Developing a Intervention to Enhance Motivation for Physical Activities Known to Reduce Fall Risk

Sedentary Lifestyle Clinical Trial

— ReadySteady  

Official title:

Enhancing Motivation for Physical Activity to Reduce the Risk of Falls Among Community-Dwelling Older Adults: A Wellness Intervention.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02433249
• Other study ID #: 1402S47802
• Status: Completed
• Phase: Phase 2
• Start date: April 2014
• Est. completion date: June 2015

Study information

• Verified date: October 2019
• Source: University of Minnesota
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this pilot study is to develop an intervention, based on empirical evidence and health-related behavioral change theory, to enhance motivation for engaging in fall-reducing physical activities.

Description:

The intervention being developed, Ready~Steady, combines 3 components; a) interpersonal motivation, b) intrapersonal motivation, and c) physical activity. Theoretical concepts from the wellness motivation theory are (a) translated into intervention strategies; and (b) operationalized as variables to form a basis for evaluating this intervention. The overall objective is to advance the development of Ready~Steady by assessing the impact of its motivation components.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 103
• Est. completion date: June 2015
• Est. primary completion date: June 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 70 Years and older

Eligibility

Inclusion Criteria:

• = 70 years, level of physical activity (strength training and aerobic) below national recommendations

Exclusion Criteria:

• Dementia, recent injury or surgery, unable to participate in light-moderately intense exercise

Related Conditions & MeSH terms

• Accidental Falls
• Sedentary Lifestyle

Intervention

Behavioral:
• 1 Physical Activity
Fall reducing strength (5), balance (12) and flexibility (4) exercises as well as walking. Participants were also given a Fitbit One with instructions on how to use
• Interpersonal Motivation
Strategies used to support Interpersonal motivational targets include: a) discuss and model ways to provide and receive more support for physical activity, b) identify environmental barriers to being physically active, c) problem-solve environmental and social barriers to being physically active, d) use and create new resources that support physical activity behavior
• Intrapersonal Motivation
Strategies used to support intrapersonal motivation included a) use of the goal attainment scale, b) facilitating the formation of action plans, c) identify and problem solve personal barriers to being active, d) identify satisfying aspects of being active, e) self-evaluate physical activity patterns and progress.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of Minnesota

References & Publications (4)

McMahon S, Fleury J. Wellness in older adults: a concept analysis. Nurs Forum. 2012 Jan-Mar;47(1):39-51. doi: 10.1111/j.1744-6198.2011.00254.x. — View Citation

McMahon S, Talley KM, Wyman JF. Older people's perspectives on fall risk and fall prevention programs: a literature review. Int J Older People Nurs. 2011 Dec;6(4):289-98. doi: 10.1111/j.1748-3743.2011.00299.x. Review. — View Citation

McMahon S, Vankipuram M, Hekler EB, Fleury J. Design and evaluation of theory-informed technology to augment a wellness motivation intervention. Transl Behav Med. 2014 Mar;4(1):95-107. doi: 10.1007/s13142-013-0221-4. — View Citation

Perez A, Fleury J. Wellness motivation theory in practice. Geriatr Nurs. 2009 Mar-Apr;30(2 Suppl):15-20. doi: 10.1016/j.gerinurse.2009.02.006. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Technology acceptability and utility	10 item survey addressing wearable technology's learnability, utility and role in supporting individual motivation	1 week post; 6 months post
Primary	Change in self-reported physical activity behavior	Community Healthy Activities Model Program for Seniors (CHAMPS) Questionnaire	Baseline; 1 week post; 6 months post
Primary	Change in objectively measured physical activity behavior	Accelerometers built in to Fitbit Ones	Baseline; 1 week post; 6 months post
Secondary	Change in functional strength and balance	Short Physical Performance Battery	Baseline; 1 week post; 6 months post
Secondary	Change in functional strength and balance	Timed Up and Go	Baseline; 1 week post; 6 months post
Secondary	Change in the number of community resources used for physical activity	Number of community resources identified and used: 2 item survey	Baseline; 1 week post; 6 months post
Secondary	Change in social support for fall-reducing physical activities	Social support for exercise: Survey	Baseline; 1 week post; 6 months post
Secondary	Change in readiness	Index of Readiness	Baseline; 1 week post; 6 months post
Secondary	Change in self-regulation	Index of Self-Regulation	Baseline; 1 week post; 6 months post
Secondary	Change in self-reported lower extremity function	Neuro-QOL SF v1.0 - LEx Fnct (Mobility)	Baseline; 1 week post; 6 months post
Secondary	Change in self-reported ability to participate in social activities	PROMIS SF v2.0 - Ability to Participate Social 4a	Baseline; 1 week post; 6 months post