Chronic Illnesses
Conditions
Keywords
Physical activity, positive affect, older adults, aging
Brief summary
The investigators will conduct a 1-year prospective and randomized study to evaluate the initial efficacy of positive affect vs. an educational control to motivate physical activity in older adults with high burdens of chronic disease.
Detailed description
Older adults with multiple chronic diseases are at high risk for both disability and adverse clinical events, outcomes that can be improved with physical activity, but there have been no trials to establish physical activity recommendations or clinical guidelines for this vulnerable population. A recent randomized controlled trial conducted by Dr. Peterson established the efficacy of inducing positive affect-a feeling of happiness and well-being-in motivating physical activity in older adults with cardiovascular disease. This new randomized controlled trial will pilot test the a new PAIRE (Positive Affect Induction for Regular Exercise) intervention that is specific to older adults with multiple high-risk chronic illnesses versus an educational control group. This work is innovative because it will translate the benefits of a proven intervention focused on positive affect to increase physical activity in older adults with multiple high-risk chronic illnesses, one that is tailored to the clinical and psychosocial challenges of this particularly vulnerable population. This work is significant because an effective intervention promoting physical activity will improve outcomes for older adults with multiple high-risk chronic diseases, and currently one does not exist.
Interventions
BEHAVIORALPhysical activity plus positive affect
Subjects will be randomized to a physical activity goal and will receive the positive affect component.
BEHAVIORALPhysical activity plus education
Subjects will be randomized to a physical activity goal and will receive the educational component.
Sponsors
National Institute on Aging (NIA)
Weill Medical College of Cornell University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
60 Years to 110 Years
Healthy volunteers
No
Inclusion criteria
* Charlson Index greater or equal to 3
Exclusion criteria
1. Cognitive impairment 2. Inability to walk 3. \< 12 month anticipated survival 4. enrollment in other behavioral programs 5. lack of medical approval to participate 6. substance/alcohol dependence or participation in a substance abuse treatment program within 12 months 7. major psychiatric illness.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Kilocalories/week assessed by Objective measure of activity with accelerometry | baseline to 12 months | FitBit |
Secondary
| Measure | Time frame |
|---|---|
| Kilocalories/week assessed by Subjective measure of activity by self-report | baseline to 12 months |
| Function/disability assessed by objective and subjective reports of functional ability | baseline to 12 months |
Countries
United States
Outcome results
None listed