Evaluating Impact and Implementation of Choose to Move (Phase 3)

NCT05497648 | Completed

• 2 other identifiers: H15-02522PJT-153248
• Study Type: interventional
• Target: 1,216
• Locations: 1 country
• Sites: 1

Brief Summary

The objectives of this study are to 1) evaluate whether Choose to Move (CTM) improves health outcomes in older adults who participate and 2) assess whether CTM is delivered as planned and what factors support or inhibit delivery at scale. CTM is a 6 month, choice-based program for low active older adults being scaled-up across British Columbia, Canada. The goals of CTM are to enhance physical activity, mobility and social connectedness in older adults living in British Columbia, Canada.

Conditions

Aging; Physical Inactivity; Mobility Limitation; Loneliness; Social Isolation

Keywords

implementation science; scale-up; behaviour change; physical activity; mobility; loneliness; social connectedness; social isolation; older adults; fidelity; adaptation

Outcome Measures

Primary Outcomes (1)

• Change in physical activity

  The single item physical activity questionnaire will be used to measure physical activity (Milton, Bull \& Bauman, 2011). Output variable is self-reported number of days/week ≥30 min PA in the past week.

  0, 3, 6, 18-months

Secondary Outcomes (13)

• Change in loneliness

  0, 3, 6, 18-months

• Change in social isolation

  0, 3, 6, 18-months

• Change in physical functioning

  0, 3, 6, 18-months

• Change in physical activity (PAAQ)

  0, 3, 6, 18-months

• Change in health-related quality of life (EQ-5D-5L Profile)

  0, 3, 6, 18-months

Other Outcomes (8)

• Reach-individual

  6 months

• Reach-organizational

  6 months

• Dose

  6 months

Study Arms (1)

Choose to Move

EXPERIMENTAL

Individuals responsible for delivering Choose to Move and older adults enrolled in Choose to Move

Behavioral: Choose to Move

Interventions

Choose to Move BEHAVIORAL

CTM (phase 3) is a 6-month, flexible, evidence- and choice-based program for low active older adults. CTM includes * One-on-One Consultation Participants meet 1-on-1 with their activity coach at the start of the program to set goals and develop an action plan tailored to their abilities, interests and resources. Older adults can choose to participate in individual or group-based activities. * Group Meetings Over the first three months, participants will attend five, 1-hour group-based meetings (up to 12 participants total) led by their activity coach. Meetings cover a discussion topic and provide time and space for social connection between participants. * Check-ins Over the six month program, activity coaches will provide six brief telephone check-ins (approximately 15 minutes each and once/month) to discuss their Action Plan and ask questions.

Also known as: CTM

Choose to Move

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• ≥60 years of age,
• demonstrate readiness for physical activity via the PAR-Q+ questionnaire (Warburton et al 2011), Get Active Questionnaire (Canadian Society for Exercise Physiology 2017) or a letter of recommendation from their physician
• \<150 min/week physical activity
• English speaking

You may not qualify if:

• \- previous participation in CTM
• Activity coaches will be English speaking BCRPA Registered Older Adult Fitness Leaders or Kinesiologists who are delivering CTM at participating centres
• Recreation Managers and Coordinators affiliated with participating centres delivering CTM
• Provincial Partners (e.g., individuals/partners who make strategic and/or policy decisions) at partner organizations delivering Choose to Move

Sponsors & Collaborators

• University of British Columbia: lead
• Canadian Institutes of Health Research (CIHR): collaborator
• Active Aging Society: collaborator

Study Sites (1)

Centre for Hip Health and Mobility

Vancouver, British Columbia, V5Z 1M9, Canada

Location

Related Publications (16)

• Canadian Society for Exercise Physiology. Get Active Questionnaire. 2017. Available: https://csep.ca/wp-content/uploads/2021/05/GETACTIVEQUESTIONNAIRE_ENG.pdf

  BACKGROUND

• Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care. 2012 Mar;50(3):217-26. doi: 10.1097/MLR.0b013e3182408812.

  PMID: 22310560 BACKGROUND

• Durlak JA, DuPre EP. Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. Am J Community Psychol. 2008 Jun;41(3-4):327-50. doi: 10.1007/s10464-008-9165-0.

  PMID: 18322790 BACKGROUND

• EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy. 1990 Dec;16(3):199-208. doi: 10.1016/0168-8510(90)90421-9.

  PMID: 10109801 BACKGROUND

• Garriguet D, Tremblay S, Colley RC. Comparison of Physical Activity Adult Questionnaire results with accelerometer data. Health Rep. 2015 Jul;26(7):11-7.

