Chronic Disease
Conditions
Brief summary
Chronic disease self-management interventions and meditative movement approaches (.e.g., yoga) can independently improve depressive symptoms. However, to our knowledge there are no interventions integrating evidence-based chronic disease management strategies with yoga to maximize physical, psychological or social outcomes, nor are mobile health platforms commonly used to improve the reach of these integrated interventions. Therefore, we developed Merging-Yoga for Self-Management Skills Mobile (MY-Skills Mobile). Our first aim is to adapt the MY-Skills Mobile to tailor the intervention to older adults with multiple chronic conditions (MCC) by convening a panel of patient and care-partner stakeholders. We will convene four patient and care-partner dyads (N=8) to serve as study partners for three longitudinal focus groups to suggest and review MY-Skills Mobile adaptations. We will then conduct a usability study of MY-Skills Mobile with older adults with MCC and their care-partners. We will conduct two waves of rapid-cycle prototyping with 5 dyads in each wave (N=20). Dyads will participate in MY-Skills Mobile modules. We will then use acceptability surveys and use data in each wave to iteratively adapt MY-Skills Mobile to optimize usability and acceptability.
Interventions
BEHAVIORALMY-Skills Mobile
Yoga and Self-Management Education
Sponsors
Colorado State University
Clemson University
University of Southern California
University of Colorado, Denver
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Older Adults with Multiple Chronic Conditions (MCC) and Depressive Symptoms: * over the age of 65 at time of recruitment * Multiple chronic conditions: Bayliss Disease Burden/Morbidity Assessment by Self-Report diagnosis \> 2 and a disease burden score \>2 indicating the presence of at least two chronic conditions that limit activities of daily of living. * Presence of depressive symptoms will be screened by the Patient Health Questionnaire-2 Scale (PHQ-2), with a score of \> 3 indicating at least mild depressive symptoms. * Participants must be community dwelling * Live in the United States * Speak English * Participants must be able to provide informed consent and have the ability to stand with or without an assistive device. * We will also use the Patient Activity Readiness Questionnaire (PAR-Q) to determine the safety or possible risk of participation. Care-Partners: * Care-partners include any family, friend, or social support that the older adult identifies * at least age 18 * Can provide informed consent * Participants must be able to provide informed consent and have the ability to stand with or without an assistive device. * We will also use the Patient Activity Readiness Questionnaire (PAR-Q) to determine the safety or possible risk of participation.
Exclusion criteria
for Older Adults with MCC and Care-Partners: * Self-reported diagnosis of Alzheimer's disease or dementia * Self-reported diagnosis of a severe mental health problem (e.g. schizophrenia, bipolar affective disorder or other psychotic illness) * Consistent yoga \>120 minutes a week * Completed self-management education in the last year Participants will not be excluded due to limited technology access. We will provide temporary tablets and mobile hotspot connectivity to interested participants that do not have hardware or internet access.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| User Mobile Application Rating Scale | 8 Weeks | Usability; 20 items; Range 0-25, Higher score indicates better usability |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Health Questionaire-8 | 8 weeks | Depressive Symptoms; 8 items; Range 0-24; Higher score indicates worse depression |
| PROMIS Physical Function | 8 weeks | Physical Function; 20 items with 4 additional global items; Range 0-120; Higher scores indicate better function |
| PROMIS Self-Efficacy for Managing Chronic Conditions | 8 weeks | Self-Efficacy; 24 items; Range 0-120; Higher scores indicate better self-efficacy |
| PROMIS Companionship, Emotional, Instrumental Support | 8 weeks | Social Support; 14 items, Range 0-70; Higher scores indicate better social support |
Countries
United States
Outcome results
None listed