Frail Elderly Clinical Trial
Official title:
Enhancing the Physical Activity Levels of Community-dwelling Older People With Frailty Through an Exercise Intervention With or Without a Wearable Activity Tracker (WAT)-Based Intervention: a Feasibility and Pilot Study
This study aims to investigate the feasibility, acceptability, and preliminary effects of a Wearable Activity Tracker (WAT)-based exercise intervention to increase physical activity levels in frail or pre-frail older people. One group of participants will receive a WAT-based exercise intervention incorporated with the support of behavioral change techniques (BCTs) and technical issues, while the other group will receive only an exercise intervention incorporated with BCTs support.
Six community centres, which provide similar types of community care and social support
services for community-dwelling older people, will be invited by a convenience method to work
as collaborators in this study. Using computer-generated random numbers, a biostatistician
not affiliated with this study will randomize the centres in a 1:1 ratio into either: the
control or the experimental groups (WAT group).
The WAT group will receive a 3-month exercise programme plus WAT intervention which aims to
strengthen the participants' motivation to develop the intention to gradually increase their
physical activity levels to eventually meet the level recommended for older people by the
American Heart Association (AHA). Two face-to-face sessions followed by weekly to monthly
telephone sessions offering support on dealing with technical issues and BCTs will be
arranged for the experimental group. The additional technical support given alongside the WAT
intervention will be gradually withdrawn from the participants. Eventually, all additional
measures to support the use of WATs among participants will be stopped. Participants will be
left to use the WAT on their own for 3 months during the follow-up period. In addition, they
will receive a weekly 45-60 minute center-based structured exercise programme for 3 months,
which is designed according to the AHA's recommendations on exercise for older people.
The control group will receive another 3-month exercise programme with face-to-face, and
telephone-delivered BCTs follow-up sessions, with the number and timing of all sessions
similar to that in the experimental group.
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