Developing a Intervention to Enhance Motivation for Physical Activities Known to Reduce Fall Risk

Phase 2

Completed

• Conditions: Sedentary Lifestyle; Accidental Falls
• Interventions: Behavioral: 1 Physical Activity; Behavioral: Interpersonal Motivation; Behavioral: Intrapersonal Motivation

• Registration Number: NCT02433249
• Lead Sponsor: University of Minnesota

Brief Summary

The purpose of this pilot study is to develop an intervention, based on empirical evidence and health-related behavioral change theory, to enhance motivation for engaging in fall-reducing physical activities.

Detailed Description

The intervention being developed, Ready\~Steady, combines 3 components; a) interpersonal motivation, b) intrapersonal motivation, and c) physical activity. Theoretical concepts from the wellness motivation theory are (a) translated into intervention strategies; and (b) operationalized as variables to form a basis for evaluating this intervention. The overall objective is to advance the development of Ready\~Steady by assessing the impact of its motivation components.

Study Timeline

• Study Start: 2014-04
• Study First Submitted: 2015-02-19
• Study First Submitted QC: 2015-04-28
• Study First Posted: 2015-05-04
• Primary Completion: 2015-06
• Study Completion: 2015-06
• Status Verified: 2019-10
• Last Update Submitted: 2019-10-30
• Last Update Posted: 2019-11-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 103

Inclusion Criteria

• ≥ 70 years, level of physical activity (strength training and aerobic) below national recommendations

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Exclusion Criteria

• Dementia, recent injury or surgery, unable to participate in light-moderately intense exercise

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
2 Interpersonal Motivation	1 Physical Activity	Small groups (4-7 people) meeting in community centers weekly for 90 minutes, over the course of 8 weeks. Curricula for meetings are manualized and include introducing and practicing Otago exercises, progressed according to individual capacity and preference, as well as falls prevention. The interventionist also facilitates discussions addressing the interpersonal motivational intervention content. All participant receive Fitbit Ones and are asked to use them on a daily basis: Fitbit Ones are included in weekly discussions.
2 Interpersonal Motivation	Interpersonal Motivation	Small groups (4-7 people) meeting in community centers weekly for 90 minutes, over the course of 8 weeks. Curricula for meetings are manualized and include introducing and practicing Otago exercises, progressed according to individual capacity and preference, as well as falls prevention. The interventionist also facilitates discussions addressing the interpersonal motivational intervention content. All participant receive Fitbit Ones and are asked to use them on a daily basis: Fitbit Ones are included in weekly discussions.
4.Full Intervention	1 Physical Activity	Small groups (4-7 people) meeting in community centers weekly for 90 minutes, over the course of 8 weeks. Curricula for meetings are manualized and include introducing and practicing Otago exercises, progressed according to individual capacity and preference, as well as falls prevention. The interventionist also facilitates discussions addressing the intrapersonal and interpersonal motivational intervention content. All participant receive Fitbit Ones and are asked to use them on a daily basis: Fitbit Ones are included in weekly discussions.
1 Physical Activity	1 Physical Activity	Small groups (4-7 people) meeting in community centers weekly for 90 minutes, over the course of 8 weeks. Curricula for meetings are manualized and include introducing and practicing Otago exercises, progressed according to individual capacity and preference, as well as falls prevention. All participant receive Fitbit Ones and are asked to use them on a daily basis.
3.Intrapersonal Motivation	1 Physical Activity	Small groups (4-7 people) meeting in community centers weekly for 90 minutes, over the course of 8 weeks. Curricula for meetings are manualized and include introducing and practicing Otago exercises, progressed according to individual capacity and preference, as well as falls prevention. The interventionist also facilitates discussions addressing the intrapersonal motivational intervention content. All participant receive Fitbit Ones and are asked to use them on a daily basis: Fitbit Ones are included in weekly discussions.
3.Intrapersonal Motivation	Intrapersonal Motivation	Small groups (4-7 people) meeting in community centers weekly for 90 minutes, over the course of 8 weeks. Curricula for meetings are manualized and include introducing and practicing Otago exercises, progressed according to individual capacity and preference, as well as falls prevention. The interventionist also facilitates discussions addressing the intrapersonal motivational intervention content. All participant receive Fitbit Ones and are asked to use them on a daily basis: Fitbit Ones are included in weekly discussions.
4.Full Intervention	Interpersonal Motivation	Small groups (4-7 people) meeting in community centers weekly for 90 minutes, over the course of 8 weeks. Curricula for meetings are manualized and include introducing and practicing Otago exercises, progressed according to individual capacity and preference, as well as falls prevention. The interventionist also facilitates discussions addressing the intrapersonal and interpersonal motivational intervention content. All participant receive Fitbit Ones and are asked to use them on a daily basis: Fitbit Ones are included in weekly discussions.
4.Full Intervention	Intrapersonal Motivation	Small groups (4-7 people) meeting in community centers weekly for 90 minutes, over the course of 8 weeks. Curricula for meetings are manualized and include introducing and practicing Otago exercises, progressed according to individual capacity and preference, as well as falls prevention. The interventionist also facilitates discussions addressing the intrapersonal and interpersonal motivational intervention content. All participant receive Fitbit Ones and are asked to use them on a daily basis: Fitbit Ones are included in weekly discussions.

Primary Outcome Measures

Name	Time	Method
Change in self-reported physical activity behavior	Baseline; 1 week post; 6 months post	Community Healthy Activities Model Program for Seniors (CHAMPS) Questionnaire
Change in objectively measured physical activity behavior	Baseline; 1 week post; 6 months post	Accelerometers built in to Fitbit Ones

Secondary Outcome Measures

Name	Time	Method
Change in the number of community resources used for physical activity	Baseline; 1 week post; 6 months post	Number of community resources identified and used: 2 item survey
Change in social support for fall-reducing physical activities	Baseline; 1 week post; 6 months post	Social support for exercise: Survey
Change in functional strength and balance	Baseline; 1 week post; 6 months post	Timed Up and Go
Change in readiness	Baseline; 1 week post; 6 months post	Index of Readiness
Change in self-reported lower extremity function	Baseline; 1 week post; 6 months post	Neuro-QOL SF v1.0 - LEx Fnct (Mobility)
Change in self-regulation	Baseline; 1 week post; 6 months post	Index of Self-Regulation
Change in self-reported ability to participate in social activities	Baseline; 1 week post; 6 months post	PROMIS SF v2.0 - Ability to Participate Social 4a