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Physical Activity at Home (PAAH)', Evaluation of a group versus home based physical activity program in community dwelling middle aged adults.

In middle-aged community dwelling adults is a physiotherapy-led home based physical activity program more effective than a community group based physical activity program in terms of long term physical activity adherance, health benefits and cost?

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12611000890932
Acronym
PAAH
Enrollment
158
Registered
2011-08-19
Start date
2011-02-16
Completion date
2011-04-16
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The aim of this study is to evaluate a new evidence based model for increasing the adoption and maintenance of physical activity in sedentary community dwelling middle aged individuals. Specifically targeting those individulas who are less likely to adopt and maintain exercise as they do not normally access the currently available community group exercise programs. We hypothesize that (i) There are a large number of individuals in the community aged 50-65 years who are not interested in group exercise, the common method used to increase the population's level of physical activity. (ii) A proportion of this group would commence exercising if an alternative method of increasing physcial activity was available, such as a home based approach. (iii) The home based program would produce health benfits equivalent to those seen in the group based exercise program for sedentary adults 50-65 years old. (iv) Those that commence the home based program are more likely to continue with an increase in physical activity in the long term, as compared to a group based program. (v) A home based approach to increasing physical activity with minimal support is more cost effective than a group based intervention, taking into consideration long term physical activity maintenance.

Interventions

Home based intervention. Baseline outcome measures were taken in participants homes eliminating a number of barriers to physical activity adoption. Participants were encouraged to invite a support person to attend. After baseline measures were completed motivational interviewing was used to devise a physical activity program. A physiotherapist discussed type, frequency, intensity, duration, benefits, barriers, goals, self-monitoring and progression of physical activity aiming to achieve 30 minut

Home based intervention. Baseline outcome measures were taken in participants homes eliminating a number of barriers to physical activity adoption. Participants were encouraged to invite a support person to attend. After baseline measures were completed motivational interviewing was used to devise a physical activity program. A physiotherapist discussed type, frequency, intensity, duration, benefits, barriers, goals, self-monitoring and progression of physical activity aiming to achieve 30 minutes of moderate intensity physical activity on most days of the week eventually. Participants were contacted by a physiotherapist via phone providing advice and support 2 weeks after the initial assessment and them monthly over a six month period, a total of approximately 6 phone calls.

Sponsors

Nicole Freene
Lead SponsorIndividual

Study design

Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
50 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

1. 50-65 years old. 2. Sedentary, that is, no participation in regular moderate or vigorous physical activity for 30 minutes 2 or more times a week for at least 6 months. 3. No serious medical conditions, such as unstable angina, uncontrolled hypertension, diagnosed or hospitalised with chest pain, heart attack or heart surgery in the past 6 months. 4. No servere functional impairments due to multiple medical or psychiatric diseases. 5. Not planning to move from the area within 2 years. 6. Only one person per household was eligible. 7. English speaking and appropriate cognitive skills to provide informed consent and actively engage in a physical activity program. 8. Medical screening was undertaken using the Sports Medicine Australia (SMA) Pre-Exercise Screening System. If a participant answered 'yes' to any of the SMA screening questions, they were asked to attend their local medical officer to receive medical clearance before they were included in the study.

Exclusion criteria

1.See the above inclusion criteria. 2. Resting systolic blood pressure > 200mmHg, diastolic blood pressure > 100mmHg, resting heart rate > 100 bpm.

Outcome results

None listed

Source: ANZCTR · Data processed: Mar 27, 2026