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Zoomers for the Capital Region: A Peer-Led Exercise Program for Aging Adults

A Randomized Control Trial - Zoomers for the Capital Region: A Peer-Led Exercise Program for Aging Adults

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03799952
Enrollment
62
Registered
2019-01-10
Start date
2019-02-07
Completion date
2019-11-30
Last updated
2021-07-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Aging, Fall

Keywords

Older adult, Peer-led exercise program, Risk of falling

Brief summary

The objective of this study is to recruit a group of older adults and study a broad set of physical health, mental health, and social outcomes when participants exercise with an older adult, peer-led exercise program. The program to be evaluated is called Zoomers on the Go. It is a 12-week program which involves two 60-minute sessions per week and educates participants about falls, along with aerobic and resistance exercise, flexibility, and balance activities. The program is offered to older adults (age 50+) and it is delivered in their community by an older adult who is trained as a certified Zoomers group exercise leader. Participants will be recruited, then randomized so that half of them can participate in a Zoomers class in the spring (intervention group) while half will have to wait until the fall of 2019 (control group). Pre-testing for both groups will begin around March 2019. The intervention group will participate in the program for 12 weeks, then there will be post-testing following this 12-weeks for both groups. Outcomes will be compared for the intervention and control groups, to determine if there are changes in the data pre- to post-measurements that are evident solely for the intervention group.

Detailed description

This study is a randomized control trial where subjects will be randomly assigned to a control or an intervention group. Participants will be recruited through general advertisements (e.g. radio, newspaper, posters), in Fredericton and surrounding areas. These participants will be volunteers, and no compensation will be provided besides having access to a free exercise program in their community. Eligibility will be determined by the research staff prior to the baseline assessment day.Eligible participants will be evaluated at an initial day of testing at either a Horizon CommunityHealth Centre or at the University of New Brunswick in the Cardiometabolic Exercise and Lifestyle Laboratory (CELLab). This first visit will involve the confirmation of eligibility, reading and signing a consent form, and the administration of the measurements discussed previously. All research staff will have received the appropriate training to deliver these fitness assessments, finger pricks, and interviews. At the end of the baseline visit, research staff will randomly assign participants to the intervention or control group. The participant will wear a pedometer for seven consecutive days following this initial visit. The paper form for any information collected (e.g. consent form) will be stored in the CELLab at UNB in a locked cabinet. The CELLab has limited access; only staff has access through a password to the lab. All information will be linked to a participant number for which the only linkable personal information (e.g., name, age, sex) will be kept in a password protected computer and only the Principal Investigator, Co-Investigators, and Research Coordinator will have access to this information. Information will be stored for a maximum of 7 years. Following this baseline assessment, participants in the intervention group will be assigned to an exercise program most convenient to them. This is a 12-week exercise program, offered twice a week. Full attendance is not mandatory for being a participant. This is a peer-led exercise program, meaning it is instructed by a leader of similar age. This leader has received extensive Fitness New Brunswick training to deliver a program aimed to reduce the risk of falls and help older adults safely increase their physical activity levels. This 60-minute exercise program involves aerobic and resistance exercise, as well as flexibility and balance activities. The program is currently designed to help individuals meet the physical activity guidelines. Participants' numbers will be used to register attendance from the leaders. Following this 12-week intervention or control period, participants will repeat all the baseline assessments (including questionnaires and interviews), with an exception that they will not have to wear the pedometer in the follow up visit. The primary objective will be to determine whether participants' experiences with the program were positive or negative, and specifically identifying participants' attributions of why/how the exercise intervention positively impacted their physical and/or mental health.

Interventions

BEHAVIORALZoomers on the Go Exercise Program

60 minute exercise class involving resistance and aerobic training activities, as well as flexibility and balance activities. An educational handout is offered at the end of every class, relating to health behaviour.

Sponsors

New Brunswick Health Research Foundation
CollaboratorOTHER
Horizon Health Network
CollaboratorOTHER
Universite de Moncton
CollaboratorOTHER
Fitness New Brunswick
CollaboratorOTHER
University of New Brunswick
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)

Intervention model description

Randomized to a control or intervention group. The intervention group will have pre- and post-testing following 12-weeks of exercise, while the control group will have pre- and post-testing following 12-weeks of normal activity.

