A Nurse-led Theory of Planned Behavior Based Physical Activity Intervention Among Turkish Adults
- Conditions
- Physical Activity
- Interventions
- Other: Theory of Planned Behavior based Physical Activity Intervention
- Registration Number
- NCT04127955
- Lead Sponsor
- Istanbul University - Cerrahpasa (IUC)
- Brief Summary
The Theory of Planned Behavior has been successfully used in several programs to improve physical activity behavior. In this project, it is aimed to assess the effectiveness of Theory of Planned Behavior based physical activity intervention applied to 55-74 years old people living in nursing home in Turkey.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 44
- Willing to participate in the study
- Aged 55 to 74
- Cognitive function of a score of greater than 24 on the Mini Mental State Examination
- Sedentary (Omaha system physical activity status ratings 1 or 2 score)
- To know Turkish literacy
- Time and go test score <14 seconds
- Approval of the resident's General Practitioner to participate
- Uncontrolled cardiovascular, musculoskeletal or neurological disorders.
- Pain in motion or acute
- Communication barrier (due to hearing/vision impairment )
- > 3 falls in the previous year
- Need an walking aid (walkers, cane, crutches, walking sticks, etc.)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Intervention Theory of Planned Behavior based Physical Activity Intervention Quasi-experimental design with one-group, pre-post test A nurse-led Theory of Planned Behavior based Physical Activity intervention consists of five component. These are a health education, a group walking, an individually tailored counseling session grounded on motivational interview technique, having the individuals keep track their physical activity levels with a pedometer, and use of physical activity pamphlet and posters as a reminder was planned. This intervention will be completed in eight weeks.
- Primary Outcome Measures
Name Time Method Change in average daily steps Average daily steps will be assessed intervention period at week 3-8 and 1 , 2 and 3 months follow-up visits. The number of steps weekly by the pedometer.
The number of steps will be evaluated for the first time in the 3rd week of the intervention and each week until the end of the intervention (week 3-8).
- Secondary Outcome Measures
Name Time Method Changes in heart rate Heart rate will be assessed baseline, before and after group walking and 1 , 2 and 3 months follow-up visits Heart rate will be assessed between baseline, before and after group walking and 1, 2, 3 months after the intervention using blood pressure monitors (Omron M3 Comfort®, HEM-7134-E)
Change in theory of planned behavior component Baseline,3-month follow up. Theory of planned behavior components are including attitude, subjective norm, perceived behavior control, intention and behavior. The response used likert 1-7 format.
Change in The Problem Rating Scale Change in physical activity will be assessed baseline, the week right after the intervention and 1 , 2 and 3 months follow-up visits The Omaha System include three components which are the Problem Classification Scheme, the Intervention Scheme, and the Problem Rating Scale for Outcomes. In this study, the Problem Rating Scale is used that evaluates the level of the problem and the results of the intervention. Change in physical activity measured with Omaha System Problem Rating Scale for Outcomes in which knowledge, behavior, status are rated on five-point Likert-type scales (1 = lowest / worse score, 5 = highest /best score). For example, a nurse may document a client's physical activity Knowledge as 1 (no knowledge), Behavior as 4 (Usually appropriate behavior), and Status as 2 (Severe signs/ symptoms).
Changes in health-related quality of life Health-related quality of life will be assessed baseline, the week right after the intervention and 1, 2 and 3 months follow-up visits EQ-5D three-level version (EQ-5D-3L) descriptive systems is a five-dimensions questionnaire about the topics "mobility", "self-care", "usual-activities", "pain/discomfort" and "anxiety/depression".
Changes in EQ-VAS Visual analogue scale (VAS) of EQ-5D Questionnaire will be assessed baseline, the week right after the intervention and 1, 2 and 3 months follow-up visits Visual analogue scale (VAS) of EQ-5D Questionnaire scaled from 0-100, corresponding to the worse and the best health imagined
Changes in Blood Pressure Blood pressure will be assessed baseline, before and after group walking and 1, 2 and 3 months follow-up visits Blood pressure will be assessed between baseline, before and after group walking and 1, 2, 3 months after the intervention using the upper arm blood pressure monitors (Omron M3 Comfort®, HEM-7134-E)
Change in Body Mass Index (BKI) BKI will be assessed baseline, the week right after the intervention and 3 months follow-up visit Weight (kg) will be measured using a balance scale with the measurement taken to the nearest 0.1 kg. Height (cm) will be measured using a stadiometer with the measurement taken to the nearest 0,5 cm. Weight and Height measurements will be then used to calculate the body mass index \[BMI: Weight (kg) / (Height) 2 (m2)\].
Change in waist hip ratio Waist / hip ratio will be assessed baseline, the week right after the intervention and 3 months follow-up visit Waist circumference was measured at the level of the umbilicus to the nearest 0.1 cm. Hip circumference was measured at the level of the trochanter major. The waist / hip ratio was calculated as waist circumference (cm)/ hip circumference (cm).