Developing a Intervention to Enhance Motivation for Physical Activities Known to Reduce Fall Risk (ReadySteady)
Enhancing Motivation for Physical Activity to Reduce the Risk of Falls Among Community-Dwelling Older Adults: A Wellness Intervention.
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Detaljert beskrivelse
Studietype
Studietype
Registrering (Faktiske)
Registrering
Fase
Fase
- Fase 2
Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
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
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Forebygging
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Dobbelt
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
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Aktiv komparator: 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
Andre navn:
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Eksperimentell: 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
Andre navn:
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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Eksperimentell: 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
Andre navn:
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.
|
|
Eksperimentell: 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
Andre navn:
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.
|
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in self-reported physical activity behavior
Tidsramme: 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
Tidsramme: Baseline; 1 week post; 6 months post
|
Accelerometers built in to Fitbit Ones
|
Baseline; 1 week post; 6 months post
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in functional strength and balance
Tidsramme: Baseline; 1 week post; 6 months post
|
Short Physical Performance Battery
|
Baseline; 1 week post; 6 months post
|
|
Change in functional strength and balance
Tidsramme: Baseline; 1 week post; 6 months post
|
Timed Up and Go
|
Baseline; 1 week post; 6 months post
|
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Change in the number of community resources used for physical activity
Tidsramme: Baseline; 1 week post; 6 months post
|
Number of community resources identified and used: 2 item survey
|
Baseline; 1 week post; 6 months post
|
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Change in social support for fall-reducing physical activities
Tidsramme: Baseline; 1 week post; 6 months post
|
Social support for exercise: Survey
|
Baseline; 1 week post; 6 months post
|
|
Change in readiness
Tidsramme: Baseline; 1 week post; 6 months post
|
Index of Readiness
|
Baseline; 1 week post; 6 months post
|
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Change in self-regulation
Tidsramme: Baseline; 1 week post; 6 months post
|
Index of Self-Regulation
|
Baseline; 1 week post; 6 months post
|
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Change in self-reported lower extremity function
Tidsramme: Baseline; 1 week post; 6 months post
|
Neuro-QOL SF v1.0 - LEx Fnct (Mobility)
|
Baseline; 1 week post; 6 months post
|
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Change in self-reported ability to participate in social activities
Tidsramme: Baseline; 1 week post; 6 months post
|
PROMIS SF v2.0 - Ability to Participate Social 4a
|
Baseline; 1 week post; 6 months post
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Technology acceptability and utility
Tidsramme: 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
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Etterforskere
Etterforskere
- Hovedetterforsker: Siobhan K McMahon, PhD, University of Minnesota
Publikasjoner og nyttige lenker
Generelle publikasjoner
- 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.
Studierekorddatoer
Studer hoveddatoer
Studiestart
Studiestart
Primær fullføring (Faktiske)
Primær fullføring
Studiet fullført (Faktiske)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Andre studie-ID-numre
Andre studie-ID-numre
- 1402S47802
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