Mindful Movement for Physical Activity and Wellbeing in Older Adults- A Hybrid Effectiveness-Implementation Study

Mindfulness Clinical Trial

— Y-U  

Official title:

Mindful Movement for Physical Activity and Wellbeing in Older Adults- A Community Based Randomized Hybrid Effectiveness-Implementation Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03929393
• Other study ID #: 1611S99323
• Secondary ID: R33AT009110
• Status: Completed
• Phase: N/A
• Start date: July 17, 2019
• Est. completion date: March 31, 2022

Study information

• Verified date: July 2023
• Source: University of Minnesota
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Physical inactivity has reached pandemic proportions and is associated with increased morbidity, mortality, and healthcare costs. Of particular concern is that most middle to older age adults fall far short of recommendations for health enhancing physical activities. This research takes a novel approach to tackling this problem by combining mindfulness with behavioral strategies in a unique 'Mindful Movement' program offered collaboratively with the YMCA.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 176
• Est. completion date: March 31, 2022
• Est. primary completion date: March 31, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 50 Years and older

Eligibility

Inclusion Criteria:

= 50 years of age

• Accelerometer wear time =10 hours on at least 4 days in a 7 consecutive day period between baselines

• Self-report of <140 minutes of MVPA per week in 3 months prior to baseline AND accelerometer recorded <100 minutes of MVPA between baselines

• Mini-Mental State score = 24 if indicated

• Independent self-ambulation

• Provides consent and is willing to participate in data collection activities

Exclusion Criteria:

• Pregnancy

• Unwilling or unable to participate in study activities

• Current or upcoming participation in educational programs similar to those under study

• Medical restrictions to increasing Moderate Vigorous Physical Activity (MVPA)

• Terminal illness

• Contraindications to mindfulness practice

Related Conditions & MeSH terms

• Mindfulness
• Physical Inactivty
• Wellbeing

Intervention

Behavioral:
• Mindful Movement
The program focuses on enhancing individuals' mindfulness capabilities and skills, specifically attention regulation, body awareness, emotional regulation, and shifts in self-perception, by providing opportunities for education, practice, and social suppo

Other:
• Keys to Health & Wellbeing
This community-based educational program provides participants useful content focused on general health related topics including common chronic conditions, social support, social participation, cancer screening, immunization and keeping active.

Locations

Country	Name	City	State
United States	YMCA Burnsville	Burnsville	Minnesota
United States	YMCA Southdale	Edina	Minnesota
United States	University of Minnesota	Minneapolis	Minnesota
United States	YMCA Cora McCorvey	Minneapolis	Minnesota
United States	YMCA Midway	Saint Paul	Minnesota

Sponsors (3)

Lead Sponsor	Collaborator
University of Minnesota	National Center for Complementary and Integrative Health (NCCIH), YMCA

