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| ID | Type | Description | Link |
|---|---|---|---|
| HG2-185013 | Other Grant/Funding Number | Canadian Institutes of Health Research |
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| Name | Class |
|---|---|
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
| Active Aging Society | OTHER |
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Choose to Move (CTM) is a 3-month, choice-based health-promoting program for low active older adults being scaled-up across British Columbia (BC), Canada. In Phase 5, the goal of CTM is to enhance physical activity, mobility and social connectedness in three target populations: South Asian older adults, older men, and older adults living in Northern BC. To do so, the investigators will support community-based seniors' services (CBSS) organizations through a readiness-building process so they can adapt CTM and deliver the program to these populations.
This study has two main research questions:
Choose to Move (CTM) a 3-month, choice-based health-promoting program for low active older adults being scaled-up in phases across British Columbia (BC), Canada. To date (Phases 1-4), CTM participants have included mostly white older women living in large urban centres. In Phase 5, the investigators aim to expand the reach of CTM to three target populations: South Asian older adults, older men, and older adults living in Northern BC.
Within CTM (Phase 5), trained activity coaches support older adults in two ways. First, in a one-on-one consultation, activity coaches help participants to set goals and create action plans for physical activity tailored to each person's interests and abilities. Older adults can choose to participate in individual or group-based activities. Second, activity coaches facilitate 8 group meetings with small groups of participants.
In this study, the central support unit (CSU) will work with community-based seniors' services (CBSS) organizations to adapt CTM to 'best fit' these target populations of older adults, and build capacity in these organizations to deliver CTM. The investigators will then evaluate the implementation of the adapted programs, and the impact of the adapted programs on older adults' physical and social health.
Objectives:
Study Design:
The investigators use a hybrid type 2 effectiveness-implementation (Curran et al. 2012) pre-post study design to evaluate CTM Phase 5. The investigators use mixed methods (quantitative and qualitative) and collect data at 0 (baseline), 3 (post-intervention) and 15 (12-months post intervention) months to assess implementation and impact of CTM.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ethnicity and Culture in Focus | Experimental | CTM (Phase 5) is a 3-month, flexible, choice-based health-promoting program for low active older adults that can be delivered in-person or online. The program includes:
The CTM program will be adapted for South Asian older adults, and may include additional intervention components customized for this population. |
|
| Men on the Move | Experimental | CTM (Phase 5) is a 3-month, flexible, choice-based health-promoting program for low active older adults that can be delivered in-person or online. The program includes:
The CTM program will be adapted for older men, and may include additional intervention components customized for this population. |
|
| The Forgotten North | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Choose to Move | Behavioral | As described under study arm description |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in physical activity | The single item physical activity questionnaire will be used to measure physical activity. Output variable is self-reported number of days/week ≥30 min physical activity in the past week (range 0-7). | 0, 3, 15 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in capacity for mobility | Two items will assess participants' ability to walk a quarter of a mile and up 10 steps. The output variable is self- reported presence of mobility-disability (no/any difficulty walking 400m or climbing one flight of stairs). | 0, 3, 15 months |
| Change in physical functioning |
| Measure | Description | Time Frame |
|---|---|---|
| Reach-individual | Number of organizations and older adults participating in adapted CTM programs will be obtained from program records. | 3 months |
| Reach-regional | The neighbourhood characteristics of the regions where CTM programs were delivered will be determined using the Canadian Social Environment Topology (CanSET) tool. |
Inclusion criteria:
Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Heather A McKay, PhD | University of British Columbia | Principal Investigator |
| Joanie Sims Gould, PhD | University of British Columbia | Principal Investigator |
| Dawn Mackey, PhD | Simon Fraser University | Principal Investigator |
| Farinaz Havaei, RN, PhD | University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Active Aging Research Team, Robert H. N. Ho Research Centre | Vancouver | British Columbia | V5Z 1M9 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22310560 | Background | Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care. 2012 Mar;50(3):217-26. doi: 10.1097/MLR.0b013e3182408812. | |
| 20484314 | Background | Milton K, Bull FC, Bauman A. Reliability and validity testing of a single-item physical activity measure. Br J Sports Med. 2011 Mar;45(3):203-8. doi: 10.1136/bjsm.2009.068395. Epub 2010 May 19. |
| Label | URL |
|---|---|
| Choose to Move website | View source |
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| ID | Term |
|---|---|
| D051346 | Mobility Limitation |
| D057185 | Sedentary Behavior |
| D012934 | Social Isolation |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
| D012919 | Social Behavior |
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CTM (Phase 5) is a 3-month, flexible, choice-based health-promoting program for low active older adults that can be delivered in-person or online. The program includes:
The CTM program will be adapted for older adults living in Northern BC, and may include additional intervention components customized for this population.
