Functional Exercise and Nutrition Education Program for Older Adults — MoveStrong  

Stroke Clinical Trial

Official title: A Model for Delivering Strength Training and Nutrition Education for Older Adults (MoveStrong): A Pilot Randomized Controlled Trial

Status Completed

Clinical Trial Summary

There is strong evidence that specific types of exercise can improve health and physical function in older adults. While community exercise classes exist, many older adults with chronic conditions may need guidance from credentialed exercise professionals to ensure sufficient dose and progression and to address fears or low exercise self-efficacy. Furthermore, low protein intake among older adults is common and initiating exercise when nutrition is inadequate may cause weight loss and limit gains in muscle strength. The primary goal is to determine the feasibility of implementing the MoveSTroNg program under real-world conditions, measured through referral and recruitment to the program and study retention and adherence rates.

Clinical Trial Description

The MoveStrong trial is a 1-year pilot closed cohort stepped wedge randomized control trial (RCT) to evaluate the feasibility of implementation of the MoveStrong program. This program includes a functional exercise and nutrition program that teaches older adults with chronic diseases how to perform functional resistance and balance exercises and promote adequate protein intake and nutrition. Four sites (1 Northern and 3 Southern Ontario sites) will be cluster-randomized to implement MoveStrong at one of four start times, each three weeks apart. The primary outcome will be to determine the feasibility of recruitment and referral from diverse settings (i.e., retirement homes, community centers, and family health teams) and establish the retention and adherence to the program. Secondary objectives will determine the following: What are the participant's and provider's experience with the MoveStrong program? What is the short-term responsiveness (i.e., ability to detect change) of frailty indicators (Fried Frailty Index components), protein intake, or quality of life? Who agrees to participate? What adaptations need to be made to MoveStrong, or study methods in each setting? What is the cost relative to the benefit? Is behaviour change maintained in the maintenance period? Our long term goal is to use the information from this project to develop, implement, and evaluate a sustainable, scalable and pragmatic model to deliver strength and balance training and promote adequate protein intake among older adults with chronic diseases. ;

Related Conditions & MeSH terms

• Arthritis
• Bone Diseases, Metabolic
• Cancer
• Cardiovascular Diseases
• Chronic Disease
• Chronic Lung Disease
• Congestive Heart Failure
• Diabetes Mellitus
• Frail
• Heart Failure
• Hypertension
• Kidney Diseases
• Lung Diseases
• Osteoporosis
• Osteoporosis, Osteopenia
• Stroke

• NCT number: NCT04037436
• Study type: Interventional
• Source: University of Waterloo
• Status: Completed
• Phase: N/A
• Start date: September 24, 2019
• Completion date: September 1, 2020