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- Ensaio Clínico NCT02433249
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
Status
Concluído
Condições
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 |
|---|---|
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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:
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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:
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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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:
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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|
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:
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
|
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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
|
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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
|
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Change in self-regulation
Prazo: 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
Prazo: 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
Prazo: 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
|
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.
Patrocinador
Investigadores
- Investigador principal: Siobhan K McMahon, PhD, University of Minnesota
Publicações e links úteis
A pessoa responsável por inserir informações sobre o estudo fornece voluntariamente essas publicações. Estes podem ser sobre qualquer coisa relacionada ao estudo.
Publicações Gerais
- 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.
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
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .
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