A Brief Digital Exercise Program to Improve Physical Function Among Older Adults
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 102
- 试验地点
- 1
- 主要终点
- 30-Second Chair Stand
研究概览
简要总结
This study is a randomized trial of 100 older adults with mobility disability, who performed a similar brief daily, resistance training program. The investigators set out to answer the following question "Will a digital, brief daily exercise program be feasible, acceptable, and effective among older adults with walking limitations?" To answer that question, participants were assigned to an intervention or delayed-treatment control group. Intervention participants were assigned to complete two 30-second lower body exercises and two 30-second upper body exercises. Fitness tests were completed remotely three times during the 12-weeks (i.e., at baseline, week 6, week 12).
详细描述
This is a 12-week delayed-control randomized trial to answer the following question "Will a digital, brief daily exercise program be feasible, acceptable, and effective among older adults with walking limitations?" Participants who screen eligible will be assigned to one of four conditions, an immediate workout group, an immediate workout group with activity monitor, a delayed workout group or a delayed workout group with activity monitor. Participants will complete a daily 4-minute exercise routine at home and to record their results using an electronic survey. Other outcome measurements will be conducted remotely at baseline, 6, and 12 weeks.
The investigators hypothesize that participants in the AMRAP condition will report significant reductions in functional physical limitations, increased gait speed, and increased physical performance (i.e., increased exercise repetitions) from baseline to 6 weeks compared to those randomized to the delayed-treatment control.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 65 and older
- •Difficulty with walking
- •Providers must provide consent for their patient
- •Access to the internet
- •Must have a camera on computer, tablet, or smartphone
- •Fluent in Egnlish
排除标准
- •Chest pain or a heart condition on the PAR-Q
- •Planning to have surgery in the next 3 months
- •Cognitive impairment
- •Unable to exercise
- •Being currently physically active
研究组 & 干预措施
Intervention Condition
The exercise intervention consists of a 4 minute daily routine that includes 2 upper body and 2 lower body exercises.
干预措施: Daily exercise intervention (Behavioral)
Delayed-Treatment Control Group
The exercise intervention consists of a 4 minute daily routine that includes 2 upper body and 2 lower body exercises. Participants in the this arm will not start the exercise intervention until the day after the week 12 assessment.
结局指标
主要结局
30-Second Chair Stand
时间窗: 12 weeks
Leg strength and endurance test - number of chair stand repetitions in 30 seconds
Single Leg Stance Test (SLS)
时间窗: 12 weeks
Assessment of static postural and balance control.
Falls
时间窗: 12 weeks
Falls over the past 3 months will be assessed using the Behavioral Risk Factor Surveillance System survey.
Five Time Sit to Stand Test (5TSTS)
时间窗: 12 weeks
The Five Times Sit to Stand Test measures one aspect of transfer skill. The test provides a method to quantify functional lower extremity strength and/or identify movement strategies a patient uses to complete transitional movements. The score is the amount of time (to the nearest decimal in seconds) it takes a patient to transfer from a seated to a standing position and back to sitting five times.
Functional limitations
时间窗: 12 weeks
Physical Functioning Questionnaire from the National Health and Nutrition Examination Survey
30-Second Chair Stand
时间窗: 6 weeks
Leg strength and endurance test - number of chair stand repetitions in 30 seconds
30-Second Chair Stand
时间窗: Baseline
Leg strength and endurance test - number of chair stand repetitions in 30 seconds
Five Time Sit to Stand Test (5TSTS)
时间窗: Baseline
The Five Times Sit to Stand Test measures one aspect of transfer skill. The test provides a method to quantify functional lower extremity strength and/or identify movement strategies a patient uses to complete transitional movements. The score is the amount of time (to the nearest decimal in seconds) it takes a patient to transfer from a seated to a standing position and back to sitting five times.
Five Time Sit to Stand Test (5TSTS)
时间窗: 6 weeks
The Five Times Sit to Stand Test measures one aspect of transfer skill. The test provides a method to quantify functional lower extremity strength and/or identify movement strategies a patient uses to complete transitional movements. The score is the amount of time (to the nearest decimal in seconds) it takes a patient to transfer from a seated to a standing position and back to sitting five times.
次要结局
- Pain on the Patient Reported Outcomes Measurement Information System (PROMIS) survey(12 weeks)
- Self-Efficay for Physical Activity (SEPA)(12 weeks)
- Walking gait cadence(10 day period pre and post intervention)
- Fatigue on the Patient Reported Outcomes Measurement Information System (PROMIS) survey(12 weeks)
- Percent of sessions attended(12 weeks)
- Heart rate(12 weeks)
研究者
Christopher Sciamanna, MD, MPH
Professor and Vice Chair for Research Affairs, Department of Medicine
Penn State Health Milton S Hershey Medical Center