Eligibility

Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* 50 years of age or older * Can exercise with minimal supervision (cleared for physical activity) * Can commit to a 12-week exercise program (2 sessions/week)

Exclusion criteria

* Under 50 years of age * Not cleared to perform physical activity

Design outcomes

Primary

MeasureTime frameDescription
Walking SpeedChange pre and post (after the 12 weeks)6-minute test (meters walked)
Strength, Arm Curl TestChange pre and post (after the 12 weeks)Number of bicep curls with light weight
Strength, Chair Stand TestChange pre and post (after the 12 weeks)Chair stand test, number of chair stand in 30 seconds
BalanceChange pre and post (after the 12 weeks)One leg stand test (seconds)
FlexibilityChange pre and post (after the 12 weeks)Back scratch test (cm). The Back Scratch Test is a measure of flexibility of your upper body. Place your right hand behind your back with your palm out and your fingers extended up. Reach up as far as possible and attempt to touch the fingers of your two hands together. Some people are not able to touch at all, while others' fingers may overlap. Position fingers so that they are pointing toward each other. The distance between the fingertips of one hand and the other is measured to the nearest half-inch. If fingers overlap, the amount of the overlap will be measured. Fingertips just touching receive a score of 0. If fingers do not touch, it is a negative score of the distance between the fingers, measured to the nearest .5 or half inch. It is a positive score if fingers overlap, measuring the overlap to the nearest .5 or half inch.

Secondary

MeasureTime frameDescription
Perceived Quality of LifePre and post (before and after the 12 week exercise program)The Short Form Health Survey - 36 items (SF-36) was used to measure day-to-day functioning and quality of life (Ware & Sherbourne, 1992). The scale is composed of eight domain subscales (i.e., Physical Functioning, Role Limitations due to Physical Health, Pain, General Health, Energy/Fatigue, Social Functioning, Role Limitations due to Emotional Problems, Emotional Well-Being) scored from 0 (worst) to 100 (excellent).
Depression, Anxiety, StressPre and post (before and after the 12 week exercise program)Depression Anxiety Stress Scales - 21 item (DASS-21) was used to measure past week depression, anxiety, and stress. Low is better. (Lovibond & Lovibond, 1995).

Other

MeasureTime frameDescription
Researcher-generated Measure of Exercise Self-efficacy Based on Bandura's Concept of Self-efficacyPre and post (before and after the 12 week exercise program)The outcome measure on exercise self-efficacy (based on Bandura's concept of self-efficacy) is measured on a 1-4 scale. A higher score is more desirable than a lower score
Blood Draw Via Finger Prick and Analyzed With a Cardiochek Machine for Cholesterol LevelsPre and post (before and after the 12 week exercise program)An individual's cholesterol levels in capillary blood, taken by a finger prick and assessed with a Cardiochek machine
Connectedness, Sense of Belonging, and FriendshipsFollowing the 12 week programAll collected information via interviews with participants
The Amount of Bodily Sway When Performing Tasks and Balancing.Pre and post (before and after the 12 week exercise program)Measured by a portable biomechanical board. Can detect sway through sensors.
Blood Draw Via Finger Prick and Analyzed With a Cardiochek MachinePre and post (before and after the 12 week exercise program)Blood draw via finger prick and analyzed with a Cardiochek machine An individual's glucose levels in capillary blood, taken by a finger prick and assessed with a Cardiochek machine
Measured on a Portable Biomechanical Board.Pre and post (after the 12 weeks)An individual's centre of mass as determined by sensors on a biomechanical board.
Systolic Blood PressurePre and post (after the 12 weeks)Blood pressure cuff (mmHg)
Resting Heart RatePre and post (after the 12 weeks)Radial pulse palpation (bpm)

Countries

Canada

Participant flow

Recruitment details

Recruitment occurred between January and March 2019. Participants were recruited through radio advertisements, newspapers, posters, and social media. Per the participants availability they were allocated to the randomization or preferred arm.

Pre-assignment details

Participants were excluded if they were not cleared by the Get Active Questionnaire and did not receive clearance from their primary physician to participate

Participants by arm

ArmCount
Intervention
Participants are offered to attend a 12-week exercise program, classes offered twice a week, each class 60 minutes in length. Zoomers on the Go Exercise Program: 60 minute exercise class involving resistance and aerobic training activities, as well as flexibility and balance activities. An educational handout is offered at the end of every class, relating to health behaviour.
30
Control
Participants are instructed to continue with their daily activities and their normal physical activity levels for 12-weeks.
29
Total59

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up02
Overall StudyProgram was too easy, discontinued10

