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

30. oktober 2019 oppdatert av: 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.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

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.

Studietype

Intervensjonell

Registrering (Faktiske)

103

Fase

  • Fase 2

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

70 år og eldre (Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Forebygging
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Dobbelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
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.
Atferdsmessig: 1 Physical Activity
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:
  • Otago
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.
Atferdsmessig: 1 Physical Activity
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:
  • Otago
Atferdsmessig: Interpersonal Motivation
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
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.
Atferdsmessig: 1 Physical Activity
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:
  • Otago
Atferdsmessig: Intrapersonal Motivation
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.
Atferdsmessig: 1 Physical Activity
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:
  • Otago
Atferdsmessig: Interpersonal Motivation
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
Atferdsmessig: Intrapersonal Motivation
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

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

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
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
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
Change in self-regulation
Tidsramme: 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
Tidsramme: 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
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

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

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

University of Minnesota

Etterforskere

  • Hovedetterforsker: Siobhan K McMahon, PhD, University of Minnesota

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. april 2014

Primær fullføring (Faktiske)

1. juni 2015

Studiet fullført (Faktiske)

1. juni 2015

Datoer for studieregistrering

Først innsendt

19. februar 2015

Først innsendt som oppfylte QC-kriteriene

28. april 2015

Først lagt ut (Anslag)

4. mai 2015

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

1. november 2019

Siste oppdatering sendt inn som oppfylte QC-kriteriene

30. oktober 2019

Sist bekreftet

1. oktober 2019

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • 1402S47802

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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