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

30 de outubro de 2019 atualizado por: 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.

Visão geral do estudo

Descrição detalhada

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.

Tipo de estudo

Intervencional

Inscrição (Real)

103

Estágio

  • Fase 2

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

70 anos e mais velhos (Adulto mais velho)

Aceita Voluntários Saudáveis

Não

Gêneros Elegíveis para o Estudo

Tudo

Descrição

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

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Prevenção
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Dobro

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Comparador Ativo: 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
Outros nomes:
  • Otago
Experimental: 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
Outros nomes:
  • 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
Experimental: 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
Outros nomes:
  • 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.
Experimental: 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
Outros nomes:
  • 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.

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Change in self-reported physical activity behavior
Prazo: 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
Prazo: Baseline; 1 week post; 6 months post
Accelerometers built in to Fitbit Ones
Baseline; 1 week post; 6 months post

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Change in functional strength and balance
Prazo: Baseline; 1 week post; 6 months post
Short Physical Performance Battery
Baseline; 1 week post; 6 months post
Change in functional strength and balance
Prazo: 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
Prazo: 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
Prazo: Baseline; 1 week post; 6 months post
Social support for exercise: Survey
Baseline; 1 week post; 6 months post
Change in readiness
Prazo: Baseline; 1 week post; 6 months post
Index of Readiness
Baseline; 1 week post; 6 months post
Change in self-regulation
Prazo: 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
Prazo: 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
Prazo: Baseline; 1 week post; 6 months post
PROMIS SF v2.0 - Ability to Participate Social 4a
Baseline; 1 week post; 6 months post

Outras medidas de resultado

Medida de resultado
Descrição da medida
Prazo
Technology acceptability and utility
Prazo: 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

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Investigadores

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

Publicações e links úteis

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Publicações Gerais

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo

1 de abril de 2014

Conclusão Primária (Real)

1 de junho de 2015

Conclusão do estudo (Real)

1 de junho de 2015

Datas de inscrição no estudo

Enviado pela primeira vez

19 de fevereiro de 2015

Enviado pela primeira vez que atendeu aos critérios de CQ

28 de abril de 2015

Primeira postagem (Estimativa)

4 de maio de 2015

Atualizações de registro de estudo

Última Atualização Postada (Real)

1 de novembro de 2019

Última atualização enviada que atendeu aos critérios de controle de qualidade

30 de outubro de 2019

Última verificação

1 de outubro de 2019

Mais Informações

Termos relacionados a este estudo

Outros números de identificação do estudo

  • 1402S47802

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