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To develop and implement a physical activity promotion intervention for older adults with or without chronic disease living in an urban environment.
The World Health organization recommends that all adults should aim for 30 minutes of moderate physical activity on at least five days of the week. The importance of physical activity for promoting heath is complicated when considering inactive older adults and chronic conditions. A problematic cycle emerges where physical inactivity increases the likelihood for developing chronic conditions, and, in turn, many chronic conditions are associated with symptoms that make physical activity more difficult.
The investigators aim to develop and implement a physical activity promotion intervention for older adults with or without chronic disease living in an urban environment that considers individual, interpersonal and environmental factors and makes use of a citizen-science approach and modern PA-monitoring devices.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Physical activity intervention | Experimental | Participants undergo the community-based physical activity promotion (see Intervention) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical activity intervention | Behavioral | The intervention is comprised of 5 steps:
|
| Measure | Description | Time Frame |
|---|---|---|
| Physical activity as the average daily number of steps | Average daily number of steps measured by accelerometry (Actigraph wGT3x) during 1 week | Change from baseline to 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Physical activity intensity | Time spent in moderate-to-vigorous physical activity (min/day) measured by accelerometry (Actigraph wGT3x) during 1 week | Change from baseline to 6 months |
| Exercise capacity (1-minute sit-to-stand test) |
| Measure | Description | Time Frame |
|---|---|---|
| Exploratory outcome: Course of daily number of steps | Exploration of course of number of steps measured by smartphone application | Daily number of steps during the intervention period (6 months) |
| Exploratory outcome: Social connections |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Milo Puhan, Prof. Dr. | EBPI, University of Zurich | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Zurich | Zurich | 8001 | Switzerland |
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| ID | Term |
|---|---|
| D057185 | Sedentary Behavior |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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|
Number of repetitions performed in the 1-minute sit-to-stand test
| Change from baseline to 6 months |
| Health-related quality of life | Assessed by the EQ-5D | Change from baseline to 6 months |
| Symptoms of anxiety and depression | Assessed by the Hospital Anxiety and Depression Scale | Change from baseline to 6 months |
| Health status | Assessed by the Feeling Thermometer | Change from baseline to 6 months |
| Perceived social support | Assessed by the short version of the Social Support Questionnaire | Change from baseline to 6 months |
Exploration of the use of the communication and calendar apps
| Through study completion, an average of 6 months |
| Exploratory outcome: Participant satisfaction (questionnaire, quantitative) | Assessed by self-administered questionnaire | Assessed at 6 months (follow-up) |
| Exploratory outcome: Participant satisfaction (interview, qualitative) | Assessed by semi-structured interview | Assessed at 6 months (follow-up) |
| Safety outcome: Adverse events | Adverse events are assessed, collected and reported according to guidelines | Through study completion, an average of 6 months |
| Physiological response to walking | Physiological response during walking exercise using a metabolic cart in a subgroup of participants | At 1 day (during the intervention period) |