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Moderate-Vigorous Physical Activity (MVPA) in 10 Min Bouts	Minutes/week spent in =10-min bouts of MVPA	Baseline
Primary	Moderate-Vigorous Physical Activity (MVPA) in 10 Min Bouts	Minutes/week spent in =10-min bouts of MVPA	Change score: 9 weeks - baseline
Secondary	Moderate-Vigorous Physical Activity (MVPA) in 10 Min Bouts	Minutes/week spent in =10-min bouts of MVPA	Change score: 26 weeks - baseline
Secondary	Moderate-Vigorous Physical Activity (MVPA) in 10 Min Bouts	Minutes/week spent in =10-min bouts of MVPA	Change score: 52 weeks - baseline
Secondary	Total Moderate-Vigorous Physical Activity (MVPA)	Minutes/week spent in MVPA	Baseline
Secondary	Total Moderate-Vigorous Physical Activity (MVPA)	Minutes/week spent in MVPA	Change score: 9 weeks - baseline
Secondary	Total Moderate-Vigorous Physical Activity (MVPA)	Minutes/week spent in MVPA	Change score: 26 weeks - baseline
Secondary	Total Moderate-Vigorous Physical Activity (MVPA)	Minutes/week spent in MVPA	Change score: 52 weeks - baseline
Secondary	Sedentary Activity	Time spent in sedentary activity	Baseline
Secondary	Sedentary Activity	Time spent in sedentary activity	Change score: 9 weeks - baseline
Secondary	Sedentary Activity	Time spent in sedentary activity	Change score: 26 weeks - baseline
Secondary	Sedentary Activity	Time spent in sedentary activity	Change score: 52 weeks - baseline
Secondary	Average Daily Step Count	Average steps/day over one week	Baseline
Secondary	Average Daily Step Count	Average steps/day over one week	Change score: 9 weeks - baseline
Secondary	Average Daily Step Count	Average steps/day over one week	Change score: 26 weeks - baseline
Secondary	Average Daily Step Count	Average steps/day over one week	Change score: 52 weeks - baseline
Secondary	Quality of Life - Euroqol 5D (EQ5D)	The EQ5D captures five dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) over 5 levels (no problem, slight problem, moderate problem, severe problem, unable to perform/extreme problem). The scale for the EQ5D ranges from -0.109 to 1, with higher scores indicating higher quality of life.	Baseline
Secondary	Quality of Life - Euroqol 5D (EQ5D)	The EQ5D captures five dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) over 5 levels (no problem, slight problem, moderate problem, severe problem, unable to perform/extreme problem). The scale for the EQ5D ranges from -0.109 to 1, with higher scores indicating higher quality of life.	Change score: 9 weeks - baseline
Secondary	Quality of Life - Euroqol 5D (EQ5D)	The EQ5D captures five dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) over 5 levels (no problem, slight problem, moderate problem, severe problem, unable to perform/extreme problem). The scale for the EQ5D ranges from -0.109 to 1, with higher scores indicating higher quality of life.	Change score: 26 weeks - baseline
Secondary	Quality of Life - Euroqol 5D (EQ5D)	The EQ5D captures five dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) over 5 levels (no problem, slight problem, moderate problem, severe problem, unable to perform/extreme problem). The scale for the EQ5D ranges from -0.109 to 1, with higher scores indicating higher quality of life.	Change score: 52 weeks - baseline
Secondary	Quality of Life - EuroQol VAS	The EuroQol VAS records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement. Results are on a 0 to 100 scale with higher scores indicating better self-rated health.	Baseline
Secondary	Quality of Life - EuroQol VAS	The EuroQol VAS records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement. Results are on a 0 to 100 scale with higher scores indicating better self-rated health.	Change score: 9 weeks - baseline
Secondary	Quality of Life - EuroQol VAS	The EuroQol VAS records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement. Results are on a 0 to 100 scale with higher scores indicating better self-rated health.	Change score: 26 weeks - baseline
Secondary	Quality of Life - EuroQol VAS	The EuroQol VAS records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement. Results are on a 0 to 100 scale with higher scores indicating better self-rated health.	Change score: 52 weeks - baseline
Secondary	Exercise Self-Efficacy- Self-Efficacy for Exercise (SEE) Scale	Individuals are asked to rate their confidence in their ability to exercise. Confidence ratings range from 0 (not confident) to 10 (very confident). The average of all responses is used for a total score ranging from 0 to 10. Higher scores indicate higher exercise self-efficacy.	Baseline
Secondary	Exercise Self-Efficacy- Self-Efficacy for Exercise (SEE) Scale	Individuals are asked to rate their confidence in their ability to exercise. Confidence ratings range from 0 (not confident) to 10 (very confident). The average of all responses is used for a total score ranging from 0 to 10. Higher scores indicate higher exercise self-efficacy.	Change score: 9 weeks - baseline
