SuPA Mobility: Supporting Physical Activity for Mobility in Mobility-Limited Older Adults

Not Applicable

Recruiting

• Conditions: Limitation, Mobility; Older Adults
• Interventions: Behavioral: Health Education Program; Behavioral: Health Coaching Program

• Registration Number: NCT05978336
• Lead Sponsor: University of British Columbia

Brief Summary

The goal of this randomized controlled trial is to investigate the effectiveness of a health-coaching intervention to improve physical activity in older adults with limited mobility when compared to a control, health education group.

Detailed Description

A total of 290 older adults with limited mobility will be randomized to either a 26-week health coaching program or health education program. Outcomes will be assessed at baseline, 13-weeks, 26-weeks (end of intervention), and 52 week (6-month follow-up period).

Study Timeline

• Study First Submitted: 2023-07-28
• Study First Submitted QC: 2023-07-28
• Study First Posted: 2023-08-07
• Study Start: 2023-09-05
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-03
• Last Update Posted: 2024-12-04
• Primary Completion: 2027-06-30
• Study Completion: 2027-12-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 290

Inclusion Criteria

• scored ≤ 9/12 on the SPPB
• are able to complete the 400-m walk in ≤ 15 minutes without sitting or physical assistance from another person or walker (use of cane is acceptable)
• scored 22/30 or higher on the Mini-Mental State Examination (MMSE)
• have no significant functional impairment as indicated by a score of 6/8 or higher on the Lawton and Brody Instrumental Activities of Daily Living Scale
• are able to safely engage in MVPA as indicated by the PAR-Q+ and by the family or study physician as necessary
• are community-dwelling
• are able to provide written informed consent.

Exclusion Criteria

• are diagnosed with dementia or stroke
• self-report engaging in MVPA ≥ 10 minutes per week in the prior 3 months
• are unable to understand, speak, and read English proficiently

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Health Education Program (ED)	Health Education Program	This program is an attention control group, which consists of general health education. Education sessions will be delivered either by zoom or in person. The education sessions will cover the following topics: 1) falls prevention; 2) sleep; 3) healthy eating; 4) cognitive health; and 5) mental and emotional health.
Health Coaching (HC)	Health Coaching Program	The health coaching program will be delivered by trained and certified kinesiologists utilizing Brief Action Planning (BAP) principals. The BAP behavior change approach utilizes the following 4 techniques: 1) goal-setting; 2 )action planning; 3) self-monitoring; and 4) feedback. Participants will utilize daily physical activity diaries to enable self-monitoring, and BAP coaches will provide feedback on progress toward individualized physical activity goals.

Primary Outcome Measures

Name	Time	Method
Mobility	Baseline, 13-weeks, 26-weeks, 52-weeks	Measured by the Short Physical Performance Battery (SPPB)

Secondary Outcome Measures

Name	Time	Method
Capacity to complete the 400-m walk in ≤ 15 minutes	Baseline, 13- weeks, 26-weeks, 52-weeks	measured as yes or no
Cognitive function	Baseline, 26-weeks, 52-weeks	Measured with the NIH Toolbox and standard neuropsychological assessments
Community mobility	Baseline, 13-weeks, 26-weeks, 39-weeks, 52-weeks	Measured with the Life Space Questionnaire
Gait speed	Baseline, 13- weeks, 26-weeks, 52-weeks	Measured during the 4-m walk
Lower extremity strength	Baseline, 13- weeks, 26-weeks, 52-weeks	Measured with strain gauge (kilograms) on dominant quadriceps
Sleep	Baseline, 13-weeks, 26-weeks, 52-weeks	Measured by accelerometer
Falls	Baseline, monthly	Assessed with monthly calendar and questionnaire
Grip strength	Baseline, 13-weeks, 26-weeks, 52-weeks	Measured with digital Jamar isometric dynamometer (Newtons)
Health resource utilization	Baseline, 13-weeks, 26-weeks, 39-weeks, 52-weeks	Assessed with a questionnaire
Functional mobility	Baseline, 13-weeks, 26-weeks, 39-weeks, 52-weeks	Measured as the time to complete the Timed Up-and-Go (TUG)
Mood	Baseline, 13-weeks, 26-weeks, 39-weeks, 52-weeks	Measured by the Centre for Epidemiological Studies Depression Scale (CES-D)
Health-related quality of life	Baseline, 13-weeks, 26-weeks, 39-weeks, 52-weeks	Measured with questionnaire EuroQol (EQ-5D-5L)
Physical activity	Baseline, 13-weeks, 26-weeks, 52-weeks	Time spent moderate to vigorous physical activity and sedentary time measured by accelerometer.
Self reported physical activity	Baseline, 13-weeks, 26-weeks, 52-weeks	Measured by the Community Health Activities Model Program for Seniors (CHAMPS) Physical Activity Questionnaire for Older Adults.
Fatigue	Baseline, 13-weeks, 26-weeks, 39-weeks, 52-weeks	Measured by the 9-item Fatigue Severity Scale (FSS) scored from 9 to 63, with higher scores indicating more severe fatigue

Trial Locations

Locations (1)

Vancouver Coastal Health Research Institute Research Pavilion; 🇨🇦 Vancouver, British Columbia, Canada