Evaluating Implementation and Impact of Provincial Scale-up of the Adapted Choose to Move (CTM) Program

NCT06446414 | Enrolling By Invitation

• 2 other identifiers: H23-001992223-HQ-000373
• Study Type: interventional
• Target: 300
• 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 this project, the investigators will support community-based seniors' services (CBSS) organizations across BC through a readiness-building process so they can adapt CTM and deliver the program to more diverse groups of underserved older adults than have previously participated in CTM.

Conditions

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

Keywords

Older adults; Physical activity; Mobility; Social isolation; Loneliness; Social connectedness; Behavior change; Implementation; Adaptation; Scale-up; Health equity

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 months

Secondary Outcomes (8)

• Change in capacity for mobility

  0, 3 months

• Change in physical functioning

  0, 3 months

• Change in loneliness

  0, 3 months

• Change in social isolation

  0, 3 months

• Change in social network

  0, 3 months

Other Outcomes (10)

• Reach-individual

  3 months

• Reach-regional

  0 months

• Adoption - CTM program

  3 months

Study Arms (1)

Choose to Move

EXPERIMENTAL

CTM (adapted Phase 4) is a 3-month, flexible, choice-based health-promoting program for low active older adults. CTM 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 an activity coach. Meetings cover a health-related discussion topic and provide time for social connection among participants. Meetings can be held online or in-person. Community-based seniors' services organizations that deliver CTM may adapt the program (e.g., deliver in a different language, adapt for cultural or geographical factors) to fit the needs of the older adults they serve but the two components listed above will be retained.

Behavioral: Choose to Move

Interventions

Choose to Move BEHAVIORAL

As described under study arm description

Choose to Move

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
• 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 activity coaches
• CTM participants \< 50 years
• CTM participants who do not speak either English or Punjabi

Sponsors & Collaborators

• University of British Columbia: lead
• Public Health Agency of Canada (PHAC): collaborator

Study Sites (1)

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

Vancouver, British Columbia, V5Z 1M9, Canada

Location

Related Publications (16)

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• 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

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  PMID: 18504506 BACKGROUND

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  PMID: 34348228 BACKGROUND

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  PMID: 18772472 BACKGROUND

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  PMID: 1593914 BACKGROUND

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  PMID: 20957426 BACKGROUND

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  PMID: 31699095 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

• Weiner BJ. A theory of organizational readiness for change. Implement Sci. 2009 Oct 19;4:67. doi: 10.1186/1748-5908-4-67.

  PMID: 19840381 BACKGROUND

• Subedi R, Aitken N, Greenberg L. Canadian Social Environment Typology User Guide. Ottawa, ON: Statistics Canada; 2022.

  BACKGROUND

• Scaccia JP, Cook BS, Lamont A, Wandersman A, Castellow J, Katz J, Beidas RS. A practical implementation science heuristic for organizational readiness: R = MC2. J Community Psychol. 2015 Apr;43(4):484-501. doi: 10.1002/jcop.21698. Epub 2015 Apr 13.

  PMID: 26668443 BACKGROUND

• Miller CJ, Barnett ML, Baumann AA, Gutner CA, Wiltsey-Stirman S. The FRAME-IS: a framework for documenting modifications to implementation strategies in healthcare. Implement Sci. 2021 Apr 7;16(1):36. doi: 10.1186/s13012-021-01105-3.

  PMID: 33827716 BACKGROUND

• Wiltsey Stirman S, Baumann AA, Miller CJ. The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions. Implement Sci. 2019 Jun 6;14(1):58. doi: 10.1186/s13012-019-0898-y.

  PMID: 31171014 BACKGROUND

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 McKay, PhD

  University of British Columbia

  PRINCIPAL INVESTIGATOR

• Joanie Sims Gould, MSW, 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: May 23, 2024
• First Posted: June 6, 2024
• Study Start: September 15, 2023
• Primary Completion (Estimated): April 1, 2027
• Study Completion (Estimated): April 1, 2027
• Last Updated: March 27, 2025

Record last verified: 2025-03

Locations

CA (1)