Intellectual Disability
Conditions
Keywords
physical activity, walking, older adults with an intellectual disability
Brief summary
Determine the feasibility and acceptability of We Walk Plus intervention to promote physical activity and improve cognition for older adults with intellectual disabilities (ID).
Detailed description
We Walk Plus study consists of: (1) a user friendly physical activity tracker (i.e., Fitbit Charge HR ); (2) user-centered social networking (e.g., Fitbit community); and (3) the iCardia platform for monitoring daily Fitbit physical activity and wear time and sending personalized text-messages targeting physical activity and self-efficacy. The specific aims of this two-arm RCT pilot are to: 1) assess the feasibility and acceptability of the We Walk Plus intervention and 2) explore the preliminary efficacy of We Walk Plus on physical activity and well-being.
Interventions
The frequency and content of weekly personalized SMS are based on each participant's preference. Prior to implementation of intervention, the investigators will conduct focus groups to learn participants' social network activities and preferences, strategies that can be used to encourage engagement via a private Fitbit community network.
Sponsors
Study design
Intervention model description
Participants are randomized to the intervention or control group
Eligibility
Inclusion criteria
* Men and women with mild or moderate intellectual disabilities; * ages 35-60; * able to speak, read English and willing to provide consent to enroll; * able to follow instructions and walk, physically inactive; * willing to receive SMS, wear Fitbit throughout the study; * living with family or in a community residence; * support persons are willing to assist participants to ensure the Fitbit functions properly.
Exclusion criteria
* Inability to follow instructions; * diagnosis of coronary disease or uncontrolled hypertension, smokers, physically active; * participating in a health promotion program; * having mental illness or behavior problems; * support persons unable or unwilling to assist participants with Fitbit devices, if needed.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity | 12 weeks | daily steps |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cardiovascular fitness | 12 weeks | modified six-minute walk test |
| Self-efficacy to physical activity | 12 weeks | Physical Activity Self-efficacy/Social Support scale will be used to assess confidence to perform physical activity |
| Attention & executive function | 12 weeks | Flanker Inhibitory Control and Attention Test -a standard test from the NIH toolbox which has been adapted and validated for individuals with ID to assess one's limited capacities to deal with an abundance of environmental stimulation. |
| Working memory | 12 weeks | List Sorting Working Memory Test-a standard test from the NIH toolbox which has been adapted and validated for individuals with ID to assess the ability to store information. |
| Executive function | 12 weeks | Dimensional Change Card Sort Test -a standard test from the NIH toolbox which has been adapted and validated for individuals with ID to assess one's capacity to plan, organize, and monitor the executive of behaviors. |
| Processing speed | 12 weeks | Pattern Comparison Processing Speed Test- a standard test from the NIH toolbox which has been adapted and validated for individuals with ID to assess the amount of information that can be processed within a certain unit of time. |
Countries
United States