Accidental Falls, Sedentary Lifestyle
Conditions
Brief summary
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.
Detailed description
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.
Interventions
BEHAVIORAL1 Physical Activity
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
BEHAVIORALInterpersonal Motivation
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
BEHAVIORALIntrapersonal Motivation
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.
Sponsors
University of Minnesota
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in objectively measured physical activity behavior | Baseline; 1 week post; 6 months post | Accelerometers built in to Fitbit Ones |
| Change in self-reported physical activity behavior | Baseline; 1 week post; 6 months post | Community Healthy Activities Model Program for Seniors (CHAMPS) Questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in the number of community resources used for physical activity | Baseline; 1 week post; 6 months post | Number of community resources identified and used: 2 item survey |
| Change in social support for fall-reducing physical activities | Baseline; 1 week post; 6 months post | Social support for exercise: Survey |
| Change in readiness | Baseline; 1 week post; 6 months post | Index of Readiness |
| Change in self-reported lower extremity function | Baseline; 1 week post; 6 months post | Neuro-QOL SF v1.0 - LEx Fnct (Mobility) |
| Change in self-reported ability to participate in social activities | Baseline; 1 week post; 6 months post | PROMIS SF v2.0 - Ability to Participate Social 4a |
| Change in self-regulation | Baseline; 1 week post; 6 months post | Index of Self-Regulation |
| Change in functional strength and balance | Baseline; 1 week post; 6 months post | Short Physical Performance Battery |
Other
| Measure | Time frame | Description |
|---|---|---|
| Technology acceptability and utility | 1 week post; 6 months post | 10 item survey addressing wearable technology's learnability, utility and role in supporting individual motivation |
Outcome results
None listed