Secondary	Exercise Self-Efficacy- Self-Efficacy for Exercise (SEE) Scale	Individuals are asked to rate their confidence in their ability to exercise. Confidence ratings range from 0 (not confident) to 10 (very confident). The average of all responses is used for a total score ranging from 0 to 10. Higher scores indicate higher exercise self-efficacy.	Change score: 26 weeks - baseline
Secondary	Exercise Self-Efficacy- Self-Efficacy for Exercise (SEE) Scale	Individuals are asked to rate their confidence in their ability to exercise. Confidence ratings range from 0 (not confident) to 10 (very confident). The average of all responses is used for a total score ranging from 0 to 10. Higher scores indicate higher exercise self-efficacy.	Change score: 52 weeks - baseline
Secondary	Exercise Expectations-Outcome Expectations for Exercise-2 (OEE-2) Positive Sub-scale	This is a 13-item instrument focused on beliefs about the positive and negative physical and mental health benefits of exercise. The OEE-2 includes positive and negative outcome expectations sub-scales. Responses range from 1 (strongly agree) to 5 (strongly disagree) and are averaged with final scores ranging from 1 to 5. Lower scores indicate stronger exercise expectations.	Baseline
Secondary	Exercise Expectations-Outcome Expectations for Exercise-2 (OEE-2) Positive Sub-scale	This is a 13-item instrument focused on beliefs about the positive and negative physical and mental health benefits of exercise. The OEE-2 includes positive and negative outcome expectations sub-scales. Responses range from 1 (strongly agree) to 5 (strongly disagree) and are averaged with final scores ranging from 1 to 5. Lower scores indicate stronger exercise expectations.	Change score: 9 weeks - baseline
Secondary	Exercise Expectations-Outcome Expectations for Exercise-2 (OEE-2) Positive Sub-scale	This is a 13-item instrument focused on beliefs about the positive and negative physical and mental health benefits of exercise. The OEE-2 includes positive and negative outcome expectations sub-scales. Responses range from 1 (strongly agree) to 5 (strongly disagree) and are averaged with final scores ranging from 1 to 5. Lower scores indicate stronger exercise expectations.	Change score: 26 weeks - baseline
Secondary	Exercise Expectations-Outcome Expectations for Exercise-2 (OEE-2) Positive Sub-scale	This is a 13-item instrument focused on beliefs about the positive and negative physical and mental health benefits of exercise. The OEE-2 includes positive and negative outcome expectations sub-scales. Responses range from 1 (strongly agree) to 5 (strongly disagree) and are averaged with final scores ranging from 1 to 5. Lower scores indicate stronger exercise expectations.	Change score: 52 weeks - baseline
Secondary	Exercise Expectations-Outcome Expectations for Exercise-2 (OEE-2) Negative Sub-scale	This is a 13-item instrument focused on beliefs about the positive and negative physical and mental health benefits of exercise. The OEE-2 includes positive and negative outcome expectations sub-scales. Responses range from 1 (strongly agree) to 5 (strongly disagree) and are averaged with final scores ranging from 1 to 5. Lower scores indicate stronger exercise expectations.	Baseline
Secondary	Exercise Expectations-Outcome Expectations for Exercise-2 (OEE-2) Negative Sub-scale	This is a 13-item instrument focused on beliefs about the positive and negative physical and mental health benefits of exercise. The OEE-2 includes positive and negative outcome expectations sub-scales. Responses range from 1 (strongly agree) to 5 (strongly disagree) and are averaged with final scores ranging from 1 to 5. Lower scores indicate stronger exercise expectations.	Change score: 9 weeks - baseline
Secondary	Exercise Expectations-Outcome Expectations for Exercise-2 (OEE-2) Negative Sub-scale	This is a 13-item instrument focused on beliefs about the positive and negative physical and mental health benefits of exercise. The OEE-2 includes positive and negative outcome expectations sub-scales. Responses range from 1 (strongly agree) to 5 (strongly disagree) and are averaged with final scores ranging from 1 to 5. Lower scores indicate stronger exercise expectations.	Change score: 26 weeks - baseline
Secondary	Exercise Expectations-Outcome Expectations for Exercise-2 (OEE-2) Negative Sub-scale	This is a 13-item instrument focused on beliefs about the positive and negative physical and mental health benefits of exercise. The OEE-2 includes positive and negative outcome expectations sub-scales. Responses range from 1 (strongly agree) to 5 (strongly disagree) and are averaged with final scores ranging from 1 to 5. Lower scores indicate stronger exercise expectations.	Change score: 52 weeks - baseline
