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Habit Formation in Older Adults: Feasibility Study

3. februar 2021 oppdatert av: Young Joo Kim, East Carolina University

Forming New Habits: A Feasibility Study on an Intervention to Decrease Sedentary Behaviors in Medically Stable Older Adults

Sedentary behavior, which is characterized by too much sitting, is an epidemic in the United States. It is estimated that 4 out of every 10 Americans never engage in physical activity, and approximately 60% of an adult's non-sleeping hours are spent in sedentary behaviors. This equates to approximately 9-10 hours per day. As sedentary behavior increases, so do diagnoses of chronic illnesses such as diabetes, hypertension, cardiovascular disease, and kidney disease. Older adults are particularly at risk for sedentary behavior and the related chronic illnesses.

The primary aim of this study is to investigate the feasibility of implementing the EMA intervention with medically stable older adults who are living in the community.

The secondary aims of this study are to investigate the effectiveness of the Everyday Meaningful Activities (EMA) Intervention in forming active lifestyle behavior habits and in decreasing an individual's perceived sedentary time.

This prospective study will examine the ability of medically stable older adults to decrease sedentary behavior by creating new, active lifestyle behavior habits using the Everyday Meaningful Activities intervention. The EMA Intervention is based in Habit Formation Theory. It is an individualized, client-centered intervention that aims to increase adherence to active lifestyle behaviors in older adults' lives. Participants will engage in the EMA Intervention that is designed to create new active lifestyle behavior habits by attaching these new active lifestyle behaviors to currently existing daily routines.

During six intervention sessions over six weeks, participants will select two new active lifestyle behaviors to make habitual and will create action plans to create the habits. The first behavior will be implemented at the first intervention session, and the second behavior will be implemented at the fourth session. The participants will be assessed three times over their 8 to 10-week study participation. Participants should (1) be 65 years of age and older, (2) have intact cognition, (3) have no self-reported physical activity limitations, (4) have a sedentary lifestyle, and (5) have no acute illnesses or unstable medical conditions.

The results of this study may provide evidence for the occupational therapy intervention to decrease sedentary behavior in older adults in the community. The results may also broaden the scope of occupational therapy practice through demonstrating the potential for occupational therapy services in preventive health care.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Faktiske)

12

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Forente stater
    • North Carolina
      • Greenville, North Carolina, Forente stater, 57834
        • East Carolina University

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

65 år og eldre (Eldre voksen)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • age 65 or older,
  • intact cognition as confirmed by the Montreal Cognitive Assessment blind version
  • no physical activity restrictions that can be self-reported
  • sedentary lifestyle as confirmed by the Rapid Assessment Disuse Index
  • live within 20 miles of the College of Allied Health Sciences at ECU
  • have access to the internet and/or a telephone for remote intervention sessions

Exclusion Criteria:

  • acute or terminal illness
  • myocardial infarction in the previous 6 months
  • unstable cardiovascular disease
  • unstable metabolic disease
  • neuromusculoskeletal disorders that severely impact voluntary movement
  • limb amputation
  • upper or lower extremity fracture in the previous 3 months
  • current symptomatic hernia
  • current symptomatic hemorrhoids
  • cognitive impairment

Studieplan

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

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Recruitment rate
Tidsramme: Through study completion, an average of 1 year
The recruitment rate for medically stable older adults in the community for this study
Through study completion, an average of 1 year
Appropriateness of the Rapid Assessment Disuse Index (RADI)
Tidsramme: During screening
The appropriateness of the Rapid Assessment Disuse Index (RADI) for screening sedentary behavior in older adults over the phone
During screening
Appropriateness of the Short Blessed Test
Tidsramme: During screening
the appropriateness of the Short Blessed Test for screening sufficient cognitive ability in older adults over the phone
During screening
Appropriateness of video conferencing through WebEx on an iPad
Tidsramme: For 6 weeks
The appropriateness of video conferencing through WebEx on an iPad as an acceptable delivery method of selected intervention sessions
For 6 weeks
Reliability of participants' subjective reports
Tidsramme: For 6 weeks
The reliability of participants' subjective reports of exact times for performing active lifestyle behaviors
For 6 weeks

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Changes in the Self-Report Habit Index
Tidsramme: 1) intervention session 1 at Week 1; 2) intervention session 4 at Week 4, and 3) posttest at Week 7
The Self-Report Habit Index (SRHI) measures features of habits including repetition, automaticity, and expressing identity. This 12-item assessment assesses the strength of habits by differentiating habit strength from behavior frequency. The participants will choose two active lifestyle behaviors to incorporate into their daily lives. The SRHI will generate pretest and posttest data for each behavior. The items in the SRHI began with the stem "Behavior X is something…" and is then followed by 12 statements rated on a scale from 1 (very strongly agree) to 7 (very strongly disagree). A total score ranges from 1 to 84 with lower scores indicating stronger habits.
1) intervention session 1 at Week 1; 2) intervention session 4 at Week 4, and 3) posttest at Week 7
Changes in Sedentary Behavior Questionnaire
Tidsramme: 1) intervention session 1 at Week 1, and 2) posttest at Week 7
The Sedentary Behavior Questionnaire (SBQ) is a self-report questionnaire about time spent in sedentary behaviors both on weekdays and weekends. There are 9 identical items on the weekday form and the weekend form. Participants will complete both forms at both time points. The SBQ is used to assess the participants' perceived sedentary time. A total score ranges from 0 to 54 for each (weekday and weekend), with higher scores indicating more sedentary behaviors.
1) intervention session 1 at Week 1, and 2) posttest at Week 7

Samarbeidspartnere og etterforskere

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

Sponsor

East Carolina University

Etterforskere

  • Hovedetterforsker: Young Joo Kim, PhD, East Carolina University

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 (Faktiske)

1. august 2019

Primær fullføring (Faktiske)

6. mars 2020

Studiet fullført (Faktiske)

6. mars 2020

Datoer for studieregistrering

Først innsendt

24. juli 2019

Først innsendt som oppfylte QC-kriteriene

29. juli 2019

Først lagt ut (Faktiske)

30. juli 2019

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

5. februar 2021

Siste oppdatering sendt inn som oppfylte QC-kriteriene

3. februar 2021

Sist bekreftet

1. februar 2021

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • UMCIRB 19-001365

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