Motivational Interviewing for Physical Activity Among Older Adults
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 7
- 试验地点
- 1
- 主要终点
- Total number of participants recruited per month
研究概览
简要总结
The purpose of this study is to determine the feasibility of VIrtual Motivational INTerviewing (VIMINT) to promote physical activity levels among older adults; post-intervention and at two-month follow-up.
详细描述
Evidence shows that moderate and regular physical activity is associated with the prevention of non-communicable diseases, increased bone density, reduced risk of dementia, and prevention of falls among older adults. Despite the numerous benefits of physical activity, many older adults do not meet the recommended physical activity guidelines of 150 min/week of moderate-to-vigorous intensity physical activity in Canada. MI is a client-centered counselling style for strengthening a person's own motivation and commitment to change. MI helps evoke the person's own motivation for changes through reflective listening, engaging, evoking, and planning. MI has shown to be promising in the general adult population for improving physical activity levels, however, there were mixed results for the effectiveness of MI among older adults. In addition, based on the available evidence, there are no studies evaluating the potential long-term effects of MI on physical activity levels among older adults. This feasibility study is necessary to explore possible challenges that may be encountered in the future larger trial with a two-month follow-up. Due to the recent pandemic (COVID-19), the intervention will be conducted virtually through the videoconferencing platform (Zoom). Therefore, the purpose of this study is to determine the feasibility of VIrtual Motivational INTerviewing (VIMINT) to promote physical activity levels among older adults; post-intervention and at two-month follow-up.
The participants will receive five sessions of the virtual MI over a five-week period through the Zoom platform and each session will last between 45 to 60 minutes. The intervention will be delivered by trained personnel in MI. The MI strategies will include evoking change and guiding participants in establishing goals for improving physical activity. After the 2-month evaluation, counsellors and participants will be invited for a one-on-one Zoom interview. The aim is to explore the perception of the counsellors and participants about the VIMINT study including, views about virtual MI, benefits, and challenges.
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
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •aged 65 years or older
- •living in the community
- •able to walk with or without mobility aid for at least 10 metres
- •physically inactive i.e., less than 150 minutes of moderate-vigorous intensity
- •ready to participate in physical activity and no medical concerns using the Physical Activity Readiness Questionnaire (PAR-Q+)*
- •score of ≥ 18 on the telephone version of the Mini-mental State Exam
- •able to speak English
- •able to have access to a computer, tablet or mobile phone capable of running the videoconferencing platform (Zoom)
- •able to access internet and email
排除标准
- •• receiving on-going treatment for any medical condition that would prevent safe participation in physical activity
- •living in long-term care
- •participating in other behavioural interventions that focus on improving physical activity
研究组 & 干预措施
intervention
The arm will receive motivational interviewing
干预措施: Motivational Interviewing (Behavioral)
结局指标
主要结局
Total number of participants recruited per month
时间窗: throughout the study, average of 1 year
The recruitment rate is the number of participants screened, the number of those who provide written informed consent and the percentage of those who attend the baseline assessment
the percentage of participants that remained after the last data is completed at 1 year
时间窗: after completion of data collection at 1 year
Total number of participants that completed the follow-up assessment at 3 months post-baseline divided by the total number of participants that completed the post-intervention assessment at 1 month post-baseline
the counsellor's competence will be assessed using Motivational Interviewing Treatment Integrity Code 4.2.1 after completing the motivational interviewing counselling at 1 month post-baseline assessment
时间窗: at 1 month post baseline
The counsellor's competence will be assessed by listening to the audio recorded MI sessions using the global score on the Motivational Interviewing Treatment Integrity Code (MITI 4.2.1.) MITI 4.2.1 consists of four global ratings for the counsellor: cultivating Change talk, Softening Sustain Talk, Partnership, and Empathy. Each of the four global ratings are scored on a five-point Likert scale with "1" and "5" as the lowest and highest proficiency respectively.
participant level of satisfaction will be assessed using the Client Satisfaction Questionnaire version 8 at follow-up assessment which is 3 months post baseline
时间窗: 3 months post baseline
The Client Satisfaction Questionnaire version 8 is an 8-item scale that is scored using a Likert from 1 (quite dissatisfied) to 4 (very satisfied). The score ranges from 8 to 32, with a higher score representing higher satisfaction
次要结局
- change from baseline of self-reported light, moderate and vigorous using Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire at 1 month and 3 months(baseline, 1 month and 3 months post baseline)
- Change from baseline in the total sporadic minutes per day of the light and moderate-vigorous intensity physical activity and total number of steps per day using activity monitor(GT3X+ model) at 1 months and 3 months(baseline, 1 month and 3 months post baseline)
- Change from baseline in the quality of life using The Research ANd Development-36 (RAND-36) at 1 month and 3 months(baseline, 1month and 3 months post baseline)
- change from baseline in the mean self-efficacy for exercise using 9-item Self-efficacy for exercise questionnaire at 1 month and 3 months(baseline, 1month and 3 months post baseline)
- change from baseline in the mean of task self-efficacy physical activity using 10 items from task self-efficacy physical activity questionnaire at 1 month and 3 months post baseline.(baseline, 1month and 3 months post baseline)
- change from baseline in the readiness of the participant to change behaviour using readiness-to-change ruler at baseline and 1 month post baseline(baseline and 1 month post baseline)
研究者
Olayinka Akinrolie
Principal Investigator
University of Manitoba