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Developing a Intervention to Enhance Motivation for Physical Activities Known to Reduce Fall Risk (ReadySteady)

30 octobre 2019 mis à jour par: University of Minnesota

Enhancing Motivation for Physical Activity to Reduce the Risk of Falls Among Community-Dwelling Older Adults: A Wellness Intervention.

The purpose of this pilot study is to develop an intervention, based on empirical evidence and health-related behavioral change theory, to enhance motivation for engaging in fall-reducing physical activities.

Aperçu de l'étude

Description détaillée

The intervention being developed, Ready~Steady, combines 3 components; a) interpersonal motivation, b) intrapersonal motivation, and c) physical activity. Theoretical concepts from the wellness motivation theory are (a) translated into intervention strategies; and (b) operationalized as variables to form a basis for evaluating this intervention. The overall objective is to advance the development of Ready~Steady by assessing the impact of its motivation components.

Type d'étude

Interventionnel

Inscription (Réel)

103

Phase

  • Phase 2

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

70 ans et plus (Adulte plus âgé)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  • ≥ 70 years, level of physical activity (strength training and aerobic) below national recommendations

Exclusion Criteria:

  • Dementia, recent injury or surgery, unable to participate in light-moderately intense exercise

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: La prévention
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Double

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Comparateur actif: 1 Physical Activity
Small groups (4-7 people) meeting in community centers weekly for 90 minutes, over the course of 8 weeks. Curricula for meetings are manualized and include introducing and practicing Otago exercises, progressed according to individual capacity and preference, as well as falls prevention. All participant receive Fitbit Ones and are asked to use them on a daily basis.
Fall reducing strength (5), balance (12) and flexibility (4) exercises as well as walking. Participants were also given a Fitbit One with instructions on how to use
Autres noms:
  • Otago
Expérimental: 2 Interpersonal Motivation
Small groups (4-7 people) meeting in community centers weekly for 90 minutes, over the course of 8 weeks. Curricula for meetings are manualized and include introducing and practicing Otago exercises, progressed according to individual capacity and preference, as well as falls prevention. The interventionist also facilitates discussions addressing the interpersonal motivational intervention content. All participant receive Fitbit Ones and are asked to use them on a daily basis: Fitbit Ones are included in weekly discussions.
Fall reducing strength (5), balance (12) and flexibility (4) exercises as well as walking. Participants were also given a Fitbit One with instructions on how to use
Autres noms:
  • Otago
Strategies used to support Interpersonal motivational targets include: a) discuss and model ways to provide and receive more support for physical activity, b) identify environmental barriers to being physically active, c) problem-solve environmental and social barriers to being physically active, d) use and create new resources that support physical activity behavior
Expérimental: 3.Intrapersonal Motivation
Small groups (4-7 people) meeting in community centers weekly for 90 minutes, over the course of 8 weeks. Curricula for meetings are manualized and include introducing and practicing Otago exercises, progressed according to individual capacity and preference, as well as falls prevention. The interventionist also facilitates discussions addressing the intrapersonal motivational intervention content. All participant receive Fitbit Ones and are asked to use them on a daily basis: Fitbit Ones are included in weekly discussions.
Fall reducing strength (5), balance (12) and flexibility (4) exercises as well as walking. Participants were also given a Fitbit One with instructions on how to use
Autres noms:
  • Otago
Strategies used to support intrapersonal motivation included a) use of the goal attainment scale, b) facilitating the formation of action plans, c) identify and problem solve personal barriers to being active, d) identify satisfying aspects of being active, e) self-evaluate physical activity patterns and progress.
Expérimental: 4.Full Intervention
Small groups (4-7 people) meeting in community centers weekly for 90 minutes, over the course of 8 weeks. Curricula for meetings are manualized and include introducing and practicing Otago exercises, progressed according to individual capacity and preference, as well as falls prevention. The interventionist also facilitates discussions addressing the intrapersonal and interpersonal motivational intervention content. All participant receive Fitbit Ones and are asked to use them on a daily basis: Fitbit Ones are included in weekly discussions.
Fall reducing strength (5), balance (12) and flexibility (4) exercises as well as walking. Participants were also given a Fitbit One with instructions on how to use
Autres noms:
  • Otago
Strategies used to support Interpersonal motivational targets include: a) discuss and model ways to provide and receive more support for physical activity, b) identify environmental barriers to being physically active, c) problem-solve environmental and social barriers to being physically active, d) use and create new resources that support physical activity behavior
Strategies used to support intrapersonal motivation included a) use of the goal attainment scale, b) facilitating the formation of action plans, c) identify and problem solve personal barriers to being active, d) identify satisfying aspects of being active, e) self-evaluate physical activity patterns and progress.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Change in self-reported physical activity behavior
Délai: Baseline; 1 week post; 6 months post
Community Healthy Activities Model Program for Seniors (CHAMPS) Questionnaire
Baseline; 1 week post; 6 months post
Change in objectively measured physical activity behavior
Délai: Baseline; 1 week post; 6 months post
Accelerometers built in to Fitbit Ones
Baseline; 1 week post; 6 months post

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Change in functional strength and balance
Délai: Baseline; 1 week post; 6 months post
Short Physical Performance Battery
Baseline; 1 week post; 6 months post
Change in functional strength and balance
Délai: Baseline; 1 week post; 6 months post
Timed Up and Go
Baseline; 1 week post; 6 months post
Change in the number of community resources used for physical activity
Délai: Baseline; 1 week post; 6 months post
Number of community resources identified and used: 2 item survey
Baseline; 1 week post; 6 months post
Change in social support for fall-reducing physical activities
Délai: Baseline; 1 week post; 6 months post
Social support for exercise: Survey
Baseline; 1 week post; 6 months post
Change in readiness
Délai: Baseline; 1 week post; 6 months post
Index of Readiness
Baseline; 1 week post; 6 months post
Change in self-regulation
Délai: Baseline; 1 week post; 6 months post
Index of Self-Regulation
Baseline; 1 week post; 6 months post
Change in self-reported lower extremity function
Délai: Baseline; 1 week post; 6 months post
Neuro-QOL SF v1.0 - LEx Fnct (Mobility)
Baseline; 1 week post; 6 months post
Change in self-reported ability to participate in social activities
Délai: Baseline; 1 week post; 6 months post
PROMIS SF v2.0 - Ability to Participate Social 4a
Baseline; 1 week post; 6 months post

Autres mesures de résultats

Mesure des résultats
Description de la mesure
Délai
Technology acceptability and utility
Délai: 1 week post; 6 months post
10 item survey addressing wearable technology's learnability, utility and role in supporting individual motivation
1 week post; 6 months post

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Les enquêteurs

  • Chercheur principal: Siobhan K McMahon, PhD, University of Minnesota

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Publications générales

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 avril 2014

Achèvement primaire (Réel)

1 juin 2015

Achèvement de l'étude (Réel)

1 juin 2015

Dates d'inscription aux études

Première soumission

19 février 2015

Première soumission répondant aux critères de contrôle qualité

28 avril 2015

Première publication (Estimation)

4 mai 2015

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

1 novembre 2019

Dernière mise à jour soumise répondant aux critères de contrôle qualité

30 octobre 2019

Dernière vérification

1 octobre 2019

Plus d'information

Termes liés à cette étude

Autres numéros d'identification d'étude

  • 1402S47802

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

Essais cliniques sur 1 Physical Activity

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