Nurse Physical Activity Counseling in Primary Care

NCT00105781 | Completed

• 1 other identifier: NRI 99-334
• Study Type: interventional
• Target: 240
• Locations: 1 country
• Sites: 1

Brief Summary

Aging veterans with functional impairments followed in primary care clinics were randomized to counseling for a walking plus strength exercise home-based exercise program or to health education by a nurse. Exercise participants attended 3 intervention sessions totaling about 100 minutes of contact with the nurse and a physical therapy assistant over 10 months. They were also asked to record walking and strength exercise on monthly calendars and received motivational automated phone messages. Education control patients discussed health topics of their choice with the nurse. Materials were based on National Institute of Aging materials currently available on the internet. After 10 months, the exercise participants reported more time spent in walking and strength exercise and accelerometer data indicated a greater increase in time spent in moderate or higher intensity activity per day. Participants who engaged in strength exercises improved more on functional fitness tests and quality of life after 10 months. Analyses from the cognitive sub-study remain incomplete.

Conditions

Frail Elderly; Aged; Physical Fitness

Keywords

Nurses; Telephone; Counseling; Exercise

Outcome Measures

Primary Outcomes (1)

• Minutes and days per week of walking and strength training exercise at 5 and 10

Secondary Outcomes (1)

• Functional fitness tests, Accelerometer activity, Quality of Life, and Cognitive performance in sub-sample

Study Arms (1)

Arm 1

OTHER

Behavioral: Exercise counseling

Interventions

Exercise counseling BEHAVIORAL

Arm 1

Eligibility Criteria

• Age: 60 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Referred by primary care providers in VA primary care clinics. Interested and willing to try to increase physical activity. Some self-reported or observed impairments in physical function. Excluded if there are health conditions that make home-based exercise not appropriate. Observed or self-reported physical function impairment Able to walk for health Living independently in community Able to return to VA MedicalCenter for research visits Enrolled in primary care Access to telephone

You may not qualify if:

• Any of these within 6 months: myocardial infarction, congestive heart failure, TIA or stroke, leg fracture, seizure, uncontrolled arrhythmia, unstable angina Uncontrolled diabetes, hypertension, dyslipidemia FEV1 less than 1.5 Any condition that provider believes would make unsupervised exercise unsafe

Sponsors & Collaborators

• US Department of Veterans Affairs: lead

Study Sites (1)

G.V. (Sonny) Montgomery VA Medical Center, Jackson, MS

Jacksonport, Arkansas, 39216, United States

Location

Related Publications (1)

• Dubbert PM, Morey MC, Kirchner KA, Meydrech EF, Grothe K. Counseling for home-based walking and strength exercise in older primary care patients. Arch Intern Med. 2008 May 12;168(9):979-86. doi: 10.1001/archinte.168.9.979.

  PMID: 18474762 RESULT

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Patricia M. Dubbert, PhD

  G.V. (Sonny) Montgomery VA Medical Center, Jackson, MS

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 16, 2005
• First Posted: March 17, 2005
• Study Start: November 1, 2002
• Study Completion: February 1, 2006
• Last Updated: April 7, 2015

Record last verified: 2007-05

Locations

US (1)