Baseline characteristics

CharacteristicTotalInterventionControl
Age, Continuous66.4 years
STANDARD_DEVIATION 7.2
66.6 years
STANDARD_DEVIATION 7.2
66.1 years
STANDARD_DEVIATION 7
Body Mass Index (BMI)27.4 kg/m^2
STANDARD_DEVIATION 4.9
28.9 kg/m^2
STANDARD_DEVIATION 4.5
25.8 kg/m^2
STANDARD_DEVIATION 4.8
Household Income (>$100,000/year)12 Participants6.0 Participants6.0 Participants
Marital Status (Married)34 Participants14 Participants20 Participants
Occupation (Retired)33 Participants19 Participants14 Participants
Physical Activity Level (MVPA/week)58 Minutes of MVPA per week
STANDARD_DEVIATION 74
68 Minutes of MVPA per week
STANDARD_DEVIATION 68
48 Minutes of MVPA per week
STANDARD_DEVIATION 81
Physical Activity Level (Steps/day)6762 Steps/day
STANDARD_DEVIATION 2939
6349 Steps/day
STANDARD_DEVIATION 2903
7221 Steps/day
STANDARD_DEVIATION 2964
Race/Ethnicity, Customized0 Participants0 Participants0 Participants
Region of Enrollment
Canada
59 participants30 participants29 participants
Sex: Female, Male
Female
51 Participants28 Participants23 Participants
Sex: Female, Male
Male
8 Participants2 Participants6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 300 / 29
other
Total, other adverse events
0 / 300 / 29
serious
Total, serious adverse events
0 / 300 / 29

Outcome results

Primary

Balance

One leg stand test (seconds)

Time frame: Change pre and post (after the 12 weeks)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionBalancePre (eyes open)26.7 score on a scaleStandard Deviation 14.4
InterventionBalancePost (eyes open)34.7 score on a scaleStandard Deviation 13.4
InterventionBalancePre (eyes closed)5.0 score on a scaleStandard Deviation 3.4
InterventionBalancePost (eyes closed)5.3 score on a scaleStandard Deviation 3.5
ControlBalancePost (eyes closed)4.4 score on a scaleStandard Deviation 2.9
ControlBalancePre (eyes open)27.9 score on a scaleStandard Deviation 16.4
ControlBalancePre (eyes closed)4.9 score on a scaleStandard Deviation 3.2
ControlBalancePost (eyes open)29.7 score on a scaleStandard Deviation 15.6
Primary

Flexibility

Back scratch test (cm). The Back Scratch Test is a measure of flexibility of your upper body. Place your right hand behind your back with your palm out and your fingers extended up. Reach up as far as possible and attempt to touch the fingers of your two hands together. Some people are not able to touch at all, while others' fingers may overlap. Position fingers so that they are pointing toward each other. The distance between the fingertips of one hand and the other is measured to the nearest half-inch. If fingers overlap, the amount of the overlap will be measured. Fingertips just touching receive a score of 0. If fingers do not touch, it is a negative score of the distance between the fingers, measured to the nearest .5 or half inch. It is a positive score if fingers overlap, measuring the overlap to the nearest .5 or half inch.

Time frame: Change pre and post (after the 12 weeks)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionFlexibilityPre-7.5 centimetersStandard Deviation 9.9
InterventionFlexibilityPost-5.7 centimetersStandard Deviation 9.9
ControlFlexibilityPre-5.2 centimetersStandard Deviation 9.7
ControlFlexibilityPost-4.7 centimetersStandard Deviation 9.9
Primary

Strength, Arm Curl Test

Number of bicep curls with light weight

Time frame: Change pre and post (after the 12 weeks)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionStrength, Arm Curl TestPre20.1 reps/30 secondsStandard Deviation 5.1
InterventionStrength, Arm Curl TestPost23.9 reps/30 secondsStandard Deviation 4.9
ControlStrength, Arm Curl TestPre17.3 reps/30 secondsStandard Deviation 4.1
ControlStrength, Arm Curl TestPost17.4 reps/30 secondsStandard Deviation 3.5
Primary

Strength, Chair Stand Test

Chair stand test, number of chair stand in 30 seconds

Time frame: Change pre and post (after the 12 weeks)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionStrength, Chair Stand TestPre14.1 reps/30 secondsStandard Deviation 2.6
InterventionStrength, Chair Stand TestPost17.9 reps/30 secondsStandard Deviation 4.4
ControlStrength, Chair Stand TestPre13.6 reps/30 secondsStandard Deviation 2.7
ControlStrength, Chair Stand TestPost14.1 reps/30 secondsStandard Deviation 3.5
Primary

Walking Speed

6-minute test (meters walked)

Time frame: Change pre and post (after the 12 weeks)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionWalking SpeedPre476 metersStandard Deviation 94.3
InterventionWalking SpeedPost539 metersStandard Deviation 82.5
ControlWalking SpeedPre507 metersStandard Deviation 90.3
ControlWalking SpeedPost504 metersStandard Deviation 79.7
Secondary

Depression, Anxiety, Stress

Depression Anxiety Stress Scales - 21 item (DASS-21) was used to measure past week depression, anxiety, and stress. Low is better. (Lovibond & Lovibond, 1995).

