A randomised controlled trial evaluating the use of Motivational Interviewing compared to usual care to increase physical activity in people living in the community after a hip fracture

Phase 2

• Conditions: hip fracture rehabilitation - increasing activity; hip fracture rehabilitation - quality of life; hip fracture rehabilitation - mental health; Musculoskeletal - Other muscular and skeletal disorders

• Registration Number: ACTRN12613000680763
• Lead Sponsor: Dr Paul O'Halloran from La Trobe University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2013-06-20
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

1.They have had a hip fracture and are now living at home independently within 6 months of discharge
2.They are aged over 65 years
3.They speak conversational English
4.They are currently insufficiently active – as defined by obtaining less than 30 minutes of activity most days of the week

Exclusion Criteria

1.They have a cognitive impairment of any kind – this is because the Motivational Interviewing intervention is a talking intervention that requires people to be able to think clearly and generate their own ideas of how they can change their behaviour
2.They score in the severe range of depression or anxiety as measured by the Depression Anxiety and Stress Scale (DASS: Lovibond & Lovibond, 1995)
3.They do not speak conversational English - this is because the Motivational Interviewing intervention is a talking intervention and the person delivering the intervention only speaks English and there are not sufficient funds to employ another person who is able to speak in other languages
4.They are less than 65 years of age – this is because the population of interest for the current study is people 65+, because this is the group who is most likely to experience problems with reduced mobility following a hip fracture
5.They are highly dependent on medical care, in either high level or low level care – this is because the population of interest is people living independently in the community who are capable of becoming more active
6.They are already sufficiently active, as defined as obtaining at least 30 minutes of activity most days of the week

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Physical activity – 1-week assessments at baseline and 8 weeks as measured by ActivPal accelerometer and log diary (type of activity, whether inside or outside activity, when monitor was removed)<br>[7-day assessments at baseline and then 8 weeks - immediately after the intervention ]

Secondary Outcome Measures

Name	Time	Method
Quality of life: as measured by the Assessment of Quality of Life Instrument(AQoL) 8-D (35 items, measures Independent Living, Happiness, Mental Health, Coping, Relationships, Self Worth, Pain, Senses) <br>[assessed at baseline and then at 8 weeks - immediately after the intervention];Depression and Anxiety: as measured by the Depression Anxiety and Stress Scale (DASS) 21 (21 items – normed for older people)[assessed at baseline and then at 8 weeks - immediately after the intervention];Self-efficacy (associated with activity and falls – e.g. Modified falls efficacy scale – 14 questions, Ambulatory Self-Confidence Questionnaire – 22 items)<br>[assessed at baseline and then at 8 weeks - immediately after the intervention];Physical activity stages of change (simple single-item measure tick one box) [assessed at baseline and then at 8 weeks - immediately after the intervention];Mobility: de Morton mobility index (DEMMI – 15 items)[assessed at baseline and then at 8 weeks - immediately after the intervention]