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Due to COVID-related issues had to change study design.
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Hospitalization creates opportunities for older adults to accumulate prolonged periods of sitting and lying (defined as sedentary behavior) which can result in mobility loss. We propose a Type 1 Hybrid Effectiveness-Implementation Trial with 1:1 randomization to test the effect of a caregiver intervention on older patients' physical activity at 3 months (home). We will recruit 61 patients and family caregivers from hospital units and follow them for 3 months; the primary outcome is patients' daily step count at 3 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental |
| |
| Usual Care | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Better Together | Behavioral | Patient and caregiver dyads from both groups will receive usual care during hospitalization and following discharge. This will include a handout on strategies for safely remaining active. Caregiver participants in the intervention group will receive up to six telephone or video calls with the research assistant or Clinical Resource Therapist. Sessions will review the knowledge translation (KT) product with family members (~15 minutes), art goals, brainstorm strategies, and discuss setbacks. The calls with the caregiver may occur 1 to 2 times in the hospital, within one week of going home, and then in Months 2 and 3. |
| Measure | Description | Time Frame |
|---|---|---|
| Veterans Rand-12 Quality of Life | 12 item quality of life survey | baseline and 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Daily minutes sedentary behavior | daily minutes of sedentary behavior measured with an activity monitor | baseline to 3 months |
| Daily minutes of physical activity | daily minutes of physical activity measured with an activity monitor |
| Measure | Description | Time Frame |
|---|---|---|
| Steps per day | activity monitor | baseline to 3 months |
| Falls | monthly falls diary | baseline to 3 months |
Inclusion Criteria: Older adults (60 years and older) with a recent hospitalization and their caregiver.
Exclusion Criteria: Caregivers and older adults with a dementia diagnosis, head injury, significant neurological impairment, or receive treatment for medical conditions that preclude exercising.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of British Columbia | Vancouver | British Columbia | V6T1Z3 | Canada |
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| ID | Term |
|---|---|
| D057185 | Sedentary Behavior |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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|
| Usual Care | Behavioral | Patient and caregiver dyads from both groups will receive usual care during hospitalization and following discharge. This will include a handout on strategies for safely remaining active. |
|
| baseline to 3 months |
| Patient Assessment with Chronic Illness Care Survey | 20-item survey with questions related to experience with hospitalization. | 3 months |
| Brief Action Planning (BAP) | Goal setting | baseline and 3 months |
| Action Plans behaviors | self-reported health behavior questions | baseline and 3 months |
| Coping Plans | self-reported health behavior questions | baseline and 3 months |
| Physical Activity Intentions | self-reported health behavior questions | baseline and 3 months |
| Physical Activity Self-efficacy | self-reported health behavior questions | baseline and 3 months |
| Physical Activity Risk Perceptions | self-reported health behavior questions | baseline and 3 months |
| Physical Activity Outcome Expectancies | self-reported health behavior questions | baseline and 3 months |
| Self-reported Habit Index | self-reported health behavior questions | baseline and 3 months |
| Program implementation | Semi-structured interviews or focus groups with patients, caregivers, and heath providers to understand factors related program implementation. | baseline and 3 months |
| Falls Efficacy Scale International (FES-I) | 16 questions related to falls self-efficacy. Scoring: minimum 16 (no falling concerns) to maximum 64 (high falling concern) | baseline and 3 months |
| Brief Test of Adult Cognition by Telephone | cognitive test | baseline and 3 months |
| Unified Theory of Acceptance and Use of Technology 2 Survey | self-report questions on perceptions of using technology | baseline and 3 months |