Moving More: Supporting Uptake of Evidence for Physical Activity in Older Adults With Complex Health Care Needs
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Patient's daily time in moderate/vigorous physical activity (minutes/day)
研究概览
简要总结
Physically frail older adults often have chronic conditions that contribute to a higher chance of them being limited in daily activities and becoming dependent. Physical activity can help to better manage chronic conditions and prevent frailty. In this project, the counselling approach using the new Canadian 24-hour Movement Guidelines will be adapted for older adults at an early state of frailty. This new approach will be tested against the one in current use by physiotherapists. This ethics application will address the pilot implementation evaluation, including interviews and focus groups, conducted to refine the new approach.
详细描述
Rationale:
Physical activity is effective in preventing the progression of frailty and further disability in community-dwelling frail older adults. It is also effective in mitigating the progression of chronic conditions associated with physical frailty. Despite the benefits, many older adults in the early state of frailty and with chronic conditions are not sufficiently active. Current delivery of physical activity recommendations can be improved by applying the new Canadian 24-hour Movement Guidelines. These guidelines promote a balance of activity, rest and sleep as they play an important role for better overall health and quality of life regardless of health conditions. With advanced training in complex chronic conditions and physical activity promotion, physiotherapists (PTs) are well-suited to adapt and integrate activity counselling, based on the 24-hour Movement Guidelines, in their clinical practice.
Aim:
to assess implementation context, feasibility, and preliminary effect of the 24-hour Approach against a current goal-oriented counselling approach (i.e., focus on achieving 150 minutes/week of MVPA).
Previous Work:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- — 至 99 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Physiotherapists:
- •Inclusion Criteria:
- •Eligible PTs are those who self-report at least 40% of their caseload is working with older adults and practice in the in the Greater Vancouver Area. In addition, they are willing to:
- •participate in online training for the assigned physical activity counselling strategy
- •be randomised to one of the counselling groups.
排除标准
- •Those who do not meet the Inclusion Criteria
- •Older adults:
- •Inclusion Criteria:
- •are age > 65 years
- •live in the community
- •have 1 or 2 of the deficits in the CHS index
- •have > 1 chronic conditions
- •are able to walk 3 metres with or without an assistive device
- •have a Mini-Mental State Examination score > 24/30
- •do not have a diagnosed psychiatric condition (e.g., depression)
- •understand, speak and read English proficiently
- •are willing to have their physiotherapy sessions audio-recorded
- •are able to provide written informed consent.
- •Exclusion Criteria:
- •Those who do not meet the Inclusion Criteria
研究组 & 干预措施
24-hour Activity Counselling
Participating physiotherapists will be trained to deliver counselling that focuses on increasing moderate-to-vigorous physical activity, with a balance of activity, rest and sleep in a 24-hour day.
Patients (n=4) of these physiotherapists will receive the 24-hour Activitiy Counselling
干预措施: 24-hour Activity Counselling (Behavioral)
Current Physical Activity Counselling
Participating physiotherapists will continue delivering counselling that focuses on achieving 150 minutes/week of moderate-to-vigorous physical activity, which is the current practice.
Patients (n=4) of these physiotherapists will receive the Current Physical Activitiy Counselling
干预措施: 24-hour Activity Counselling (Behavioral)
结局指标
主要结局
Patient's daily time in moderate/vigorous physical activity (minutes/day)
时间窗: 6 months
Minutes spent in moderate/vigorous physical activity per day
次要结局
- Patient's daily time in light physical activity (minutes/day)(6 months)
- Patient's daily time in sedentary behaviour (minutes/day)(6 months)
- Patient's daily time sleeping (minutes/day)(6 months)
- Short Physical Performance Battery (SPPB; 0-12; higher = better; Patient outcome)(6 months)
- Gait speed (meters/second; Patient outcome)(6 months)
- Grip strength (in kg) of the dominant hand (Patient outcome)(6 months)
- EuroQol-5D-5 Level version (EQ-5D-5L; Patient outcome)(6 months)
- Self-Reported Habit Index (Patient outcome)(6 months)
- Patient's daily time in moderate/vigorous physical activity (minutes/day)(12 months)
- Patient's daily time in light physical activity (minutes/day)(12 months)
- Patient's daily time in sedentary behaviour (minutes/day)(12 months)
- Patient's daily time sleeping (minutes/day)(12 months)
- The score of cardiovascular Health Study (CHS) index (Patient outcome)(6 months)
- The Cardiovascular Health Study (CHS) index score (Patient outcome)(12 months)
- Short Physical Performance Battery (SPPB; 0-12; higher = better; Patient outcome)(12 months)
- Gait speed (meters/second; Patient outcome)(12 months)
- Self-Reported Habit Index (Patient outcome)(12 months)
- Grip strength (in kg) of the dominant hand (Patient outcome)(12 months)
- EuroQol-5D-5 Level version (EQ-5D-5L; Patient outcome)(12 months)
研究者
Linda Li
Professor
University of British Columbia