The Development of an Intergenerational Movement Program for Grandchildren and Their Grandparents Using Co-creation (GRANDPACT)

The Development and Evaluation of an Intergenerational Program for GRANDchildren and Their GRANDparents to Stimulate Physical Activity and Cognitive Function Using Co-creaTion

The aim of this study is to develop, evaluate and implement an intergenerational physical activity program for grandchildren and their grandparents using co-creation focusing on the promotion of (co-)physical activity as a primary outcome and cognitive functioning, psychosocial well-being, the family relationship, expectations regarding aging and motor competence in grandparents and grandchildren as secondary outcomes.

Study Overview

• Status: Completed
• Conditions: Intergenerational Relations
• Intervention / Treatment: Behavioral: GRANDPACT Project

Detailed Description

In recent years, increased attention has been devoted to intergenerational physical activity (PA) programs because they may have several benefits for children and older adults (e.g., learning skills from each other, reduction of ageism). An intergenerational PA program focusing on grandchildren and -parents in a 'standard' family setting and the combination of PA and cognitive functions is innovative and may hold potential to promote PA and improve cognitive functions in both grandchildren and their grandparents. The aim of this study is to describe the protocol of the GRANDPACT (GRANDparents and GRANDchildren improve their Physical Activity and Cognitive functions using co-creaTion) project, focusing on the development of an intergenerational PA program for grandchildren and -parents using the theoretical framework "Behaviour Change Wheel" in combination with a co-creation approach. One co-creation trajectory will be organized to develop the program, followed by an efficacy trial to refine and evaluate the program with measurements pre (at baseline), post (after 24 weeks) and follow-up (after 36 weeks) to measure the outcomes of (co-)PA, cognitive functions, psychosocial well-being, the quality of the family relationship, expectations regarding aging and motor competence in grandchildren and -parents. The outcomes will be measured using accelerometery for PA, Cambridge Neuropsychological Test Automated Battery (CANTAB) testing for cognitive functions and questionnaires for psychosocial well-being, quality of the family relationship and expectations regarding aging. Motor competence will be tested with different field tests in grandparents and grandchildren. Co-development with end-users and stakeholders during the co-creation trajectory is expected to result in an effective, attractive and feasible program. Co-PA is expected to improve PA, cognitive functions, psychosocial well-being, quality of the family relationship, motor competence and motivation to be physically active in grandchildren and -parents. Both will also have better expectations regarding aging.

• Study Type: Interventional
• Enrollment (Actual): 18
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Belgium
  • Ghent, Belgium, 9000
    • Ghent University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria for children:

• Aged between 6 and 10 years old
• Having at least 1 grandparent
• Speaking Dutch
• No serious physical, cognitive or psychiatric health problems

Inclusion Criteria for grandparents:

• Having at least 1 grandchild (aged between 6 and 10 years old)
• Speaking Dutch
• No serious physical, cognitive or psychiatric health problems

Exclusion Criteria grandparents:

- Having medical health problems (epilepsy) that can cause a risk when participating in the intervention

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• 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: Intergenerational movement program; This group will receive the intergenerational physical activity program. There are 4 components, which consist of an educational session for grandparents and parents (1), group-based movement sessions for grandparents and grandchildren once a week during 8 weeks (2), home-based physical activities for both grandparents and grandchildren (3) and community-based activities for both grandparents and grandchildren (4).

Behavioral: GRANDPACT Project; To investigate whether grandparents and grandchildren are more co-physically active, have a better cognitive and physical function, psychosocial well-being, quality of the family relationship due to the intervention, we compare the intervention phase (B) with a pre phase (A), a in between period (A) and another intervention period (B)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in co-PA in grandchildren and grandparents	The primary outcome of the intervention is co-PA. To objectively measure co-PA, participants will be asked to wear an accelerometer (Axivity AX3) during three consecutive months. The purpose of wearing an accelerometer is to investigate whether grandchildren and their grandparents are more (co-)physically active when the intervention is adopted	3 months (A: 2 weeks, B: 6 weeks, A: 2 weeks, B: 2 weeks)
Change in intensity of PA in grandchildren and grandparents	In addition to the primary outcome of the intervention, which is co-PA, we would like to measure the intensity of PA during each movement session with an accelerometer (Axivity AX3)	3 months (A: 2 weeks, B: 6 weeks, A: 2 weeks, B: 2 weeks)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in general well-being in children	PedsQL 8-12 General Well-Being Scale Parent report	During 3 months, every 2 weeks
Change in quality of the family relationship in children	Interview with parents before, during and after the intervention period	3 months, pre, between, post intervention
Change in general well-being in grandparents	Warwick-Edinburgh Mental Wellbeing Scale (WEMWS) - 14 items - 5-point likert scale (never, seldom, sometimes, often, always), with higher scores resulting in a higher wellbeing.	During 3 months, every 2 weeks
Change in quality of the family relationship in grandparents	Interview with grandparents pre, during and after the intervention	3 months, pre, between, post intervention
Change in cognitive functioning in grandchildren	Parents will fill in the short forms of the PROMIS cognitive functioning. Grandchildren: 7-items on a 5-point likert scale (never, seldom, sometimes, often, always), with higher scores resulting in a better cognitive functioning	During 3 months, every 2 weeks
Change in cognitive functioning in grandparents	Grandparents will fill in the short forms of the PROMIS cognitive functioning. Grandparents: 8-items on a 5-point likert scale (never, seldom, sometimes, often, always), with higher scores resulting in a better cognitive functioning	During 3 months, every 2 weeks
Change in physical functioning in grandparents	Grandparents will fill in the short forms of the PROMIS physical functioning. Grandparents: 10-items on a 5-point likert scale (Without any effort, With a little effort, With some effort, With a lot of effort, Unable to do), with higher scores resulting in a better physical functioning	During 3 months, every 2 weeks
Change in physical functioning in grandchildren	Parents will fill in the short forms of the PROMIS physical functioning. Grandchildren: 7-items on a 5-point likert scale (Without any effort, With a little effort, With some effort, With a lot of effort, Unable to do), with higher scores resulting in a better physical functioning	During 3 months, every 2 weeks
Increasing WHO themes in grandparents	We ask grandparents if they did exercises focusing on condition, coordination, strength, balance and flexibility	During 3 months, every 2 weeks

Collaborators and Investigators

• Sponsor: University Ghent
• Investigators: Principal Investigator: Cardon, University Ghent

Study record dates

Study Major Dates

• Study Start (Actual): September 19, 2022
• Primary Completion (Actual): April 19, 2023
• Study Completion (Actual): June 20, 2023

Study Registration Dates

• First Submitted: November 8, 2022
• First Submitted That Met QC Criteria: November 30, 2023
• First Posted (Actual): December 11, 2023

Study Record Updates

• Last Update Posted (Actual): July 9, 2024
• Last Update Submitted That Met QC Criteria: July 4, 2024
• Last Verified: July 1, 2024

More Information

Terms related to this study

• Keywords: Health promotion; Physical activity; Intergenerational; Co-creation; Cognitive functioning; Grandparents; Grandchildren
• Other Study ID Numbers: GRANDPACT Project - BC-11748

Plan for Individual participant data (IPD)

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

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No