Effect of telehealth yoga on loneliness and social isolation among rural older adults: a randomized controlled trial.

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2025-01-10 DOI:10.1080/13607863.2024.2449126
Alan R Teo, Mary C Benton, Elizabeth R Hooker, Belle Zaccari, Nina J Hidalgo, Summer Newell, Anaïs Tuepker, David W Greaves, Francesca M Nicosia
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Abstract

Objectives: Loneliness and social isolation are associated with a range of deleterious health outcomes. Yoga is a mind-body physical activity that is used in health care settings and increasingly in a telehealth group format. This trial aimed to determine the effect of a brief course of telehealth yoga on loneliness among rural older adults.

Method: In this pragmatic trial among rural-residing Veterans Affairs patients over age 60 (https://clinicaltrials.gov/study/NCT05431166), participants were randomized to eight, 60-minute telehealth yoga classes delivered to their homes or waitlist control. The primary outcome was loneliness at 10 wk. Additional outcomes included measures of social isolation, fidelity, and acceptability, as well as interview findings.

Results: Of 70 participants, 52 completed follow-up (mean [SD] age 67.8 [5.9] years). Loneliness significantly decreased between baseline and follow-up in both groups, but there were no significant between-group differences in loneliness or social isolation. Ratings of fidelity and acceptability were high. Qualitative findings indicated benefits related to the telehealth format and aspects of social connection not captured in quantitative measures.

Conclusion: A brief course of weekly telehealth yoga was feasible and acceptable among older rural patients but not effective at reducing loneliness and social isolation.

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远程保健瑜伽对农村老年人孤独感和社会隔离的影响:一项随机对照试验。
目的:孤独和社会孤立与一系列有害的健康结果有关。瑜伽是一种身心体育活动,在卫生保健机构中使用,并越来越多地以远程医疗小组形式使用。本试验旨在确定一个简短的远程保健瑜伽课程对农村老年人孤独感的影响。方法:在这项实用的试验中,在60岁以上的农村退伍军人事务患者(https://clinicaltrials.gov/study/NCT05431166)中,参与者被随机分配到8个60分钟的远程医疗瑜伽课程,并送到他们的家中或等待名单控制。第10周的主要结果是孤独感。其他结果包括社会隔离、忠诚和可接受性的测量,以及访谈结果。结果:70名参与者中,52人完成随访(平均[SD]年龄67.8[5.9]岁)。两组的孤独感在基线和随访期间均显著降低,但孤独感和社会隔离在组间无显著差异。忠实度和可接受度的评分很高。定性调查结果表明,与远程保健形式和社会联系方面有关的好处在定量措施中未得到体现。结论:在农村老年患者中,每周一次的简短远程保健瑜伽课程是可行和可接受的,但对减少孤独感和社会隔离效果不佳。
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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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