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Identifying and Treating Physical Function Impairment in Elders

25. maj 2018 opdateret af: University of Colorado, Denver

Sedentary older adults are more likely to develop physical function impairments than active older adults. Physical function measured by slow usual gait speed predicts the risk of future falls, disability, institutionalization and mortality. Behavioral physical activity interventions have improved physical activity and physical function, but have not generally been implemented where they may have the most impact -- primary care settings. In part, this is due to the limited time and training for clinical staff to screen for physical function impairment and to treat with physical activity counseling. The proposed scientific goal is to overcome these barriers by adapting an evidence-based screening tool and telephone-based physical activity intervention into primary care settings.

Aim1: Among older adults who screen positive for physical function impairment, to determine the estimated intervention effect size of a 12-week behavioral intervention on physical activity and physical function.

Hypothesis 1a: Physical activity levels will increase more in the intervention vs. usual care group.

Hypothesis 1b: Physical function will increase more in the intervention vs. usual care group.

Aim 2: Among Aim 1 participants and clinical staff who deliver the functional screening and Aim 1 intervention, to evaluate standard implementation science process metrics of reach, acceptability, and implementation

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

3

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Forenede Stater
    • Colorado
      • Aurora, Colorado, Forenede Stater, 80045
        • University of Colorado Anschutz Medical Campus

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

65 år til 85 år (Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Sedentary patients aged 65-85 years who screen positive for physical function impairment (Physical function impairment includes any of the following: time to complete 4-meter walk ≥4.82 seconds (i.e., ≥0.83 meters/second); a reported fall in the past 3 months; or a reported fear of falling)

Exclusion Criteria:

  • Inability to walk ≥30 feet without human assistance7
  • Dementia, as assessed by either a Folstein Mini-Mental Status Examination <24 or by patient's primary care provider's assessment
  • Severe vision loss (legally blind)
  • Severe hearing loss
  • Medical condition that precludes increasing physical activity per primary care provider's assessment
  • Terminal diagnosis per primary care provider's assessment

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Behavioral Intervention
Behavioral Counseling Intervention: 6 telephone calls that include physical activity goal-setting, tracking,and problem-solving of barriers
Adfærdsmæssigt: Adfærdsrådgivning
Ingen indgriben: Usual Care
Monthly mailed print materials on aging topics (that would generally be administered by subjects' primary care clinic). No behavioral counseling.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Changes in physical activity as determined by accelerometer
Tidsramme: 12 weeks
Subjects' physical activity levels will be determined by accelerometer measures during week 1 and after a 12-week behavioral intervention.
12 weeks
Changes in physical function as assessed by 400-meter walk speed
Tidsramme: 12 weeks
Subjects' physical function will be assessed by 400-meter walk speed before and after 12-week behavioral intervention.
12 weeks
Changes in physical function as assessed by Short Physical Performance Battery
Tidsramme: 12 weeks
Subjects' physical function will be assessed by the Short Physical Performance Battery before and after a 12-week intervention
12 weeks
Change in physical function as assessed by lower extremity strength testing
Tidsramme: 12 weeks
Subjects' physical function will be assessed by lower extremity strength testing before and after a 12-week behavioral intervention .
12 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Evaluation of standard implementation science process of reach
Tidsramme: 1 year
Reach is the percent of patients consented divided by the number eligible.
1 year
Assessment of standard implementation science process metrics of acceptability
Tidsramme: 1 year
Acceptability will be assessed through structured surveys.
1 year
Assessment of standard implementation science process metrics of implementation
Tidsramme: 1 year
Implementation process will be assessed by structured surveys
1 year

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University of Colorado, Denver

Efterforskere

  • Ledende efterforsker: Amy Huebschmann, MD, University of Colorado - Anschutz Medical Campus

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. januar 2014

Primær færdiggørelse (Faktiske)

1. september 2017

Studieafslutning (Faktiske)

1. september 2017

Datoer for studieregistrering

Først indsendt

22. januar 2014

Først indsendt, der opfyldte QC-kriterier

22. januar 2014

Først opslået (Skøn)

24. januar 2014

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

30. maj 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

25. maj 2018

Sidst verificeret

1. maj 2018

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • 13-3021

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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Placeringer

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