Evaluating Implementation and Impact of the Adapted Choose to Move (CTM) Program

NCT06252259 | Enrolling By Invitation

• 2 other identifiers: H22-03385HG2-185013
• Study Type: interventional
• Target: 336
• Locations: 1 country
• Sites: 1

Brief Summary

Choose to Move (CTM) is a 3-month, choice-based health-promoting program for low active older adults being scaled-up across British Columbia (BC), Canada. In Phase 5, the goal of CTM is to enhance physical activity, mobility and social connectedness in three target populations: South Asian older adults, older men, and older adults living in Northern BC. To do so, the investigators will support community-based seniors' services (CBSS) organizations through a readiness-building process so they can adapt CTM and deliver the program to these populations. This study has two main research questions:

1. 1.How are adapted CTM programs delivered ('implementation outcomes') and what factors influence delivery ('implementation determinants')?
2. 2.What is the impact of the adapted CTM programs on health outcomes of older adults?

Conditions

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

Keywords

Older adults; Physical activity; Mobility; Social isolation; Loneliness; Social connectedness; Behavior change; Implementation; Implementation strategy; Health equity; Adaptation; Readiness; Feasibility; Acceptability; Dose; Fidelity; Effectiveness

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, 15 months

Secondary Outcomes (9)

• Change in capacity for mobility

  0, 3, 15 months

• Change in physical functioning

  0, 3, 15 months

• Change in loneliness

  0, 3, 15 months

• Change in social isolation

  0, 3, 15 months

• Change in social network

  0, 3, 15 months

Other Outcomes (20)

• Reach-individual

  3 months

• Reach-regional

  0 months

• Context - CTM program (interview)

  3 months

Study Arms (3)

Ethnicity and Culture in Focus

EXPERIMENTAL

CTM (Phase 5) is a 3-month, flexible, choice-based health-promoting program for low active older adults that can be delivered in-person or online. The program includes: * 1-on-1 Consultation: Participants meet 1-on-1 with their activity coach at the start of the program to set goals and develop a physical activity action plan tailored to their abilities, interests and resources. Older adults can choose to participate in individual or group-based activities. * Group Meetings: Participants will attend eight, 1-hour group-based meetings (max of 15 participants) led by their activity coach. Meetings cover a health-related discussion topic and provide time and space for social connection among participants. Meetings can be held online or in-person. The CTM program will be adapted for South Asian older adults, and may include additional intervention components customized for this population.

Behavioral: Choose to Move

Men on the Move

EXPERIMENTAL

CTM (Phase 5) is a 3-month, flexible, choice-based health-promoting program for low active older adults that can be delivered in-person or online. The program includes: * 1-on-1 Consultation: Participants meet 1-on-1 with their activity coach at the start of the program to set goals and develop a physical activity action plan tailored to their abilities, interests and resources. Older adults can choose to participate in individual or group-based activities. * Group Meetings: Participants will attend eight, 1-hour group-based meetings (max of 15 participants) led by their activity coach. Meetings cover a health-related discussion topic and provide time and space for social connection among participants. Meetings can be held online or in-person. The CTM program will be adapted for older men, and may include additional intervention components customized for this population.

Behavioral: Choose to Move

The Forgotten North

EXPERIMENTAL

CTM (Phase 5) is a 3-month, flexible, choice-based health-promoting program for low active older adults that can be delivered in-person or online. The program includes: * 1-on-1 Consultation: Participants meet 1-on-1 with their activity coach at the start of the program to set goals and develop a physical activity action plan tailored to their abilities, interests and resources. Older adults can choose to participate in individual or group-based activities. * Group Meetings: Participants will attend eight, 1-hour group-based meetings (max of 15 participants) led by their activity coach. Meetings cover a health-related discussion topic and provide time and space for social connection among participants. Meetings can be held online or in-person. The CTM program will be adapted for older adults living in Northern BC, and may include additional intervention components customized for this population.

Behavioral: Choose to Move

Interventions

Choose to Move BEHAVIORAL

As described under study arm description

Ethnicity and Culture in Focus; Men on the Move; The Forgotten North

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Central support unit staff member;
• Delivery partner organization staff member;
• Activity coach hired by delivery partner organization (activity coaches must speak English to participate in the evaluation);
• English-speaking older adults (aged \>=50 years) who participate in CTM (recruited by delivery partner organizations) will be invited to participate in the evaluation;
• Punjabi-speaking older adults will also be invited to participate in the evaluation if they can read English or Punjabi and/or if the activity coach or a member of the research team has the necessary language skills to ensure effective communication of the Punjabi language translated consent form and surveys.

You may not qualify if:

• non-English speaking delivery partner staff member
• non-English speaking activity coach

Sponsors & Collaborators

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

Study Sites (1)

Active Aging Research Team, Robert H. N. Ho Research Centre

Vancouver, British Columbia, V5Z 1M9, Canada

Location

Related Publications (18)

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Related Links

• Choose to Move website
• Active Aging Research Team website

MeSH Terms

Conditions

Mobility Limitation; Sedentary Behavior; Social Isolation; Motor Activity

Condition Hierarchy (Ancestors)

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

Study Officials

• Heather A McKay, PhD

  University of British Columbia

  PRINCIPAL INVESTIGATOR

• Joanie Sims Gould, PhD

  University of British Columbia

  PRINCIPAL INVESTIGATOR

• Dawn Mackey, PhD

  Simon Fraser University

  PRINCIPAL INVESTIGATOR

• Farinaz Havaei, RN, PhD

  University of British Columbia

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: February 1, 2024
• First Posted: February 9, 2024
• Study Start: August 6, 2024
• Primary Completion (Estimated): March 1, 2027
• Study Completion (Estimated): March 1, 2027
• Last Updated: March 27, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)