Developing a Intervention to Enhance Motivation for Physical Activities Known to Reduce Fall Risk (ReadySteady)
2019年10月30日 更新者：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.
調査の概要
状態
完了
詳細な説明
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.
研究の種類
介入
入学 (実際)
103
段階
- フェーズ2
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
70年歳以上 (高齢者)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
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
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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アクティブコンパレータ：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.
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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
他の名前：
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実験的：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
他の名前：
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
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実験的：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
他の名前：
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.
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実験的：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
他の名前：
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.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in self-reported physical activity behavior
時間枠：Baseline; 1 week post; 6 months post
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Community Healthy Activities Model Program for Seniors (CHAMPS) Questionnaire
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Baseline; 1 week post; 6 months post
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Change in objectively measured physical activity behavior
時間枠：Baseline; 1 week post; 6 months post
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Accelerometers built in to Fitbit Ones
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Baseline; 1 week post; 6 months post
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in functional strength and balance
時間枠：Baseline; 1 week post; 6 months post
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Short Physical Performance Battery
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Baseline; 1 week post; 6 months post
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Change in functional strength and balance
時間枠：Baseline; 1 week post; 6 months post
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Timed Up and Go
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Baseline; 1 week post; 6 months post
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Change in the number of community resources used for physical activity
時間枠：Baseline; 1 week post; 6 months post
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Number of community resources identified and used: 2 item survey
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Baseline; 1 week post; 6 months post
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Change in social support for fall-reducing physical activities
時間枠：Baseline; 1 week post; 6 months post
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Social support for exercise: Survey
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Baseline; 1 week post; 6 months post
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Change in readiness
時間枠：Baseline; 1 week post; 6 months post
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Index of Readiness
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Baseline; 1 week post; 6 months post
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Change in self-regulation
時間枠：Baseline; 1 week post; 6 months post
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Index of Self-Regulation
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Baseline; 1 week post; 6 months post
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Change in self-reported lower extremity function
時間枠：Baseline; 1 week post; 6 months post
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Neuro-QOL SF v1.0 - LEx Fnct (Mobility)
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Baseline; 1 week post; 6 months post
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Change in self-reported ability to participate in social activities
時間枠：Baseline; 1 week post; 6 months post
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PROMIS SF v2.0 - Ability to Participate Social 4a
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Baseline; 1 week post; 6 months post
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その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Technology acceptability and utility
時間枠：1 week post; 6 months post
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10 item survey addressing wearable technology's learnability, utility and role in supporting individual motivation
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1 week post; 6 months post
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
捜査官
- 主任研究者：Siobhan K McMahon, PhD、University of Minnesota
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
- McMahon S, Vankipuram M, Hekler EB, Fleury J. Design and evaluation of theory-informed technology to augment a wellness motivation intervention. Transl Behav Med. 2014 Mar;4(1):95-107. doi: 10.1007/s13142-013-0221-4.
- McMahon S, Fleury J. Wellness in older adults: a concept analysis. Nurs Forum. 2012 Jan-Mar;47(1):39-51. doi: 10.1111/j.1744-6198.2011.00254.x.
- Perez A, Fleury J. Wellness motivation theory in practice. Geriatr Nurs. 2009 Mar-Apr;30(2 Suppl):15-20. doi: 10.1016/j.gerinurse.2009.02.006. No abstract available.
- McMahon S, Talley KM, Wyman JF. Older people's perspectives on fall risk and fall prevention programs: a literature review. Int J Older People Nurs. 2011 Dec;6(4):289-98. doi: 10.1111/j.1748-3743.2011.00299.x.
- McMahon SK, Lewis B, Oakes JM, Wyman JF, Guan W, Rothman AJ. Examining Potential Psychosocial Mediators in a Physical Activity Intervention for Older Adults. West J Nurs Res. 2020 Aug;42(8):581-592. doi: 10.1177/0193945919871697. Epub 2019 Aug 30.
- McMahon SK, Lewis B, Oakes JM, Wyman JF, Guan W, Rothman AJ. Assessing the Effects of Interpersonal and Intrapersonal Behavior Change Strategies on Physical Activity in Older Adults: a Factorial Experiment. Ann Behav Med. 2017 Jun;51(3):376-390. doi: 10.1007/s12160-016-9863-z.
- McMahon SK, Lewis B, Oakes M, Guan W, Wyman JF, Rothman AJ. Older Adults' Experiences Using a Commercially Available Monitor to Self-Track Their Physical Activity. JMIR Mhealth Uhealth. 2016 Apr 13;4(2):e35. doi: 10.2196/mhealth.5120.
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始
2014年4月1日
一次修了 (実際)
2015年6月1日
研究の完了 (実際)
2015年6月1日
試験登録日
最初に提出
2015年2月19日
QC基準を満たした最初の提出物
2015年4月28日
最初の投稿 (見積もり)
2015年5月4日
学習記録の更新
投稿された最後の更新 (実際)
2019年11月1日
QC基準を満たした最後の更新が送信されました
2019年10月30日
最終確認日
2019年10月1日
詳しくは
本研究に関する用語
その他の研究ID番号
- 1402S47802
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
1 Physical Activityの臨床試験
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Istanbul University - Cerrahpasa (IUC)まだ募集していません