Activity, Aging, Lifestyle
Conditions
Brief summary
The purpose of this study is to test feasibility for the delivery and perceptions of a lifestyle model for middle-aged and older adults by involving participants in its development. The goal of the program is to reduce sedentary behaviour, increase physical activity, and increase strength and balance. An optional walking program will be run in parallel to emphasize the importance of moving more. Participants will be asked to fill out questionnaires on course delivery, content and effect throughout the program and 2-3 recorded interviews throughout the study. We will collect measurements of physical performance before and after the program.
Detailed description
This study aims to describe the delivery of a lifestyle model for older adults. Return to Everyday Activities in the Community and Home (REACH) is a health promotion program aimed at middle-aged and older adults. The goal of REACH is to reduce sedentary behaviour, increase physical activity, and increase strength and balance. The REACH program is comprised of six sessions which include evidence-based education, behaviour change theory, and activity instruction. REACH also teaches goal setting techniques, mindfulness, and encourages active community engagement. In this study we are running the REACH program for women aged 55 and older alongside a supplementary optional walking program run by SportMedBC. We will gather pre- and post-intervention measures of program perceptions, delivery psychological variables and physical performance outcomes. We will also collect participant feedback about course delivery, content and effect throughout the program. This study will allow us to describe the delivery strategies of REACH and involve the participants in the development of the REACH program. The optional walking program will emphasize the importance of increasing daily physical activity.
Interventions
BEHAVIORALREACH
REACH is a lifestyle intervention program which aims to reduce sedentary behaviour, increase physical activity, and increase strength and balance. The REACH program is comprised of six sessions which include evidence-based education, behaviour change theory, and activity instruction. REACH also teaches goal setting techniques, mindfulness, and encourages active community engagement. In this study we are running the REACH program for women aged 55 and older alongside a supplementary optional walking program run by SportMedBC.
Sponsors
University of British Columbia
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
55 Years to 105 Years
Healthy volunteers
Yes
Inclusion criteria
* Participants included will be women aged 55 and older. * Participants must speak English. * Participants must be able to walk a minimum of four city blocks, climb a flight of stairs and take part in a physical activity and walking program. * Participants must be cleared by a health care professional to participate using the Physical Activity Readiness Questionnaire for Everyone (Par-Q+) assessment to determine if they are physically able to take part in the activity program.
Exclusion criteria
* Individuals will be excluded if they are men, under the age of 55 and/or do not speak English.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| REACH Session Feedback | 6 weeks | We will ask participants to report feedback and experience following each REACH session. As this was a pilot study we wanted to capture participants' perceptions of the program. When appropriate, we adjusted the content/delivery in consultation with participants. We also asked participants to rate their overall experience with REACH \[1 (low) - 7 (high)\]. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical Activity Identity | 6 weeks | A questionnaire will be administered at the beginning and end of the REACH sessions to determine how the participant identifies themselves with regard to physical activity. The minimum score is 9 and the maximal score is 63; the higher the score the better. |
| Grit Score | 6 weeks | A questionnaire will be used to determine how the participant perceives their ability to stick with (follow through on) projects or goals. The higher the score the better. Scores range from 1 (not like me to) to 5 (very much like me). |
| Automaticity Subscale of the Self-Report Habit Index | 6 weeks | A questionnaire will be administered to determine the participant's level of automaticity for physical activity. Scores are based on a 7-point Likert scale (1=strongly disagree- 7=strongly agree). In other words, participants rate how automatic their behavior is for physical activity. |
| Sedentary Behaviour | weekly for 6 weeks | We will request participants record their sedentary behaviour data from activity monitors. |
| Hourly Activity | weekly for 6 weeks | We will request participants to record their hourly activity (number of hours active per day) data from activity monitors. |
| Step Count | weekly for 6 weeks | We will request participants to record their daily step count data from activity monitors. |
| Number of REACH Sessions Attended | weekly for 6 weeks | Number of REACH sessions attended during the project. |
Countries
Canada
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| REACH Participant Course This study will run twice a week over 6 weeks with 6 REACH sessions and optional walking program sessions. The optional walking program will be run by SportMedBC and may consist of one or more educational sessions (e.g., nutrition). Each REACH session introduces new topics, strength and balance activities and home practices which progressively build on each other. We will ask participants to provide feedback after each session, and in two to three 30 minutes recorded interviews (in-person or over the telephone) at the end of the study.
REACH: REACH is a lifestyle intervention program which aims to reduce sedentary behaviour, increase physical activity, and increase strength and balance. The REACH program is comprised of six sessions which include evidence-based education, behaviour change theory, and activity instruction. REACH also teaches goal setting techniques, mindfulness, and encourages active community engagement. In this study we are running the REACH program for women aged 55 and older alongside a supplementary optional walking program run by SportMedBC. | 11 |
| Total | 11 |
Baseline characteristics
| Characteristic | REACH Participant Course |
|---|---|
| Age, Continuous | 61 years |
| Region of Enrollment Canada | 11 Participants |
| Sex: Female, Male Female | 11 Participants |
| Sex: Female, Male Male | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 11 |
| other Total, other adverse events | 0 / 11 |
| serious Total, serious adverse events | 0 / 11 |
Outcome results
Primary
REACH Session Feedback
We will ask participants to report feedback and experience following each REACH session. As this was a pilot study we wanted to capture participants' perceptions of the program. When appropriate, we adjusted the content/delivery in consultation with participants. We also asked participants to rate their overall experience with REACH \[1 (low) - 7 (high)\].
Time frame: 6 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| REACH Participant Course | REACH Session Feedback | 5.94 score on a scale | Standard Deviation 0.59 |
Secondary
Automaticity Subscale of the Self-Report Habit Index
A questionnaire will be administered to determine the participant's level of automaticity for physical activity. Scores are based on a 7-point Likert scale (1=strongly disagree- 7=strongly agree). In other words, participants rate how automatic their behavior is for physical activity.
Time frame: 6 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| REACH Participant Course | Automaticity Subscale of the Self-Report Habit Index | 4.9 score on a scale | Standard Deviation 1.6 |
Secondary
Grit Score
A questionnaire will be used to determine how the participant perceives their ability to stick with (follow through on) projects or goals. The higher the score the better. Scores range from 1 (not like me to) to 5 (very much like me).
Time frame: 6 weeks
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| REACH Participant Course | Grit Score | 4.1 score on a scale |
Secondary
Hourly Activity
We will request participants to record their hourly activity (number of hours active per day) data from activity monitors.
Time frame: weekly for 6 weeks
Population: unable to collect data
Secondary
Number of REACH Sessions Attended
Number of REACH sessions attended during the project.
Time frame: weekly for 6 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| REACH Participant Course | Number of REACH Sessions Attended | 5 Sessions attended | Standard Deviation 1 |
Secondary
Physical Activity Identity
A questionnaire will be administered at the beginning and end of the REACH sessions to determine how the participant identifies themselves with regard to physical activity. The minimum score is 9 and the maximal score is 63; the higher the score the better.
Time frame: 6 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| REACH Participant Course | Physical Activity Identity | 46.2 score on a scale | Standard Deviation 10.5 |
Secondary
Sedentary Behaviour
We will request participants record their sedentary behaviour data from activity monitors.
Time frame: weekly for 6 weeks
Population: Not able to use data due to reporting issues.
Secondary
Step Count
We will request participants to record their daily step count data from activity monitors.
Time frame: weekly for 6 weeks
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| REACH Participant Course | Step Count | 7954 steps/day |