Motivational interviewing to increase walking in community-dwelling older adults after hip fracture
- Conditions
- hip fractureInjuries and Accidents - FracturesPhysical Medicine / Rehabilitation - Other physical medicine / rehabilitation
- Registration Number
- ACTRN12619000936123
- Lead Sponsor
- a Trobe University
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 200
Participants will be included if they:
•had a hip fracture (S72.0–S72.2 according to the International Classification of Diseases 10th revision (ICD-10)),
•live at home independently,
•are aged 65 years or older,
•have been discharged from hospital within the last 6 months,
•are able to walk independently with or without an assistive device
•can communicate with conversational English,
•and are insufficiently active (defined as obtaining less than 150 minutes of moderate intensity activity per week). The level of baseline physical activity will be screened using an accelerometer-based activity monitor over 7 days
Participants will be excluded if they:
•score in the severe range of depression or anxiety as measured by the Depression Anxiety and Stress Scale (DASS), because they would require high level psychological support,
•score more than two errors on the 10-item Short Portable Mental Status Questionnaire indicative of impaired intellectual functioning,
•are medically unstable to walk. Clinicians making the initial approach to potential participants will be informed of this eligibility criterion. On initial screen a member of the research team will ask: ‘Do you have any medical condition that would stop you from walking?’; ‘Do you ever have unexplained pains in your chest at rest or during walking?’; ‘Do you consistently feel faint or suffer from dizzy spells?’ (https://www.physicalactivityaustralia.org.au/wp-content/uploads/2016/09/Pre-Exercise-Screening-Form.pdf). If the participant answers yes to any of these questions the local doctor will be consulted before enrolment in the project.
•are unable to converse over the telephone (for example, due to hearing loss)
•live in residential care
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Daily time spent walking as assessed by accelerometer-based activity monitor (activPAL)[ Baseline, 9 weeks, 26 weeks and 52 weeks (primary endpoint) after randomisation]
- Secondary Outcome Measures
Name Time Method