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A Multicomponent Physical Activity Intervention for Older Adults (ActiveKIT)

2026年7月22日 更新者:David Martinez Gomez、Universidad Autonoma de Madrid

A Multicomponent Physical Activity Intervention for Older Adults: the ActiveKIT Randomized Controlled Trial

ActiveKIT is a three-arm, parallel-group, individually randomized controlled trial. Community-dwelling adults aged 65 years or older (n=201) from Madrid and surrounding municipalities who were inactive were randomized into tree arms: a low-cost home-based exercise toolkit, the same toolkit plus remote specialist support, or usual-care. The intervention lasted 12 weeks, with assessments at baseline, 3 months, and 12 months.

研究概览

研究类型

介入性

注册 (实际的)

201

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Madrid、西班牙
        • Universidad Autonoma de Madrid

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 年长者

接受健康志愿者

是的

描述

Inclusion Criteria:

  • Participants were eligible if they were aged 65 years or older and able to undertake physical activity safely, with no contraindications to increasing their physical activity level

Exclusion Criteria:

  • Participants were excluded if they met any of the following criteria:

    • Institutionalized or housebound;
    • Three or more falls, or one or more falls requiring medical attention, in the previous year;
    • Terminal illness;
    • Cognitive impairment precluding the ability to follow simple instructions;
    • Blindness;
    • New onset within the previous three months of conditions such as chest pain, myocardial infarction, coronary artery bypass graft, or angioplasty;
    • Chronic or acute conditions that contraindicated increased physical activity, such as pneumonia, acute rheumatoid arthritis, unstable or acute heart failure, significant neurological disease or impairment, inability to move about independently, or severe psychiatric disorders;
    • Already physically active, defined as self-reported attainment of any of the three public health physical activity recommendations for older adults (aerobic activity, muscle-strengthening activity, or balance training), because the intervention was specifically designed for inactive older adults.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:预防
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
无干预:Usual care
Standardized written information consistent with current public health recommendations on multicomponent physical activity to maintain or improve physical function.
实验性的:Exercise toolkit
A low-cost, easy-to-use, home-based exercise toolkit designed to promote multicomponent physical activity and improve physical function.
At the start of the intervention, participants received a home-delivered toolkit and a printed exercise guide. The toolkit included a smartwatch to monitor daily physical activity, color-coded resistance bands, an exercise mat, a gymnastic stick, cones, and a light dumbbell to support aerobic, strength, balance, coordination, flexibility, and mobility training. The guide provided a structured 12-week progressive multicomponent program covering the four physical activity domains recommended for older adults: aerobic exercise, muscle strengthening, balance/coordination, and flexibility. Training volume and difficulty increased weekly, with walking progressing from 15 to 55 minutes per session and strength and balance exercises from 8 to 12 repetitions per set. Standing, seated, and supported exercise options were included to accommodate different functional capacities and promote safe progression toward WHO physical activity recommendations
实验性的:Exercise toolkit plus specialist support
The same exercise toolkit supplemented with remote support from an exercise specialist delivered through virtual channels (for example, video or audio calls, messaging applications, and social networks).
In addition to the exercise toolkit, participants allocated to Arm 2 received remote support from an exercise specialist with training in physical activity promotion and behavior-change techniques. Support focused on goal setting, identification of barriers and facilitators, problem solving, progression of activities, motivation, and safety. Participants selected their preferred communication channel, including telephone calls, video calls, messaging applications, or social media platforms. Each participant received two scheduled 15-minute contacts per week throughout the intervention, with a maximum of two additional contacts available upon request when additional support was needed.

研究衡量的是什么?

