-19 follow-up. Most participants (>70%) reported that the interventions benefitted their health and wellbeing during COVID-19. TC and HAP-E improved health and wellbeing, though TC conferred greater odds of an improved mental health response. Declines in health and wellbeing were observed at pandemic follow-up, with smaller declines in the TC arm, suggesting increased resilience. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Aging & Mental Health is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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