Aging, Health Behaviour, Physical Activity, Social Isolation
Conditions
Keywords
physical activity, older adults, retirement homes, walking, feasibility study
Brief summary
The multi-level 12 week peer-led walking intervention incorporates aspects from all three levels of the ecological model (with the aim of producing sustained (\>6months) physical activity behaviour change in older adults living in independent living communities.
Detailed description
The proposed study is a cluster randomized controlled feasibility trial of a multi-level peer-led walking intervention. The socio-ecological model and social cognitive theory provides the framework that will help inform and test the feasibility of a multi-level peer-led walking intervention for inactive older adults living in independent living communities in Northern Ireland. The behaviour change techniques identified and extracted from a previous systematic review on the effectiveness of peer-led physical activity interventions helped guide the decision-making process of which behavior change strategies should be included in this study. The logic model helped inform the design and development of the 12 week peer-led walking programme.
Interventions
A 12 week peer led walking group for adults and older adults (\> 55 years) living in independent living communities in Northern Ireland. Designed to increase physical activity levels of inactive older adults and measure sustained changes in physical behaviour 6 months after the intervention ends.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Adults over the age of 60 years recruited from fold housing associations, dependent on site; those receiving nursing care will not be included. 2. Inactive/not regularly walking (less than 30 minutes 3. Have the ability to read, write, understand and speak English. 4. Can walk freely without human assistance (residents will be included they use a walking stick/walking aid.)
Exclusion criteria
1. If they have fallen in the last 6 months 2. Have regular nursing assistance/care within the fold 3. Residents with dementia or other cognitive challenges will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Moderate-to-vigorous physical activity (MVPA) | Baseline, 12 weeks and 6 months | Changes from baseline MVPA as assessed by Actigraph accelerometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life | Baseline, 12 weeks and 6 months | To explore changes in health-related quality of life, a validated self-reported questionnaire EuroQol-5D will be completed by study participants. |
| Self-efficacy | Baseline, 12 weeks and 6 months | Changes in self-efficacy will be measured using a short version of exercise behaviour self-confidence questionnaire. |
| Physical and Mental Health | Baseline, 12 weeks and 6 months | Changes in other health-related and well-being outcomes will include completing the (7 item) Warwick-Edinburgh Mental Well-being score. |
| Social Engagement | Baseline, 12 weeks and 6 months | Changes in social engagement will be measured using the Lubben social network scale |
Countries
United Kingdom