Caregiver, Older Adults, Physical Activity, Sedentary Behavior
Conditions
Keywords
caregiver, patient, e-Course
Brief summary
Hospitalization creates opportunities for older adults to accumulate prolonged periods of sitting and lying (defined as sedentary behavior) which can result in mobility loss. We propose a Type 1 Hybrid Effectiveness-Implementation Trial with 1:1 randomization to test the effect of a caregiver intervention on older patients' physical activity at 3 months (home). We will recruit 61 patients and family caregivers from hospital units and follow them for 3 months; the primary outcome is patients' daily step count at 3 months.
Interventions
BEHAVIORALBetter Together
Patient and caregiver dyads from both groups will receive usual care during hospitalization and following discharge. This will include a handout on strategies for safely remaining active. Caregiver participants in the intervention group will receive up to six telephone or video calls with the research assistant or Clinical Resource Therapist. Sessions will review the knowledge translation (KT) product with family members (\ 15 minutes), art goals, brainstorm strategies, and discuss setbacks. The calls with the caregiver may occur 1 to 2 times in the hospital, within one week of going home, and then in Months 2 and 3.
BEHAVIORALUsual Care
Patient and caregiver dyads from both groups will receive usual care during hospitalization and following discharge. This will include a handout on strategies for safely remaining active.
Sponsors
University of British Columbia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Older adults (60 years and older) with a recent hospitalization and their caregiver.
Exclusion criteria
Caregivers and older adults with a dementia diagnosis, head injury, significant neurological impairment, or receive treatment for medical conditions that preclude exercising.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Veterans Rand-12 Quality of Life | baseline and 3 months | 12 item quality of life survey |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Action Plans behaviors | baseline and 3 months | self-reported health behavior questions |
| Physical Activity Self-efficacy | baseline and 3 months | self-reported health behavior questions |
| Physical Activity Risk Perceptions | baseline and 3 months | self-reported health behavior questions |
| Physical Activity Outcome Expectancies | baseline and 3 months | self-reported health behavior questions |
| Self-reported Habit Index | baseline and 3 months | self-reported health behavior questions |
| Program implementation | baseline and 3 months | Semi-structured interviews or focus groups with patients, caregivers, and heath providers to understand factors related program implementation. |
| Daily minutes sedentary behavior | baseline to 3 months | daily minutes of sedentary behavior measured with an activity monitor |
| Daily minutes of physical activity | baseline to 3 months | daily minutes of physical activity measured with an activity monitor |
| Patient Assessment with Chronic Illness Care Survey | 3 months | 20-item survey with questions related to experience with hospitalization. |
| Brief Action Planning (BAP) | baseline and 3 months | Goal setting |
| Coping Plans | baseline and 3 months | self-reported health behavior questions |
| Physical Activity Intentions | baseline and 3 months | self-reported health behavior questions |
Other
| Measure | Time frame | Description |
|---|---|---|
| Falls Efficacy Scale International (FES-I) | baseline and 3 months | 16 questions related to falls self-efficacy. Scoring: minimum 16 (no falling concerns) to maximum 64 (high falling concern) |
| Brief Test of Adult Cognition by Telephone | baseline and 3 months | cognitive test |
| Unified Theory of Acceptance and Use of Technology 2 Survey | baseline and 3 months | self-report questions on perceptions of using technology |
| Steps per day | baseline to 3 months | activity monitor |
| Falls | baseline to 3 months | monthly falls diary |
Countries
Canada
Outcome results
None listed