Secondary	Mindfulness - Mindful Attention Awareness Scale (MAAS)	The MAAS scale is comprised of 15 items measured on a 6-point scale (1=almost always, 6=almost never). Responses to individual items are averaged for a total scale ranging from 1 to 6. Higher scores indicate stronger dispositional mindfulness.	Baseline
Secondary	Mindfulness - Mindful Attention Awareness Scale (MAAS)	The MAAS scale is comprised of 15 items measured on a 6-point scale (1=almost always, 6=almost never). Responses to individual items are averaged for a total scale ranging from 1 to 6. Higher scores indicate stronger dispositional mindfulness.	Change score: 9 weeks - baseline
Secondary	Mindfulness - Mindful Attention Awareness Scale (MAAS)	The MAAS scale is comprised of 15 items measured on a 6-point scale (1=almost always, 6=almost never). Responses to individual items are averaged for a total scale ranging from 1 to 6. Higher scores indicate stronger dispositional mindfulness.	Change score: 26 weeks - baseline
Secondary	Mindfulness - Mindful Attention Awareness Scale (MAAS)	The MAAS scale is comprised of 15 items measured on a 6-point scale (1=almost always, 6=almost never). Responses to individual items are averaged for a total scale ranging from 1 to 6. Higher scores indicate stronger dispositional mindfulness.	Change score: 52 weeks - baseline
Secondary	Mindfulness - Frieberg Mindfulness Inventory (FMI)	The FMI addresses 14 items with a four-point response scale (1=rarely, 4=almost always). Items are summed scores ranging from 14 to 56. Higher scores indicate more mindfulness.	Baseline
Secondary	Mindfulness - Frieberg Mindfulness Inventory (FMI)	The FMI addresses 14 items with a four-point response scale (1=rarely, 4=almost always). Items are summed scores ranging from 14 to 56. Higher scores indicate more mindfulness.	Change score: 9 weeks - baseline
Secondary	Mindfulness - Frieberg Mindfulness Inventory (FMI)	The FMI addresses 14 items with a four-point response scale (1=rarely, 4=almost always). Items are summed scores ranging from 14 to 56. Higher scores indicate more mindfulness.	Change score: 26 weeks - baseline
Secondary	Mindfulness - Frieberg Mindfulness Inventory (FMI)	The FMI addresses 14 items with a four-point response scale (1=rarely, 4=almost always). Items are summed scores ranging from 14 to 56. Higher scores indicate more mindfulness.	Change score: 52 weeks - baseline
Secondary	Wellbeing-8-item Flourishing Scale	This 8 item scale assesses perceived success in relationships, self-esteem, and purpose. Responses are 7=Strongly Agree to 1=Strongly Disagree. The total score ranges from 8 to 56. Higher scores indicate better perceived wellbeing.	Baseline
Secondary	Wellbeing-8-item Flourishing Scale	This 8 item scale assesses perceived success in relationships, self-esteem, and purpose. Responses are 7=Strongly Agree to 1=Strongly Disagree. The total score ranges from 8 to 56. Higher scores indicate better perceived wellbeing.	Change score: 9 weeks - baseline
Secondary	Wellbeing-8-item Flourishing Scale	This 8 item scale assesses perceived success in relationships, self-esteem, and purpose. Responses are 7=Strongly Agree to 1=Strongly Disagree. The total score ranges from 8 to 56. Higher scores indicate better perceived wellbeing.	Change score: 26 weeks - baseline
Secondary	Wellbeing-8-item Flourishing Scale	This 8 item scale assesses perceived success in relationships, self-esteem, and purpose. Responses are 7=Strongly Agree to 1=Strongly Disagree. The total score ranges from 8 to 56. Higher scores indicate better perceived wellbeing.	Change score: 52 weeks - baseline
Secondary	Social Connectedness	Eight-item questionnaire with responses ranging from 1=strongly agree to 6=strongly disagree. Items are summed with the total scale ranging from 8 to 48. Higher scores indicates more social connectedness.	Baseline
Secondary	Social Connectedness	Eight-item questionnaire with responses ranging from 1=strongly agree to 6=strongly disagree. Items are summed with the total scale ranging from 8 to 48. Higher scores indicates more social connectedness.	Change score: 9 weeks - baseline
Secondary	Social Connectedness	Eight-item questionnaire with responses ranging from 1=strongly agree to 6=strongly disagree. Items are summed with the total scale ranging from 8 to 48. Higher scores indicates more social connectedness.	Change score: 26 weeks - baseline
Secondary	Social Connectedness	Eight-item questionnaire with responses ranging from 1=strongly agree to 6=strongly disagree. Items are summed with the total scale ranging from 8 to 48. Higher scores indicates more social connectedness.	Change score: 52 weeks - baseline
