Return to Everyday Activities in the Community and Home (REACH)

REACH Lifestyle Program for Older Adults

The purpose of this study is to test feasibility for the delivery and perceptions of a lifestyle model for middle-aged and older adults by involving participants in its development. The goal of the program is to reduce sedentary behaviour, increase physical activity, and increase strength and balance. An optional walking program will be run in parallel to emphasize the importance of moving more. Participants will be asked to fill out questionnaires on course delivery, content and effect throughout the program and 2-3 recorded interviews throughout the study. We will collect measurements of physical performance before and after the program.

Study Overview

• Status: Completed
• Conditions: Aging; Lifestyle; Activity
• Intervention / Treatment: Behavioral: REACH

Detailed Description

This study aims to describe the delivery of a lifestyle model for older adults. Return to Everyday Activities in the Community and Home (REACH) is a health promotion program aimed at middle-aged and older adults. The goal of REACH is to reduce sedentary behaviour, increase physical activity, and increase strength and balance. The REACH program is comprised of six sessions which include evidence-based education, behaviour change theory, and activity instruction. REACH also teaches goal setting techniques, mindfulness, and encourages active community engagement. In this study we are running the REACH program for women aged 55 and older alongside a supplementary optional walking program run by SportMedBC. We will gather pre- and post-intervention measures of program perceptions, delivery psychological variables and physical performance outcomes. We will also collect participant feedback about course delivery, content and effect throughout the program. This study will allow us to describe the delivery strategies of REACH and involve the participants in the development of the REACH program. The optional walking program will emphasize the importance of increasing daily physical activity.

• Study Type: Interventional
• Enrollment (Actual): 11
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Canada
  • British Columbia
    • Vancouver, British Columbia, Canada, V5Z 1M9
      • Centre for Hip Health and Mobility

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 55 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Participants included will be women aged 55 and older.
• Participants must speak English.
• Participants must be able to walk a minimum of four city blocks, climb a flight of stairs and take part in a physical activity and walking program.
• Participants must be cleared by a health care professional to participate using the Physical Activity Readiness Questionnaire for Everyone (Par-Q+) assessment to determine if they are physically able to take part in the activity program.

Exclusion Criteria:

• Individuals will be excluded if they are men, under the age of 55 and/or do not speak English.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: REACH Participant Course; This study will run twice a week over 6 weeks with 6 REACH sessions optional walking program sessions. The optional walking program will be run by SportMedBC and may consist of one or more educational sessions (e.g., nutrition). Each REACH session introduces new topics, strength and balance activities and home practices which progressively build on each other. We will ask participants to provide feedback after each session, and in two to three 30 minutes recorded interviews (in-person or over the telephone) at the end of the study.

Behavioral: REACH; REACH is a lifestyle intervention program which aims to reduce sedentary behaviour, increase physical activity, and increase strength and balance. The REACH program is comprised of six sessions which include evidence-based education, behaviour change theory, and activity instruction. REACH also teaches goal setting techniques, mindfulness, and encourages active community engagement. In this study we are running the REACH program for women aged 55 and older alongside a supplementary optional walking program run by SportMedBC.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
REACH Session Feedback	We will ask participants to report feedback and experience following each REACH session. As this was a pilot study we wanted to capture participants' perceptions of the program. When appropriate, we adjusted the content/delivery in consultation with participants. We also asked participants to rate their overall experience with REACH [1 (low) - 7 (high)].	6 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Physical Activity Identity	A questionnaire will be administered at the beginning and end of the REACH sessions to determine how the participant identifies themselves with regard to physical activity. The minimum score is 9 and the maximal score is 63; the higher the score the better.	6 weeks
Grit Score	A questionnaire will be used to determine how the participant perceives their ability to stick with (follow through on) projects or goals. The higher the score the better. Scores range from 1 (not like me to) to 5 (very much like me).	6 weeks
Automaticity Subscale of the Self-Report Habit Index	A questionnaire will be administered to determine the participant's level of automaticity for physical activity. Scores are based on a 7-point Likert scale (1=strongly disagree- 7=strongly agree). In other words, participants rate how "automatic" their behavior is for physical activity.	6 weeks
Sedentary Behaviour	We will request participants record their sedentary behaviour data from activity monitors.	weekly for 6 weeks
Hourly Activity	We will request participants to record their hourly activity (number of hours active per day) data from activity monitors.	weekly for 6 weeks
Step Count	We will request participants to record their daily step count data from activity monitors.	weekly for 6 weeks
Number of REACH Sessions Attended	Number of REACH sessions attended during the project.	weekly for 6 weeks

Collaborators and Investigators

• Sponsor: University of British Columbia
• Investigators: Principal Investigator: Maureen Ashe, PhD, University of British Colubia

Publications and helpful links

General Publications

• Ashe MC, Edwards NY, Taylor A, Burnett L, Giangregorio L, Milne K, Clemson L, Fleig L. Return to Everyday Activity in the Community and Home: a feasibility study for a lifestyle intervention to sit less, move more, and be strong. Pilot Feasibility Stud. 2019 Jun 28;5:84. doi: 10.1186/s40814-019-0467-9. eCollection 2019.

Study record dates

Study Major Dates

• Study Start: May 1, 2016
• Primary Completion (Actual): June 1, 2016
• Study Completion (Actual): June 1, 2016

Study Registration Dates

• First Submitted: May 18, 2016
• First Submitted That Met QC Criteria: May 25, 2016
• First Posted (Estimate): June 1, 2016

Study Record Updates

• Last Update Posted (Actual): May 10, 2023
• Last Update Submitted That Met QC Criteria: May 8, 2023
• Last Verified: May 1, 2023

More Information

Terms related to this study

• Other Study ID Numbers: H16-00670

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO