Promoting Walking in Older Adults Living in Independent Living Communities in Northern Ireland: A Feasibility Study.

September 18, 2017 updated by: Dr Mark Tully, Queen's University, Belfast
The multi-level 12 week peer-led walking intervention incorporates aspects from all three levels of the ecological model (with the aim of producing sustained (>6months) physical activity behaviour change in older adults living in independent living communities.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The proposed study is a cluster randomized controlled feasibility trial of a multi-level peer-led walking intervention. The socio-ecological model and social cognitive theory provides the framework that will help inform and test the feasibility of a multi-level peer-led walking intervention for inactive older adults living in independent living communities in Northern Ireland. The behaviour change techniques identified and extracted from a previous systematic review on the effectiveness of peer-led physical activity interventions helped guide the decision-making process of which behavior change strategies should be included in this study. The logic model helped inform the design and development of the 12 week peer-led walking programme.

Study Type

Interventional

Enrollment (Anticipated)

60

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United Kingdom
      • Belfast, United Kingdom, BT12 6BJ
        • Centre for Public Health, Queen's University Belfast

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

55 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Adults over the age of 60 years recruited from fold housing associations, dependent on site; those receiving nursing care will not be included.
  2. Inactive/not regularly walking (less than 30 minutes
  3. Have the ability to read, write, understand and speak English.
  4. Can walk freely without human assistance (residents will be included they use a walking stick/walking aid.)

Exclusion Criteria:

  1. If they have fallen in the last 6 months
  2. Have regular nursing assistance/care within the fold
  3. Residents with dementia or other cognitive challenges will be excluded.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention
They will complete a 12-week peer-led walking programme. Participants will be paired together as walking partners and will be given a pedometer and step count logs for self-monitoring. The walking co-ordinators will facilitate walking groups two times a week in the local areas, lasting for 30 minutes. The nature of the walks will be tailored to the participants stated preferences of types of activity. Participants will also receive local walking route maps. After 12 weeks, the formal peer-led component will finish and participants will be encouraged to continue walking with their walking partners other activity programmes organised in the fold in order to maintain activity levels.
Behavioral: The friendly walking group
A 12 week peer led walking group for adults and older adults (> 55 years) living in independent living communities in Northern Ireland. Designed to increase physical activity levels of inactive older adults and measure sustained changes in physical behaviour 6 months after the intervention ends.
No Intervention: Control

Folds assigned to the control group will not receive any additional support to change their physical activity behaviour over the course of the intervention period.

At the six-month data collection point they will be offered a referral to a local walking group in their area or advice on beginning a self-directed walking programme (similar to Public Health Agency www.choosetolivebetter.com/content/getting-active). They will be asked to complete outcome measures at baseline and follow up time-points. Post-study a sample of control participants will be asked to attend a focus group, exploring their views on social activity as form of physical activity for older adults in folds.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Moderate-to-vigorous physical activity (MVPA)
Time Frame: Baseline, 12 weeks and 6 months
Changes from baseline MVPA as assessed by Actigraph accelerometer
Baseline, 12 weeks and 6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Quality of Life
Time Frame: Baseline, 12 weeks and 6 months
To explore changes in health-related quality of life, a validated self-reported questionnaire EuroQol-5D will be completed by study participants.
Baseline, 12 weeks and 6 months
Self-efficacy
Time Frame: Baseline, 12 weeks and 6 months
Changes in self-efficacy will be measured using a short version of exercise behaviour self-confidence questionnaire.
Baseline, 12 weeks and 6 months
Physical and Mental Health
Time Frame: Baseline, 12 weeks and 6 months
Changes in other health-related and well-being outcomes will include completing the (7 item) Warwick-Edinburgh Mental Well-being score.
Baseline, 12 weeks and 6 months
Social Engagement
Time Frame: Baseline, 12 weeks and 6 months
Changes in social engagement will be measured using the Lubben social network scale
Baseline, 12 weeks and 6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Queen's University, Belfast

Investigators

  • Principal Investigator: Mark A Tully, PhD, Queen's University, Belfast

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

September 1, 2015

Primary Completion (Actual)

September 1, 2016

Study Completion (Actual)

September 1, 2016

Study Registration Dates

First Submitted

November 2, 2015

First Submitted That Met QC Criteria

November 2, 2015

First Posted (Estimate)

November 4, 2015

Study Record Updates

Last Update Posted (Actual)

September 19, 2017

Last Update Submitted That Met QC Criteria

September 18, 2017

Last Verified

September 1, 2017

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 15.30

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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