Secondary	Social Assuredness	Eight-item questionnaire with responses ranging from 1=strongly agree to 6=strongly disagree. Items are summed with the total scale ranging from 8 to 48. Higher scores indicates more social assuredness or confidence.	Baseline
Secondary	Social Assuredness	Eight-item questionnaire with responses ranging from 1=strongly agree to 6=strongly disagree. Items are summed with the total scale ranging from 8 to 48. Higher scores indicates more social assuredness or confidence.	Change score: 9 weeks - baseline
Secondary	Social Assuredness	Eight-item questionnaire with responses ranging from 1=strongly agree to 6=strongly disagree. Items are summed with the total scale ranging from 8 to 48. Higher scores indicates more social assuredness or confidence.	Change score: 26 weeks - baseline
Secondary	Social Assuredness	Eight-item questionnaire with responses ranging from 1=strongly agree to 6=strongly disagree. Items are summed with the total scale ranging from 8 to 48. Higher scores indicates more social assuredness or confidence.	Change score: 52 weeks - baseline
Secondary	Physical Activity-International Physical Activity Questionnaire (IPAQ)	Self-reported MVPA in bouts of 10 minutes or higher was measured using questions adapted from the International Physical Activity Questionnaire (IPAQ). The IPAQ is a nine-item instrument addressing days/week and minutes/day spent on physical activity in the past 7 days.	Baseline
Secondary	Physical Activity-International Physical Activity Questionnaire (IPAQ)	Self-reported MVPA in bouts of 10 minutes or higher was measured using questions adapted from the International Physical Activity Questionnaire (IPAQ). The IPAQ is a nine-item instrument addressing days/week and minutes/day spent on physical activity in the past 7 days.	Change score: 9 weeks - baseline
Secondary	Physical Activity-International Physical Activity Questionnaire (IPAQ)	Self-reported MVPA in bouts of 10 minutes or higher was measured using questions adapted from the International Physical Activity Questionnaire (IPAQ). The IPAQ is a nine-item instrument addressing days/week and minutes/day spent on physical activity in the past 7 days.	Change score: 26 weeks - baseline
Secondary	Physical Activity-International Physical Activity Questionnaire (IPAQ)	Self-reported MVPA in bouts of 10 minutes or higher was measured using questions adapted from the International Physical Activity Questionnaire (IPAQ). The IPAQ is a nine-item instrument addressing days/week and minutes/day spent on physical activity in the past 7 days.	Change score: 52 weeks - baseline
Secondary	Satisfaction With Intervention	Participants will rate their overall satisfaction with the intervention on 7 point scale (7=completely satisfied, 1= completely dissatisfied).	9 weeks
Secondary	Satisfaction With Intervention	Participants will rate their overall satisfaction with the intervention on 7 point scale (7=completely satisfied, 1= completely dissatisfied).	26 weeks
Secondary	Satisfaction With Intervention	Participants will rate their overall satisfaction with the intervention on 7 point scale (7=completely satisfied, 1= completely dissatisfied).	52 weeks
Secondary	Frequency of Home Practice	Participants will report the number of days per week they were able to practice skills taught in the program	9 weeks
Secondary	Frequency of Home Practice	Participants will report the number of days per week they were able to practice skills taught in the program	26 weeks
Secondary	Frequency of Home Practice	Participants will report the number of days per week they were able to practice skills taught in the program	52 weeks
Secondary	Pain-11 Box Numerical Rating Scale	An 11-box numerical rating scale (0=no pain, 10 = worst pain possible) for average back, neck, upper extremity, and lower extremity pain in the past week. The highest score for the assessed body regions was used for analysis.	Baseline
Secondary	Pain-11 Box Numerical Rating Scale	An 11-box numerical rating scale (0=no pain, 10 = worst pain possible) for average back, neck, upper extremity, and lower extremity pain in the past week. The highest score for the assessed body regions was used for analysis.	Change score: 9 weeks - baseline
Secondary	Pain-11 Box Numerical Rating Scale	An 11-box numerical rating scale (0=no pain, 10 = worst pain possible) for average back, neck, upper extremity, and lower extremity pain in the past week. The highest score for the assessed body regions was used for analysis.	Change score: 26 weeks - baseline
Secondary	Pain-11 Box Numerical Rating Scale	An 11-box numerical rating scale (0=no pain, 10 = worst pain possible) for average back, neck, upper extremity, and lower extremity pain in the past week. The highest score for the assessed body regions was used for analysis.	Change score: 52 weeks - baseline