  PMID: 26177042 BACKGROUND

• Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, Scherr PA, Wallace RB. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994 Mar;49(2):M85-94. doi: 10.1093/geronj/49.2.m85.

  PMID: 8126356 BACKGROUND

• Hughes ME, Waite LJ, Hawkley LC, Cacioppo JT. A Short Scale for Measuring Loneliness in Large Surveys: Results From Two Population-Based Studies. Res Aging. 2004;26(6):655-672. doi: 10.1177/0164027504268574.

  PMID: 18504506 BACKGROUND

• Lubben J, Blozik E, Gillmann G, Iliffe S, von Renteln Kruse W, Beck JC, Stuck AE. Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations. Gerontologist. 2006 Aug;46(4):503-13. doi: 10.1093/geront/46.4.503.

  PMID: 16921004 BACKGROUND

• Marshall AL, Miller YD, Burton NW, Brown WJ. Measuring total and domain-specific sitting: a study of reliability and validity. Med Sci Sports Exerc. 2010 Jun;42(6):1094-102. doi: 10.1249/MSS.0b013e3181c5ec18.

  PMID: 19997030 BACKGROUND

• Milton K, Bull FC, Bauman A. Reliability and validity testing of a single-item physical activity measure. Br J Sports Med. 2011 Mar;45(3):203-8. doi: 10.1136/bjsm.2009.068395. Epub 2010 May 19.

  PMID: 20484314 BACKGROUND

• Milton K, Clemes S, Bull F. Can a single question provide an accurate measure of physical activity? Br J Sports Med. 2013 Jan;47(1):44-8. doi: 10.1136/bjsports-2011-090899. Epub 2012 Apr 20.

  PMID: 22522584 BACKGROUND

• Simonsick EM, Newman AB, Visser M, Goodpaster B, Kritchevsky SB, Rubin S, Nevitt MC, Harris TB; Health, Aging and Body Composition Study. Mobility limitation in self-described well-functioning older adults: importance of endurance walk testing. J Gerontol A Biol Sci Med Sci. 2008 Aug;63(8):841-7. doi: 10.1093/gerona/63.8.841.

  PMID: 18772472 BACKGROUND

• Stewart AL, Mills KM, King AC, Haskell WL, Gillis D, Ritter PL. CHAMPS physical activity questionnaire for older adults: outcomes for interventions. Med Sci Sports Exerc. 2001 Jul;33(7):1126-41. doi: 10.1097/00005768-200107000-00010.

  PMID: 11445760 BACKGROUND

• Veroff, J.; Kulka, R. A.; Douvan, E. Mental health in America: Patterns of help-seeking from 1957-1976. Basic Books: New York, 1981.

  BACKGROUND

• Warburton DE, Jamnik VK, Bredin SSD, Gledhill N, on behalf of the PAR-Q+ Collaboration. The Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) and Electronic Physical Activity Readiness Medical Examination (ePARmed-X+). Health & Fitness Journal of Canada. 2011;4(2):3-23.

  BACKGROUND

• Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83.

  PMID: 1593914 BACKGROUND

Related Links

• Website for the Choose to Move Program

MeSH Terms

Conditions

Sedentary Behavior; Mobility Limitation; Social Isolation; Motor Activity

Condition Hierarchy (Ancestors)

Behavior; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Social Behavior

Study Officials

• Heather A McKay

  University of British Columbia

  PRINCIPAL INVESTIGATOR

• Joanie Sims Gould

  University of British Columbia

  PRINCIPAL INVESTIGATOR

• Matthew Herman, MSc

  Ministry of Health, British Columbia

  PRINCIPAL INVESTIGATOR

• Adrian Bauman, PhD

  University of Sydney

  PRINCIPAL INVESTIGATOR

• Dawn Mackey, PhD

  Simon Fraser University

  PRINCIPAL INVESTIGATOR

• Karim Miran-Khan, PhD

  University of British Columbia

  PRINCIPAL INVESTIGATOR

• Patti-Jean Naylor, PhD

  University of Victoria

  PRINCIPAL INVESTIGATOR

• Paul Stolee, PhD

  University of Waterloo

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: August 5, 2022
• First Posted: August 11, 2022
• Study Start: January 16, 2018
• Primary Completion: May 25, 2021
• Study Completion: May 25, 2021
• Last Updated: August 22, 2022

Record last verified: 2022-08

Locations

CA (1)