Time frame: Pre and post (before and after the 12 week exercise program)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionDepression, Anxiety, StressPre Stress (0-28)6.0 score on a scaleStandard Deviation 5.6
InterventionDepression, Anxiety, StressPost Stress (0-28)4.1 score on a scaleStandard Deviation 3.9
InterventionDepression, Anxiety, StressPre Anxiety (0-20)3.5 score on a scaleStandard Deviation 3.8
InterventionDepression, Anxiety, StressPost Anxiety (0-20)3.2 score on a scaleStandard Deviation 3.3
InterventionDepression, Anxiety, StressPre Depression (0-34)4.8 score on a scaleStandard Deviation 6.3
InterventionDepression, Anxiety, StressPost Depression (0-34)3.2 score on a scaleStandard Deviation 5.6
ControlDepression, Anxiety, StressPre Depression (0-34)3.2 score on a scaleStandard Deviation 3.8
ControlDepression, Anxiety, StressPre Stress (0-28)5.7 score on a scaleStandard Deviation 6.2
ControlDepression, Anxiety, StressPost Anxiety (0-20)5.0 score on a scaleStandard Deviation 7.5
ControlDepression, Anxiety, StressPost Stress (0-28)8.2 score on a scaleStandard Deviation 7.7
ControlDepression, Anxiety, StressPost Depression (0-34)5.5 score on a scaleStandard Deviation 9.1
ControlDepression, Anxiety, StressPre Anxiety (0-20)2.6 score on a scaleStandard Deviation 4.7
Secondary

Perceived Quality of Life

The Short Form Health Survey - 36 items (SF-36) was used to measure day-to-day functioning and quality of life (Ware & Sherbourne, 1992). The scale is composed of eight domain subscales (i.e., Physical Functioning, Role Limitations due to Physical Health, Pain, General Health, Energy/Fatigue, Social Functioning, Role Limitations due to Emotional Problems, Emotional Well-Being) scored from 0 (worst) to 100 (excellent).

Time frame: Pre and post (before and after the 12 week exercise program)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionPerceived Quality of LifePre Physical Functioning78.0 score on a scaleStandard Deviation 21.2
InterventionPerceived Quality of LifePre Energy/Fatigue63.5 score on a scaleStandard Deviation 19.1
InterventionPerceived Quality of LifePre Pain73.5 score on a scaleStandard Deviation 22.3
InterventionPerceived Quality of LifePost Energy/Fatigue68.7 score on a scaleStandard Deviation 16.3
InterventionPerceived Quality of LifePre Limitations due to Physical Health78.3 score on a scaleStandard Deviation 33.9
InterventionPerceived Quality of LifePre Social Functioning90.2 score on a scaleStandard Deviation 14.9
InterventionPerceived Quality of LifePost Social Functioning92.1 score on a scaleStandard Deviation 13.7
InterventionPerceived Quality of LifePost Pain71.9 score on a scaleStandard Deviation 20.8
InterventionPerceived Quality of LifePre Limitations Emotional Problems84.6 score on a scaleStandard Deviation 28.3
InterventionPerceived Quality of LifePost Physical Functioning81.2 score on a scaleStandard Deviation 20.2
InterventionPerceived Quality of LifePost Limitations Emotional Problems88.9 score on a scaleStandard Deviation 25.3
InterventionPerceived Quality of LifePre General Health71.2 score on a scaleStandard Deviation 19.1
InterventionPerceived Quality of LifePre Emotional Well-Being80.4 score on a scaleStandard Deviation 13.5
InterventionPerceived Quality of LifePost Limitations due to Physical Health90.8 score on a scaleStandard Deviation 24.1
InterventionPerceived Quality of LifePost Emotional Well-Being84.7 score on a scaleStandard Deviation 10.2
InterventionPerceived Quality of LifePost General Health75.5 score on a scaleStandard Deviation 15.6
ControlPerceived Quality of LifePost Emotional Well-Being78.7 score on a scaleStandard Deviation 13.2
ControlPerceived Quality of LifePre Physical Functioning80.9 score on a scaleStandard Deviation 20.1
ControlPerceived Quality of LifePost Physical Functioning80.4 score on a scaleStandard Deviation 18.8
ControlPerceived Quality of LifePre Limitations due to Physical Health81.7 score on a scaleStandard Deviation 28.8
ControlPerceived Quality of LifePost Limitations due to Physical Health79.0 score on a scaleStandard Deviation 32.8
ControlPerceived Quality of LifePre Pain79.1 score on a scaleStandard Deviation 17.6
ControlPerceived Quality of LifePost Pain71.0 score on a scaleStandard Deviation 23
ControlPerceived Quality of LifePre General Health72.4 score on a scaleStandard Deviation 11.8
ControlPerceived Quality of LifePost General Health69.8 score on a scaleStandard Deviation 16.4
ControlPerceived Quality of LifePre Energy/Fatigue67.4 score on a scaleStandard Deviation 18
ControlPerceived Quality of LifePost Energy/Fatigue65.4 score on a scaleStandard Deviation 17.6
ControlPerceived Quality of LifePost Social Functioning86.4 score on a scaleStandard Deviation 19.1
ControlPerceived Quality of LifePre Limitations Emotional Problems78.8 score on a scaleStandard Deviation 33.8
ControlPerceived Quality of LifePost Limitations Emotional Problems84.0 score on a scaleStandard Deviation 32.1
ControlPerceived Quality of LifePre Emotional Well-Being82.5 score on a scaleStandard Deviation 12.4
ControlPerceived Quality of LifePre Social Functioning88.9 score on a scaleStandard Deviation 16.3
Other Pre-specified

