Feasibility of a Physical Activity Programme for Older Adults in Nursing Homes

NCT03484715 | Unknown

• 1 other identifier: GOIPD/2017/1301
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

Older people living in nursing homes spend the majority of their time inactive. The current study has designed a physical activity intervention for older people living in nursing homes whereby the participants will incorporate more physical activity throughout their daily activities. Each participant's physical activity programme will be tailored to their physical abilities and to a pre-defined goal. The aim of this pilot feasibility study is to explore the feasibility and acceptability of this physical activity programme and to examine the preliminary effects of this on physical mobility and health-related quality of life, when compared to a usual care control group.

Conditions

Old Age

Keywords

Physical Activity; Nursing Home; Feasibility; Older Adults

Outcome Measures

Primary Outcomes (9)

• Proportion of eligible nursing homes which agree to participate in study

  This will be expressed as a percentage of nursing homes which agree to participate in study out of the nursing homes which were invited to participle in study.

  Up to 2 months

• Proportion of eligible nursing home residents which agree to participate in study

  This will be expressed as a percentage of participants which agree to participate in study out of the participants which were invited to participle in study.

  Up to 1 month

• Time for recruitment of nursing homes

  This is be defined as time from initial contact with first nursing home to signing of final nursing home participation form and will be expressed as number weeks and days.

  Up to 2 months

• Time for recruitment of participants within nursing homes

  This is be defined as time from initial contact with first participant to signing of final participant consent form and will be expressed as number of weeks and days.

  Up to 1 month

• Retention rate of nursing homes at 4 month follow-up.

  This is defined as percentage of nursing homes remaining in study at 4 month follow-up.

  Assessed at 4 month follow-up.

• Retention rate of nursing homes at 12 month follow-up

  This is defined as percentage of nursing homes remaining in the study at 12 month follow-up.

  Assessed at 12 month follow-up.

• Retention rate of participants at 4 months

  This is defined as percentage of participants remaining in study at 4 month follow-up.

  Assessed at 4 month follow-up

• Retention rate of participants at 12 month follow-up

  This is defined as percentage of participants remaining in the study at 12 month follow-up.

  Assessed at 12 month follow-up.

• Adherence rate of participants to the intervention

  This will provide feasibility data. This will be expressed as the percentage of participants completing 75% of their physical activity programme according to the participant adherence sheets.

  Assessed at 4 month follow-up

Secondary Outcomes (5)

• Timed Up and Go Test

  This will be assessed at baseline, directly after completion of the intervention at 4 months and at 12 months after the start of the intervention.

• Nottingham Health Profile

  This will be assessed at baseline, directly after completion of the intervention at 4 months and at 12 months after the start of the intervention

• 10 Metre Walk Test

  This will be assessed at baseline, directly after completion of the intervention at 4 months and at 12 months after the start of the intervention

• ICEpop CAPability measure for Older people (ICECAP-O)

  This will be assessed at baseline, directly after completion of the intervention at 4 months and at 12 months after the start of the intervention.

• Bangor Goal Setting Interview

  This will be assessed at baseline, directly after completion of the intervention at 4 months and at 12 months after the start of the intervention

Study Arms (2)

Physical Activity Intervention

EXPERIMENTAL

Each participant in this arm will outline a small number of activity-related goals and will receive a 4 month personalised physical programme where additional physical activity will be incorporated into their daily routines. Nursing home staff will receive two educational sessions, which will provide them with the necessary skills to monitor participants physical activity programmes within the nursing home.

Behavioral: Physical Activity Intervention

Usual Care Control

NO INTERVENTION

The participants in the control arm will receive usual care, which will be guided by current nursing and medical care plans.

Interventions

Physical Activity Intervention BEHAVIORAL

A physical activity programme will be developed by the researcher for each participant. Integral to each physical activity programme will be a walking component (i.e. structured and gradual increases in daily walking time) and sit-to-stand exercises (i.e. a specified number of repeated rises from a chair). The rest of the physical activity programme will be tailored around each participant's specific functional goal and will be based on repeating particular functional activities. This programme will take place on 3 days per week in month 1, 4 days per week in month 2 and 3, and 5 days a week in month 4.