Secondary	Telehealth Usability Questionnaire	Participant views of the remote intervention platform (Zoom video-conferencing system) were assessed using the Telehealth Usability Questionnaire (TUQ). The TUQ assesses usability with 21 questions rated on a 1 to 7 scale. The overall score is an average of all items with higher scores indicating higher usability of the telehealth system.	9 weeks
Secondary	Working Alliance Inventory (WAI)	Question from the WAI bond sub-scale asking participants how often they felt uncomfortable with the facilitators. Responses were recorded on a 1 to 7 scale with 1= Never and 7 = Always. A lower score indicates a higher bond with the facilitator.	9 weeks
Secondary	Working Alliance Inventory (WAI)	Question from the WAI bond sub-scale asking participants how often they felt uncomfortable with certain participants in the group. Responses were recorded on a 1 to 7 scale with 1= Never and 7 = Always. A lower score indicates a higher bond with the group.	9 weeks
Secondary	Working Alliance Inventory (WAI)	Question from the WAI task sub-scale asking participants how often they felt confused by what they were being asked to do in the sessions. Responses were recorded on a 1 to 7 scale with 1= Never and 7 = Always. A lower score indicates a higher task alliance with the facilitator.	9 weeks
Secondary	Working Alliance Inventory (WAI)	Question from the WAI bond sub-scale asking participants how often they felt the facilitators liked them. Responses were recorded on a 1 to 7 scale with 1= Never and 7 = Always. A higher score indicates a higher bond with the facilitator.	9 weeks
Secondary	Working Alliance Inventory (WAI)	Question from the WAI bond sub-scale asking participants how often they felt the facilitators were genuinely concerned for their welfare. Responses were recorded on a 1 to 7 scale with 1= Never and 7 = Always. A higher score indicates a higher bond with the facilitator.	9 weeks
Secondary	Working Alliance Inventory (WAI)	Question from the WAI bond sub-scale asking participants how often they felt the facilitators respected them. Responses were recorded on a 1 to 7 scale with 1= Never and 7 = Always. A higher score indicates a higher bond with the facilitator.	9 weeks
Secondary	Working Alliance Inventory (WAI)	Question from the WAI bond sub-scale asking participants how often they felt the facilitators appreciated them. Responses were recorded on a 1 to 7 scale with 1= Never and 7 = Always. A higher score indicates a higher bond with the facilitator.	9 weeks
Secondary	Working Alliance Inventory (WAI)	Question from the WAI bond sub-scale asking participants how often they felt confident the facilitators could help them if needed. Responses were recorded on a 1 to 7 scale with 1= Never and 7 = Always. A higher score indicates a higher bond with the facilitator.	9 weeks
Secondary	Working Alliance Inventory (WAI)	Question from the WAI bond sub-scale asking participants how often they felt their relationship with the facilitators was very important to them. Responses were recorded on a 1 to 7 scale with 1= Never and 7 = Always. A higher score indicates a higher bond with the facilitator.	9 weeks
Secondary	Covid -19 Impact on Physical Activity	Impact of COVID-19 on physical activity was assessed on a 5-item scale (1= substantially less physically active to 5 = substantially more physically active). The number of participants with reduced physical activity due to COVID-19 is reported.	Baseline
Secondary	Covid -19 Impact on Physical Activity	Impact of COVID-19 on physical activity was assessed on a 5-item scale (1= substantially less physically active to 5 = substantially more physically active). The number of participants with reduced physical activity due to COVID-19 is reported.	9 weeks
Secondary	Covid -19 Impact on Physical Activity	Impact of COVID-19 on physical activity was assessed on a 5-item scale (1= substantially less physically active to 5 = substantially more physically active). The number of participants with reduced physical activity due to COVID-19 is reported.	26 weeks
Secondary	Covid -19 Impact on Physical Activity	Impact of COVID-19 on physical activity was assessed on a 5-item scale (1= substantially less physically active to 5 = substantially more physically active). The number of participants with reduced physical activity due to COVID-19 is reported.	52 weeks
Secondary	Number of Participants Completing Qualitative Assessment of Barriers to Intervention	The number of participants completing qualitative, open ended assessments exploring dislikes and barriers to participation in the intervention.	9 weeks
Secondary	Number of Participants Completing Qualitative Assessment of Facilitators to Intervention	The number of participants completing qualitative, open ended assessment exploring likes and facilitators to participation in the intervention.	9 weeks

External Links

•   Study Website