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Physical activity is an important determinant of health and well-being in older people. However, many older people do not achieve recommended physical activity levels and increasing older people's physical activity is challenging. This preliminary study will explore the effects of a brief physical activity intervention on physical activity and physical function in older people with multimorbidity. The findings will be used to inform the design of a subsequent adequately-powered randomised controlled trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Brief physical activity intervention including an initial 45-minute physical activity consultation, telephone support after 2 weeks (approx. 15-minute call), and provision of a pedometer, written information, and a physical activity diary. Embedded behaviour change techniques will include goal setting, self-monitoring, building self-efficacy and social support, and overcoming barriers. |
|
| Wait-list control | No Intervention | The control group will not receive any active or placebo intervention during the 4-week study period. They will also not receive any trial contacts during this period. They will however continue to be able to access their usual care from primary, secondary, community, and social services. After the final (4-week) follow-up assessment, this group will receive the full physical activity intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brief physical activity intervention | Behavioral | See arm/group descriptions |
|
| Measure | Description | Time Frame |
|---|---|---|
| Average daily acceleration | Average acceleration from wrist accelerometry | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Intensity gradient | Intensity gradient from wrist accelerometry | 4 weeks |
| Time in MVPA | Average daily time spent in moderate-to-vigorous physical activity from wrist accelerometry |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Garry A Tew, PhD | Northumbria University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northumbria University | Newcastle | United Kingdom |
External requests for this data will be considered by the Chief Investigator after the publication of the main trial findings.
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| ID | Term |
|---|---|
| D000071069 | Multiple Chronic Conditions |
| D000073496 | Frailty |
| D057185 | Sedentary Behavior |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Pilot randomised controlled trial
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Outcome assessors will be blinded to group allocation, and participants will be asked to not disclose their allocation
| 4 weeks |
| Steps | Average daily step count | 4 weeks |
| Muscle strengthening exercise | Average daily time spent doing muscle strengthening exercise | 4 weeks |
| 30-second chair rise performance | Number of sit-to-stand movements completed within 30 seconds | 4 weeks |
| Handgrip strength | Maximum handgrip strength measured on both hands using a Jamar handgrip dynamometer | 4 weeks |
| Timed 8ft up and go performance | Time to complete 8ft up and go test | 4 weeks |
| Timed single-leg balance performance | Time able to stand on one limb | 4 weeks |
| 6-minute walk test performance | Total distance walked during 6-minute corridor walking test | 4 weeks |
| D001519 | Behavior |