Evaluating Impact and Implementation of Choose to Move (Phase 4)

NCT05678985 | Completed

• 2 other identifiers: H20-00780PJT-169159
• Study Type: interventional
• Target: 550
• Locations: 1 country
• Sites: 1

Brief Summary

The objectives of this study are to: 1) evaluate whether Choose to Move (CTM) Phase 4 improves health outcomes in older adults who participate and 2) assess whether CTM Phase 4 is delivered as planned and what factors support or inhibit its delivery at scale. CTM Phase 4 is a 3-month, choice-based program for low active older adults being scaled-up across British Columbia (BC), Canada. The goals of CTM are to enhance physical activity, mobility and social connectedness in older adults living in BC, Canada.

Conditions

Aging; Mobility Limitation; Sedentary Behaviour; Loneliness; Social Isolation; Social Connectedness

Keywords

Older adults; Behaviour change; Physical inactivity; Mobility; Social connectedness; Loneliness; Effectiveness; Maintenance; Implementation; Adaptation; Acceptability; Feasibility; Fidelity; Dose

Outcome Measures

Primary Outcomes (1)

• Change in physical activity

  The single item physical activity questionnaire will be used to measure physical activity. Output variable is self-reported number of days/week ≥30 min physical activity in the past week (range 0-7).

  0, 3, 6, 15, 27-months

Secondary Outcomes (12)

• Change in capacity for mobility

  0, 3, 6, 15, 27-months

• Change in physical functioning

  0, 3, 6, 15, 27-months

• Change in mobility

  0, 3, 6, 15, 27-months

• Change in loneliness

  0, 3, 6, 15, 27-months

• Change in social isolation

  0, 3, 6, 15, 27-months

Other Outcomes (15)

• Reach-individual

  3-months

• Reach-organizational

  3-months

• Dose delivered

  3-months

Study Arms (1)

Choose to Move

EXPERIMENTAL

CTM (Phase 4) is a 3-month, flexible, choice-based program for low active older adults that can be delivered in-person or online. 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 3-months, participants will attend eight, 1-hour group-based meetings (up to 12 participants total) led by their activity coach. Meetings cover a discussion topic (health-related) and provide time and space for social connection between participants. Group meetings are held in person or online as public health restrictions and community preference dictate.

Behavioral: Choose to Move

Interventions

Choose to Move BEHAVIORAL

As described under study arm description.

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, Get Active Questionnaire, or a letter of recommendation from their physician
• \<150 min/week physical activity
• English speaking
• Able to connect to the Zoom or GoToMeeting platform via phone or internet in order to participate in virtual group meetings (for online programs only)

You may not qualify if:

• Previous participation in CTM
• Activity coaches will be English speaking, British Columbia Recreation and Parks Association (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
• Able to connect to the Zoom or GoToMeeting platform via internet (video and audio required in order to see and hear participants) for online programs
• Able to connect to the Zoom or GoToMeeting platform via phone or internet in order to participate in virtual group meetings (for online programs only)
• Currently (or recently completed) participating in CTM evaluation

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, Robert H.N. Ho Research Centre, University of British Columbia

Vancouver, British Columbia, V5Z 1M9, Canada

Location

Related Publications (16)

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  PMID: 22310560 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

• Lau, E. Y., Wandersman, A.H., & Pate, R. R. Factors Influencing Implementation of Youth Physical Activity Interventions: An Expert Perspective. Translational Journal of the ACSM: July 1, 2016 - Volume 1 - Issue 7 - p 60-70 doi: 10.1249/TJX.0000000000000006

  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

• Rejeski WJ, Rushing J, Guralnik JM, Ip EH, King AC, Manini TM, Marsh AP, McDermott MM, Fielding RA, Newman AB, Tudor-Locke C, Gill TM; LIFE Study Group. The MAT-sf: identifying risk for major mobility disability. J Gerontol A Biol Sci Med Sci. 2015 May;70(5):641-6. doi: 10.1093/gerona/glv003. Epub 2015 Feb 13.

  PMID: 25680917 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

• 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

• Veroff, J., Kulka, R. A., & Douvan, E. A. M. (1981). Mental health in America: patterns of help-seeking from, 1957 to 1976: patterns of help-seeking from 1957 to 1976. Basic Books.

  BACKGROUND

• Warburton, D. E., Jamnik, V. K., Bredin, S. S., & Gledhill, N. (2011). The physical activity readiness questionnaire for everyone (PAR-Q+) and electronic physical activity readiness medical examination (ePARmed-X+). The Health & Fitness Journal of Canada, 4(2), 3-17.

  BACKGROUND

• Ware, J. E. (1989). SF-36 health status questionnaire. Boston, MA: Institute for the Improvement of Medical Care and Health, New England Medical Center Hospital, Quality Quest Inc.

  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

• Holt, D.T., Armenakis, A.A., Feild, H.S., & Harris, S.G. Readiness for Organizational Change: the systematic development of a scale. The Journal of Applied Behavioral Science. 2007; 43(2): 232-255. https://doi.org/10.1177/0021886306295295

  BACKGROUND

• Vancouver Coastal Health, Fraser Health, University of British Columbia. My Health My Community Survey. 2014. https://myhealthmycommunity.org/

  BACKGROUND

• Nettlefold L, Macdonald HM, Sims Gould J, Bauman A, Szewczyk Z, McKay HA. Does optimizing Choose to Move - a health-promoting program for older adults - enhance scalability, program implementation and effectiveness? Int J Behav Nutr Phys Act. 2024 Dec 18;21(1):140. doi: 10.1186/s12966-024-01649-9.

  PMID: 39695643 DERIVED

• Gray SM, Nettlefold L, Mackey D, Gould JS, McKay HA. Feasibility of a Virtual Health-Promoting Intervention (Choose to Move) for Older Adults: A Rapid Adaptation in Response to COVID-19. J Aging Phys Act. 2023 Aug 3;31(6):1003-1015. doi: 10.1123/japa.2023-0011. Print 2023 Dec 1.

  PMID: 37536680 DERIVED

MeSH Terms

Conditions

Mobility Limitation; Social Isolation; Sedentary Behavior

Condition Hierarchy (Ancestors)

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

Study Officials

• Heather A McKay, PhD

  University of British Columbia

  PRINCIPAL INVESTIGATOR

• Joanie Sims Gould, PhD

  University of British Columbia

  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: December 19, 2022
• First Posted: January 10, 2023
• Study Start: September 17, 2020
• Primary Completion: January 29, 2025
• Study Completion: January 29, 2025
• Last Updated: March 27, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)