Physical Activity Intervention

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Aged 65 or over.
• Can speak and understand English.
• Resident in nursing home for at least 3 months.
• Able to rise from a chair with armrests (with or without a walking aid) and able to walk at least 10 metres (with or without a walking aid) independently or with minimal assistance.
• Approval of the resident's General Practitioner to participate.
• Cognitively capable of providing informed consent to participate, as judged by the key nurse caring for the participant.
• Cognitive function of a score of greater than 20 on the Mini Mental State Examination.

You may not qualify if:

• Admission to nursing home for respite or end-stage terminal care.
• A significant sensory impairment, physical impairment or illness that impairs their ability to participate.
• Uncontrolled cardiovascular, musculoskeletal or neurological disorders.

Sponsors & Collaborators

• National University of Ireland, Galway, Ireland: lead
• Irish Research Council: collaborator

Related Publications (9)

• Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U; Lancet Physical Activity Series Working Group. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012 Jul 21;380(9838):247-57. doi: 10.1016/S0140-6736(12)60646-1.

  PMID: 22818937 BACKGROUND

• Crocker T, Forster A, Young J, Brown L, Ozer S, Smith J, Green J, Hardy J, Burns E, Glidewell E, Greenwood DC. Physical rehabilitation for older people in long-term care. Cochrane Database Syst Rev. 2013 Feb 28;2013(2):CD004294. doi: 10.1002/14651858.CD004294.pub3.

  PMID: 23450551 BACKGROUND

• Peri K, Kerse N, Robinson E, Parsons M, Parsons J, Latham N. Does functionally based activity make a difference to health status and mobility? A randomised controlled trial in residential care facilities (The Promoting Independent Living Study; PILS). Age Ageing. 2008 Jan;37(1):57-63. doi: 10.1093/ageing/afm135. Epub 2007 Oct 25.

  PMID: 17965045 BACKGROUND

• Bandura A. Health promotion by social cognitive means. Health Educ Behav. 2004 Apr;31(2):143-64. doi: 10.1177/1090198104263660.

  PMID: 15090118 BACKGROUND

• Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 3(2): 77-101, 2006.

  BACKGROUND

• Herdman M, Gudex C, Lloyd A, Janssen M, Kind P, Parkin D, Bonsel G, Badia X. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res. 2011 Dec;20(10):1727-36. doi: 10.1007/s11136-011-9903-x. Epub 2011 Apr 9.

  PMID: 21479777 BACKGROUND

• Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.

  PMID: 1991946 BACKGROUND

• Holthe T, Thorsen K, Josephsson S. Occupational patterns of people with dementia in residential care: an ethnographic study. Scand J Occup Ther. 2007 Jun;14(2):96-107. doi: 10.1080/11038120600963796.

  PMID: 17538854 BACKGROUND

• Barrett E, Gillespie P, Newell J, Casey D. Feasibility of a physical activity programme embedded into the daily lives of older adults living in nursing homes: protocol for a randomised controlled pilot feasibility study. Trials. 2018 Aug 29;19(1):461. doi: 10.1186/s13063-018-2848-4.

  PMID: 30157920 DERIVED

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Eva Barrett, PhD

  National Univeristy of Ireland, Galway

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Eva Barrett, PhD

CONTACT

00353 91 493986; eva.e.barrett@nuigalway.ie

Dympna Casey, Prof

CONTACT

00353 91 493652; dympna.casey@nuigalway.ie

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: As the primary aim of this study is to establish feasibility of the intervention and study processes, there will be no outcome assessor or participant blinding.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Postdoctoral Fellow

Model Details: Randomised controlled pilot feasibility study

Study Record Dates

• First Submitted: March 6, 2018
• First Posted: April 2, 2018
• Study Start: May 1, 2018
• Primary Completion: June 30, 2019
• Study Completion: July 31, 2019
• Last Updated: April 2, 2018

Record last verified: 2018-03

Data Sharing

• IPD Sharing: Will not share