Topic: Primary Care Research Network for England
Conditions
Interventions
Intervention: Physical Activity Facilitation (PAF) involves:
1. Assessing current attitudes to physical activity and perceived barriers.
2. Utilising motivational inter
Sponsors
University of Bristol (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Male and female aged 65 years or older 2. Community-dwelling, including those in warden-controlled accommodation 3. Inactive: undertaking less than 150 minutes of moderate-to-vigorous physical activity per week 4. Non-disabled at baseline: able to complete a 4m walk at a speed of 0.8m/s or greater, without sitting, leaning, using walking aids or another person. This practical assessment is highly predictive (>90%) of successfully completing the well-established 400m walk test within 15 minutes 5. At risk of subsequent disability: scoring less than 10 out of 12 on the Short Physical Performance Battery (SPPB)
Exclusion criteria
Exclusion criteria: 1. Unable to participate in the intervention or unable to complete the outcome assessments due to speech, language, or sensory problems 2. Resident in a nursing home 3. Plans to move outside of the study area within six months of the screening clinic visit or plans to be away for more than eight consecutive weeks during this period 4. Currently participating in exercise-on-prescription or a physical rehabilitation programme or study 5. A documented or patient-reported medical condition including but not limited to: 5.1. Severe uncontrolled arthritis, e.g. awaiting joint replacement, that would interfere with the ability to participate in the intervention arm 5.2. Lung disease requiring regular use of corticosteroids or of supplemental oxygen 5.3. Cardiovascular disease, including unstable angina, clinically significant valvular disease, uncontrolled and symptomatic cardiac arrhythmias, uncontrolled and symptomatic heart failure, suspected or known dissecting aneurysm 5.4. Past history of cardiac arrest or presence of an implantable cardiac defibrillator 5.5. Neuromuscular, musculoskeletal, or rheumatoid disorders that are exacerbated by exercise 5.6. Moderate or severe cognitive impairment or dementia 5.7. Severe uncontrolled psychiatric illness 5.8. Multiple falls, i.e. two or more falls in the previous three months. 6. Investigator concern about an individual's safety or ability to adhere to the intervention if enrolled in the trial Participants will not be medically screened for the above conditions, however they will be asked about the presence or absence of each condition on enrollment. It is important that no patient is inappropriately encouraged to participate in the trial and therefore the eligibility of each participant will be judged clinically by the investigator on a case-by-case basis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Short Physical Performance Battery (SPPB); Timepoint(s): At baseline: month 0, at follow-up: month 6 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Accelerometer data on physical activity; Timepoint(s): At baseline: month 0, at follow-up: month 6 2. Autonomy support; Timepoint(s): At baseline: month 0, at follow-up: month 6 3. Basic psychological needs; Timepoint(s): At baseline: month 0, at follow-up: month 6 4. Cognitive function (Montreal Cognitive Assessment); Timepoint(s): At baseline: month 0, at follow-up: month 6 5. Grip strength; Timepoint(s): At baseline: month 0, at follow-up: month 6 6. Health service utilisation from routine medical records; Timepoint(s): At baseline: month 0, at follow-up: month 6 7. Lawton scale of instrumental activities; Timepoint(s): At baseline: month 0, at follow-up: month 6 8. Mood (Geriatric Depression Scale); Timepoint(s): At baseline: month 0, at follow-up: month 6 9. Motivation for physical activity; Timepoint(s): At baseline: month 0, at follow-up: month 6 10. Physical activity outcome expectations scale; Timepoint(s): At baseline: month 0, at follow-up: month 6 10. Physical activity questionnaire (PASE); Timepoint(s): At baseline: month 0, at follow-up: month 6 11. Psychological Need Satisfaction in Exercise; Timepoint(s): At baseline: month 0, at follow-up: month 6 12. Quality of life (EQ-5D); Timepoint(s): At baseline: month 0, at follow-up: month 6 13. Social support; Timepoint(s): At baseline: month 0, at follow-up: month 6 | — |
Countries
United Kingdom
Outcome results
None listed