|
The Physical Functioning Subscale of the SF-36 will be used to assess the physical function aspect of mobility. The measure asks participants to rate if their health limits them in performing 10 different activities. The output variable is an average score (range 0-100) of physical functioning, where a higher score indicates a more favourable health state. |
| 0, 3, 15 months |
| Change in loneliness | The three-item loneliness scale will be used to assess loneliness. Participants rate three aspects of loneliness. The output variable is loneliness score (range 3-9); lower scores indicate lower levels of loneliness. | 0, 3, 15 months |
| Change in social isolation | A four-item questionnaire adapted from two questions on social contact frequency will be used to assess social isolation. The output variable is social isolation score (range 0-20); higher scores indicate lower levels of social isolation. | 0, 3, 15 months |
| Change in social network | A six-item questionnaire will be used to assess social network. The output variable is an equally weighted sum (range 0-30) where higher scores indicate more social engagement. | 0, 3, 15 months |
| Change in social connectedness | A single item will be used to assess sense of belonging as an indicator of social connectedness. The output variable is sense of belonging score (range 1-4) where lower scores indicate a stronger sense of belonging. | 0, 3, 15 months |
| Change in health-related quality of life (EQ-5D-5L Profile) | The EQ-5D-5L consists of five dimensions (mobility, self-care, usual activities, pain/discomfort and anxiety/depression). Participants are asked to indicate their level of functioning (from 1 "no problems" to 5 "extreme problems") on each of the five dimensions of the EQ-5D-5L. The EQ-5D-5 L describes 3125 distinct health states, with 11111 representing the best and 55555 the worst possible health states. The investigators apply the Canadian EQ-5D-5 L scoring algorithm to generate index scores, which ranged from - 0.148 for the worst (55555) to 0.949 for the best (11111) health states. | 0, 3, 15 months |
| Change in health-related quality of life (EQ-5D-5L Visual Analogue Scale) | Health status will be assessed with the EQ-5D-5L visual analogue scale. Participants report on their health on a visual analogue scale from 0 (worst health) to 100 (best health). | 0, 3, 15 months |
| Change in physical activity (objective) | Physical activity will be assessed by accelerometers (worn for 7 days) in a subset of participants in the Men on the Move study arm. The output variables are minutes per day of light, moderate and vigorous physical activity. | 0, 3, 15 months |
| 0 months |
| Context - CTM program (interview) | Aspects of the larger social, political and economic environment that may influence delivery of the adapted CTM program will be assessed by interview. | 3 months |
| Acceptability - CTM program (survey) | DPOs perception that the adapted CTM program is agreeable or satisfactory will be assessed by survey (4 items each on a 1-5 Likert scale with 1 being completely disagree and 5 being completely agree; developed in house). | 3 months |
| Adaptability - CTM program (survey) | Extent to which the adapted CTM program can be adapted, tailored, refined, or reinvented to meet local needs will be assessed by survey (4 items each on a 1-5 Likert scale with 1 being completely disagree and 5 being completely agree; developed in house). | 3 months |
| Feasibility - CTM program (survey) | DPOs perception that the adapted CTM program can be successfully used within the organization will be assessed by survey (4 items each on a 1-5 Likert scale with 1 being completely disagree and 5 being completely agree; developed in house). | 3 months |
| Appropriateness - CTM program (survey) | Extent to which the adapted CTM program fits with the mission, priorities, and values of organizations or setting will be assessed by survey (4 items each on a 1-5 Likert scale with 1 being completely disagree and 5 being completely agree; developed in house). | 3 months |
| Cost - CTM program | Program delivery costs will be recorded using a cost capture template developed in house. | 3 months |
| Culture - CTM program (interview) | DPOs' norms, values, and basic assumptions around selected health outcomes (physical activity, mobility, social health) will be assessed by interview with DPO staff. | 3 months |
| Complexity- CTM program (interview) | Perceptions among the DPOs that the adapted CTM program is relatively difficult to understand and use; number of different intervention components will be assessed by interview with DPO staff. | 3 months |
| Self-efficacy - CTM program (interview) | DPOs belief in their own capability to execute courses of action to achieve implementation goal will be assessed by interview with DPO staff. | 3 months |
| Readiness (survey) | The extent to which an organization is both willing and able to implement a particular innovation will be assessed using a modified version of the Readiness Diagnostic Scale. This scale evaluates three components of readiness: motivation (14 items), general capacity (24 items), and innovation capacity (12 items). Each item is scored on a 1-7 Likert scale with 1 being Strongly Disagree and 7 being Strongly Agree. | 0 months |
| Adoption - CTM program | Number of activity coaches trained to deliver the CTM program will be obtained from program records. | 3 months |
| Dose delivered - CTM program (survey) | Number of group meetings (0-8) delivered by activity coaches will be assessed by survey (developed in house). | 3 months |
| Fidelity - CTM program (survey) | Fidelity to planned delivery will be assessed via survey (designed in house) for activity coaches and older adult participants. Higher scores (1-5 Likert scale) indicate better adherence to planned delivery. | 3 months |
| Fidelity - CTM program (interview) | Fidelity to planned delivery will be assessed via interview with activity coaches and older adult participants. | 3 months |
| Participant Responsiveness - CTM program (survey) | Program satisfaction will be assessed via participant (older adults) survey (designed in house). Higher scores (1-5 Likert scale) indicate higher participant satisfaction with the intervention. | 3 months |
| Participant Responsiveness - CTM program (interview) | Program satisfaction will be assessed via interview with older adult CTM participants. | 3 months |
| Adaptation - CTM program (survey) | Planned or purposeful changes to the delivery of the adapted CTM program by activity coaches will be assessed by survey (short answer responses; developed in house). Coaches will indicate if they made any adaptations to the program (yes/no) and to provide details of any adaptations such as why it needed to occur. | 3 months |
| Adaptation - CTM program (interview) | Planned or purposeful changes to the delivery of the adapted CTM program by activity coaches will be assessed by interview. | 3 months |
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| Active Aging Research Team website | View source |