主要结果指标

结果测量
大体时间
Change in 30-Second Chair Stand Test
大体时间:Baseline, 3 months and 12 months
Baseline, 3 months and 12 months
Change in hand grip strength
大体时间:Baseline, 3 months and 12 months
Baseline, 3 months and 12 months

次要结果测量

结果测量
措施说明
大体时间
Change in 2-Minute Step Test
大体时间:Baseline, 3 months and 12 months
Baseline, 3 months and 12 months
Change in Timed Up and Go test
大体时间:Baseline, 3 months and 12 months
Baseline, 3 months and 12 months
Change in Back Scratch Test
大体时间:Baseline, 3 months and 12 months
Baseline, 3 months and 12 months
Change in Chair Sit-and-Reach Test
大体时间:Baseline, 3 months and 12 months
Baseline, 3 months and 12 months
Change in the International Fitness Scale
大体时间:Baseline, 3 months and 12 months
Perceived overall and fitness components using a five-point Likert response scale ranging from 1 to 5 (very poor, poor, average, good, and very good)
Baseline, 3 months and 12 months
Change in the IMPaCT physical activity and sedentary behavior questionnaire
大体时间:Baseline, 3 months and 12 months
Intensity, duration, type and context of PA (leisure, transport, occupational, domestic)
Baseline, 3 months and 12 months
Change in wrist-worn accelerometer behaviors
大体时间:Baseline, 3 months and 12 months
Minutes in moderate-to vigorous physical activity, light-intensity physical activity, and sedentary time
Baseline, 3 months and 12 months
Change in wrist-worn accelerometer activity
大体时间:Baseline, 3 months and 12 months
Total movement (mg)
Baseline, 3 months and 12 months
Change in wrist-worn step patterns
大体时间:Baseline, 3 months and 12 months
Daily steps and cadence
Baseline, 3 months and 12 months

其他结果措施

结果测量
措施说明
大体时间
Change in adherence to the Mediterranean diet
大体时间:Baseline, 3 months and 12 months
14-item Mediterranean Diet Adherence Screener, Score 0-14, higher = better adherence.
Baseline, 3 months and 12 months
Change in sleep duration
大体时间:Baseline, 3 months and 12 months
Average night and nap duration
Baseline, 3 months and 12 months
Daytime sleepiness
大体时间:Baseline, 3 months and 12 months
Epworth Sleepiness Scale, Spanish version
Baseline, 3 months and 12 months
Change in Health-related quality of life
大体时间:Baseline, 3 months and 12 months
EuroQol EQ-5D-3L
Baseline, 3 months and 12 months
Change in depressive symptoms
大体时间:Baseline, 3 months and 12 months
10-item Geriatric Depression Scale
Baseline, 3 months and 12 months
Change in self-efficacy
大体时间:Baseline, 3 months and 12 months
Spanish General Self-Efficacy Scale; 10 items, 4-point Likert, higher = greater
Baseline, 3 months and 12 months
Change in physical activity enjoyment
大体时间:Baseline, 3 months and 12 months
Single-item score ranging from 1 to 10; higher scores indicate greater enjoyment.
Baseline, 3 months and 12 months
Change in body mass index
大体时间:Baseline, 3 months and 12 months
Derived from height and weight in kg/m2
Baseline, 3 months and 12 months
Change in waist circumference
大体时间:Baseline, 3 months and 12 months
Baseline, 3 months and 12 months
Change in blood pressure
大体时间:Baseline, 3 months and 12 months
Baseline, 3 months and 12 months
Change in resting heart rate
大体时间:Baseline, 3 months and 12 months
Baseline, 3 months and 12 months
Safety during and after the intervention
大体时间:3 months and 12 months
Adverse events (frequency) were also systematically assessed at the 3- and 12-month follow-up visits and included falls, injuries, exacerbations of pre-existing conditions, major cardiovascular events, hospitalizations, and deaths.
3 months and 12 months
Economic costs of the intervention
大体时间:Baseline and 3 months
Baseline and 3 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2023年3月6日

初级完成 (实际的)

2025年3月14日

研究完成 (实际的)

2025年3月14日

研究注册日期

首次提交

2026年7月20日

首先提交符合 QC 标准的

2026年7月22日

首次发布 (实际的)

2026年7月27日

研究记录更新

最后更新发布 (实际的)

2026年7月27日

上次提交的符合 QC 标准的更新

2026年7月22日

最后验证

2026年7月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • PI20/00657

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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