Blood Draw Via Finger Prick and Analyzed With a Cardiochek Machine

Blood draw via finger prick and analyzed with a Cardiochek machine An individual's glucose levels in capillary blood, taken by a finger prick and assessed with a Cardiochek machine

Time frame: Pre and post (before and after the 12 week exercise program)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionBlood Draw Via Finger Prick and Analyzed With a Cardiochek MachinePre5.34 mmol/LStandard Deviation 0.69
InterventionBlood Draw Via Finger Prick and Analyzed With a Cardiochek MachinePost4.70 mmol/LStandard Deviation 0.52
ControlBlood Draw Via Finger Prick and Analyzed With a Cardiochek MachinePre5.61 mmol/LStandard Deviation 1.05
ControlBlood Draw Via Finger Prick and Analyzed With a Cardiochek MachinePost5.11 mmol/LStandard Deviation 0.65
Other Pre-specified

Blood Draw Via Finger Prick and Analyzed With a Cardiochek Machine for Cholesterol Levels

An individual's cholesterol levels in capillary blood, taken by a finger prick and assessed with a Cardiochek machine

Time frame: Pre and post (before and after the 12 week exercise program)

Other Pre-specified

Connectedness, Sense of Belonging, and Friendships

All collected information via interviews with participants

Time frame: Following the 12 week program

Other Pre-specified

Measured on a Portable Biomechanical Board.

An individual's centre of mass as determined by sensors on a biomechanical board.

Time frame: Pre and post (after the 12 weeks)

Other Pre-specified

Researcher-generated Measure of Exercise Self-efficacy Based on Bandura's Concept of Self-efficacy

The outcome measure on exercise self-efficacy (based on Bandura's concept of self-efficacy) is measured on a 1-4 scale. A higher score is more desirable than a lower score

Time frame: Pre and post (before and after the 12 week exercise program)

Other Pre-specified

Resting Heart Rate

Radial pulse palpation (bpm)

Time frame: Pre and post (after the 12 weeks)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionResting Heart RatePre68.1 beats per minuteStandard Deviation 9.4
InterventionResting Heart RatePost63.0 beats per minuteStandard Deviation 7
ControlResting Heart RatePre70.5 beats per minuteStandard Deviation 6.7
ControlResting Heart RatePost67.2 beats per minuteStandard Deviation 7.6
Other Pre-specified

Systolic Blood Pressure

Blood pressure cuff (mmHg)

Time frame: Pre and post (after the 12 weeks)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionSystolic Blood PressurePre123.8 mmHgStandard Deviation 12.6
InterventionSystolic Blood PressurePost125.7 mmHgStandard Deviation 14.9
ControlSystolic Blood PressurePre127.5 mmHgStandard Deviation 11.1
ControlSystolic Blood PressurePost124.5 mmHgStandard Deviation 9.5
Other Pre-specified

The Amount of Bodily Sway When Performing Tasks and Balancing.

Measured by a portable biomechanical board. Can detect sway through sensors.

Time frame: Pre and post (before and after the 12 week exercise program)

Source: ClinicalTrials.gov · Data processed: Feb 24, 2026