Coach2Move: Sustainable in Daily Practice

NCT03212859 | Completed

• 1 other identifier: 104612
• Study Type: interventional
• Target: 292
• Locations: 1 country
• Sites: 1

Brief Summary

Implementation of a previously shown (cost-)effective physical therapeutic treatment strategy for community-dwelling older adults.

Conditions

Sedentary Lifestyle; Physical Activity; Frail Elderly Syndrome

Keywords

older adults; physiotherapy; physical activity

Outcome Measures

Primary Outcomes (2)

• Self-reported Physical Activity

  The primary outcome of the study is physical activity measured by the LAPAQ questionnaire, subscale moderate activity. This subscale of the LAPAQ is a comprehensive questionnaire on diverse (physical) activities of daily living with moderate intensity including walking, riding a bicycle etc. and is specifically designed to assess habitual physical activity of the elderly.

  27 months

• Functional Mobility

  The key secondary outcome is functional mobility as measured by the Timed Up and Go test.

  27 months

Secondary Outcomes (4)

• Functional Status

  12 months

• Cost effectiveness

  27 months

• Patient Satisfaction

  27 months

• Level of Frailty

  27 months

Other Outcomes (2)

• Implementability

  27 months

• Budget Impact

  27 months

Study Arms (2)

Coach2Move Intervention Group

EXPERIMENTAL

Coach2Move Intervention Group

Behavioral: Coach2Move

Usual Care

ACTIVE COMPARATOR

Usual care physiotherapy among older adults

Behavioral: Usual Care

Interventions

Coach2Move BEHAVIORAL

Coach2Move is a multicomponent physiotherapeutic approach in addition to usual care physiotherapy consisting of: * Extensive intake during which not only impairments and disabilities, but wishes, barriers and facilitators considering physical functioning are profoundly examined. * Motivational interviewing is used to find and deal with barriers for becoming physically active and shared-decision making in goal setting. * The approach is patient focused (tailor made) and goal-oriented: the physiotherapist coaches the patient and the environment in reaching and maintaining their own goals. * In consultation with the patient, a stratified intervention is chosen by picking the best fitting option out of three patient-tailored intervention profiles with a predefined number of intervention sessions.

Coach2Move Intervention Group

Usual Care BEHAVIORAL

Usual care physiotherapy among older adults: * Intake of 30 minutes consisting of examining medical history, physical functioning and functional exercises to assess the demand for care. * Use of treatment modalities to enhance physical functioning (strength, mobility, coordination, balance etc.) * Consultation and advisory role in relation to the functional status of geriatric patients and his/her relations. * Collaborate with other disciplines in a multidisciplinary context.

Usual Care

Eligibility Criteria

• Age: 70 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Aged 70 years or older
• Community-dwelling
• mobility related problems or problems related to activities of daily living
• sedentary lifestyle or are at risk of losing an active lifestyle

You may not qualify if:

• Patients who are not ambulatory after treatment and/or are in palliative phase.
• Patients who are indicated to become institutionalised in the near future.

Sponsors & Collaborators

• Radboud University Medical Center: lead
• ZonMw: The Netherlands Organisation for Health Research and Development: collaborator

Study Sites (1)

Ward Heij

Nijmegen, Gelderland, 6500 HB, PO. 9101, Netherlands

Location

Related Publications (2)

• Heij W, Sweerts L, Staal JB, Teerenstra S, Adang E, van der Wees PJ, Nijhuis-van der Sanden MWG, Hoogeboom TJ. Implementing a Personalized Physical Therapy Approach (Coach2Move) Is Effective in Increasing Physical Activity and Improving Functional Mobility in Older Adults: A Cluster-Randomized, Stepped Wedge Trial. Phys Ther. 2022 Dec 6;102(12):pzac138. doi: 10.1093/ptj/pzac138.

  PMID: 36200397 DERIVED

• Heij W, Teerenstra S, Sweerts L, Staal JB, Nijhuis-van der Sanden MWG, Hoogeboom TJ. Implementation of a Cost-Effective Physical Therapy Approach (Coach2Move) to Improve Physical Activity in Community-Dwelling Older Adults With Mobility Problems: Protocol for a Cluster-Randomized, Stepped Wedge Trial. Phys Ther. 2020 Apr 17;100(4):653-661. doi: 10.1093/ptj/pzz183.

  PMID: 31846501 DERIVED

Related Links

• Previous Trial
• Previous Trial

MeSH Terms

Conditions

Sedentary Behavior; Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Ward Heij, MSc

  Radboud University Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: stepped wedge cluster randomised trial and mixed methods process analysis

Study Record Dates

• First Submitted: June 28, 2017
• First Posted: July 11, 2017
• Study Start: November 6, 2017
• Primary Completion: September 4, 2020
• Study Completion: September 4, 2020
• Last Updated: March 17, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share

Locations

NL (1)