Choose to Move (Phase 4): Impact and Implementation Evaluation of a Program to Enhance Older Adult Physical Activity, Mobility and Health
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 550
- 试验地点
- 1
- 主要终点
- Change in physical activity
研究概览
简要总结
The objectives of this study are to: 1) evaluate whether Choose to Move (CTM) Phase 4 improves health outcomes in older adults who participate and 2) assess whether CTM Phase 4 is delivered as planned and what factors support or inhibit its delivery at scale.
CTM Phase 4 is a 3-month, choice-based program for low active older adults being scaled-up across British Columbia (BC), Canada. The goals of CTM are to enhance physical activity, mobility and social connectedness in older adults living in BC, Canada.
详细描述
Choose to Move (CTM) Phase 4 is a 3-month, choice-based program for low active older adults being scaled-up in phases across British Columbia (BC), Canada. Within CTM (Phase 4), trained activity coaches support older adults in two ways. First, in a one-on-one consultation, activity coaches help participants to set goals and create action plans for physical activity tailored to each person's interests and abilities. Older adults can choose to participate in individual or group-based activities. Second, activity coaches facilitate 8 group meetings with small groups of participants. Activity coaches and recreation departments across BC are trained and provided with resources to deliver CTM.
Objectives:
- To assess the impact (effectiveness) of CTM (Phase 4) delivered at scale on the physical activity, mobility, and social connectedness of older adults (Part I - Impact Evaluation)
- To assess whether CTM (Phase 4) was implemented as planned (fidelity) and investigate factors that support or inhibit its implementation at scale (Part II - Implementation Evaluation).
Study Design:
The investigators use a hybrid type 2 effectiveness-implementation (Curran et al 2012) pre-post study design to evaluate CTM. The investigators use multiple methods (quantitative and qualitative) and collect data at 0 (baseline), 3 (post-intervention), 6 (3 months post-intervention), 15 (12 months post-intervention) and 27 (24 months post-intervention) months to assess impact and implementation of CTM.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •(older adults):
- •≥60 years of age
- •demonstrate readiness for physical activity via the PAR-Q+ questionnaire, Get Active Questionnaire, or a letter of recommendation from their physician
- •<150 min/week physical activity
- •English speaking
- •Able to connect to the Zoom or GoToMeeting platform via phone or internet in order to participate in virtual group meetings (for online programs only)
排除标准
- •(older adults):
- •Previous participation in CTM
- •Inclusion Criteria (delivery partners):
- •Activity coaches will be English speaking, British Columbia Recreation and Parks Association (BCRPA) registered older adult fitness leaders or kinesiologists who are delivering CTM at participating centres
- •Recreation Managers and Coordinators affiliated with participating centres delivering CTM
- •Provincial Partners (e.g., individuals/partners who make strategic and/or policy decisions) at partner organizations delivering Choose to Move
- •Activity Coach inclusion criteria:
- •Able to connect to the Zoom or GoToMeeting platform via internet (video and audio required in order to see and hear participants) for online programs
- •Able to connect to the Zoom or GoToMeeting platform via phone or internet in order to participate in virtual group meetings (for online programs only)
- •Currently (or recently completed) participating in CTM evaluation
研究组 & 干预措施
Choose to Move
CTM (Phase 4) is a 3-month, flexible, choice-based program for low active older adults that can be delivered in-person or online.
CTM includes
- One-on-One Consultation: Participants meet 1-on-1 with their activity coach at the start of the program to set goals and develop an action plan tailored to their abilities, interests and resources. Older adults can choose to participate in individual or group-based activities.
- Group Meetings: Over the 3-months, participants will attend eight, 1-hour group-based meetings (up to 12 participants total) led by their activity coach. Meetings cover a discussion topic (health-related) and provide time and space for social connection between participants. Group meetings are held in person or online as public health restrictions and community preference dictate.
干预措施: Choose to Move (Behavioral)
结局指标
主要结局
Change in physical activity
时间窗: 0, 3, 6, 15, 27-months
The single item physical activity questionnaire will be used to measure physical activity. Output variable is self-reported number of days/week ≥30 min physical activity in the past week (range 0-7).
次要结局
- Change in physical functioning(0, 3, 6, 15, 27-months)
- Change in mobility(0, 3, 6, 15, 27-months)
- Change in screen time(0, 3, 6, 15, 27-months)
- Change in social connectedness(0, 3, 6, 15, 27-months)
- Change in social isolation(0, 3, 6, 15, 27-months)
- Change in capacity for mobility(0, 3, 6, 15, 27-months)
- Change in sitting time(0, 3, 6, 15, 27-months)
- Change in health-related quality of life (EQ-5D-5L Level Sum Score)(0, 3, 6, 15, 27-months)
- Change in health-related quality of life (EQ-5D-5L Visual Analogue Scale)(0, 3, 6, 15, 27-months)
- Change in loneliness(0, 3, 6, 15, 27-months)
- Change in social network(0, 3, 6, 15, 27-months)
- Change in health-related quality of life (EQ-5D-5L Profile)(0, 3, 6, 15, 27-months)
研究者
Heather McKay
Professor
University of British Columbia