Promoting Autonomy Through ExerCisE (PACE) in Outpatient Geriatric Clinics

NCT07787663 | Completed

• 1 other identifier: CER VN 20-21-06
• Study Type: interventional
• Target: 162
• Locations: 1 country
• Sites: 1

Brief Summary

Physical inactivity is highly prevalent among older adults and is associated with declines in physical function, independence, quality of life, and social participation. The PACE tool provides 35 tailored physical activity programs for frail, community-dwelling older adults. Programs are prescribed by healthcare professionals using simple clinical criteria and can be delivered remotely. Previous research has demonstrated the feasibility, acceptability, safety, and effectiveness of adapted physical activity programs. The main objective of the project is to implement PACE in the geriatric outpatient clinics (CEG) of the Institut Universitaire de Gériatrie de Montréal (IUGM) to prevent deconditioning, promote autonomy, and reduce the burden on caregivers and healthcare resources.

Conditions

Frailty; Sarcopenia

Outcome Measures

Primary Outcomes (4)

• Feasibility of the PACE tool

  will be measured using a score (expressed in % from 0 to 100) taking into account the ratio of the number of patients who have received a PA program prescription on the number of eligible patients.

  12 weeks

• Adherence to the pace tool

  will be measured using a score (expressed in % from 0 to 100) taking into account the ratio of the number of completed sessions of PA on the prescribed sessions.

  12 weeks

• Usability of the PACE TOOL

  Usability will be measured using the valided SUS questionnaire (10 items/score ranged from 0 to 100)

  12 weeks

• Acceptability of the PACE Tool

  Will be evaluated by the administration of a questionnaire with 4 Likert level/question and each likert level expressed in % (from 0 to 100).

  12 weeks

Secondary Outcomes (3)

• Changes in objective physical measures

  12 weeks

• Changes in caregiver burden after intervention

  12 weeks

• Changes in the quality of life after intervention (12-Item Short Form Survey: SF-12)

  12 weeks

Study Arms (2)

PACE Group

EXPERIMENTAL

Physical Activity program prescription via the PACE tool

Other: PACE

Control Group

NO INTERVENTION

Usual care

Interventions

PACE OTHER

The patient's mobility profile is determined using a decisional tree, which guides the prescription of an adapted physical activity (PA) program. The PACE tool includes 35 PA programs divided into 7 color-coded categories according to the physical components that should be prioritized (cardiorespiratory/muscular fitness, balance, and/or trunk mobility/stability). 5 difficulty levels provided. Each program includes 2 to 4 exercises (approx.15 min/day) and a walking goal ranging from 10 minutes (2 × 5 min) to 30 minutes (2 × 15 min). The program is prescribed daily for 12 weeks.

PACE Group

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• being followed in an outpatient geriatric clinic
• Aged 60 years and older, with or without an informal caregiver
• Have the cognitive capacity to provide informed consent;
• Have no contraindications to physical activity;
• Are not currently receiving rehabilitation services;
• Are able to communicate, read, and understand French or English;

You may not qualify if:

• None

Sponsors & Collaborators

• Université du Québec a Montréal: lead

Study Sites (1)

UQAM

Montreal, Quebec, H3P 3C8, Canada

Location

MeSH Terms

Conditions

Frailty; Sarcopenia

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Muscular Atrophy; Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Atrophy; Pathological Conditions, Anatomical; Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principale Investigator-Researcher

Study Record Dates

• First Submitted: August 19, 2026
• First Posted: August 26, 2026
• Study Start: March 23, 2021
• Primary Completion: September 11, 2025
• Study Completion: September 11, 2025
• Last Updated: August 26, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will share

Locations

CA (1)