A Feasibility Study of Home-based Exercise for Older Veterans With Serious Mental Illness
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Feasibility/Acceptability as measured by orientation session fidelity
研究概览
简要总结
Older Veterans with serious mental illness (schizophrenia, schizoaffective disorder, bipolar disorder) have reduced physical function (endurance, strength, mobility) that leads to lower quality of life. Exercise interventions are effective at improving physical function and could have a tremendous impact on this population. Despite the established benefits of exercise, there has been little work focused on improving multiple aspects of physical function in older Veterans with serious mental illness. The purpose of this study is to examine the feasibility and acceptability of a home-based exercise program for older Veterans with serious mental illness.
详细描述
Older Veterans with serious mental illness (schizophrenia, schizoaffective disorder, bipolar disorder) have significantly compromised physical function that leads to heightened rates of falls, hospitalizations, nursing home admissions, as well as early mortality. In fact, this population's physical function is compromised across multiple domains including mobility, endurance, and strength. Exercise is effective for increasing all domains of physical function (i.e., mobility, endurance, strength) in older Veterans. But, environmental difficulties (e.g., lack of transportation), low motivation, and medical issues affecting older Veterans with serious mental illness contribute to low engagement rates and high dropout rates in facility-based exercise programs. Individualized home-based exercise programs, which are safe and effective for older Veterans with health challenges, could address the main barriers to exercise in older Veterans with serious mental illness by promoting greater accessibility and individual tailoring. The purpose of this study is to evaluate the feasibility and acceptability of a 12-week home-based exercise program for older Veterans with serious mental illness.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Veteran enrolled at Providence VAHCS
- •age 50 or older
- •chart diagnosis of SMI (i.e., schizophrenia, schizoaffective disorder, or bipolar disorder)
- •clinically stable defined as no inpatient psychiatric admission in the prior three months and no changes in psychiatric treatment in prior month
- •medically safe to participate in exercise defined by no inpatient medical admission in prior three months and sign-off by Veteran's medical provider
排除标准
- •diagnosis of Alzheimer's or related dementia
- •presence of any medical contraindication for exercise including unstable angina, active proliferative diabetic retinopathy, oxygen dependence, or frank incontinence
- •already participating in regular exercise defined as at least 60 minutes/week every week for prior six months or currently enrolled in a VA exercise or health promotion program
结局指标
主要结局
Feasibility/Acceptability as measured by orientation session fidelity
时间窗: End of intervention (12 weeks)
Percentage of administered orientation sessions with a fidelity rating of at least adequate (80% is benchmark)
Feasibility/Acceptability as measured by eligibility rate
时间窗: Through completion of study (an average of 2 years)
Eligibility rate when screening participants (12% is benchmark)
Feasibility/Acceptability as measured by coaching call adherence
时间窗: End of intervention (12 weeks)
Percentage of motivational health coaching calls completed out of total scheduled (60% is benchmark)
Feasibility/Acceptability as measured by Client Satisfaction Questionnaire Total Score
时间窗: End of intervention (12 weeks)
Total score on the Client Satisfaction Questionnaire (CSQ-8), which is an 8-item measure with each item scored from 1-4 with higher scores representing greater acceptability of the intervention and the range of total scores spanning 8-32 (24 is benchmark).
Feasibility/Acceptability as measured by exercise session adherence
时间窗: End of intervention (12 weeks)
Percentage of exercise sessions completed out of total number prescribed (60% is benchmark)
Feasibility/Acceptability as measured by number of participants enrolled in the study
时间窗: Through completion of study (an average of 2 years)
Number of participants enrolled in the study (benchmark is n=30)
Feasibility/Acceptability as measured by retention
时间窗: Through completion of study (an average of 2 years)
Percentage of participants that completed the endpoint assessment (70% is benchmark)
Feasibility/Acceptability as measured by assessment duration
时间窗: End of intervention (12 weeks)
Length of the assessment battery in minutes (60 minutes is benchmark)
Feasibility/Acceptability as measured by coaching call session fidelity
时间窗: End of intervention (12 weeks)
Percentage of administered coaching calls with a fidelity rating of at least adequate (80% is benchmark)
次要结局
未报告次要终点