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The goal of this study was to explore the feasibility and acceptability of conducting a feasibility randomised controlled trial of culturally appropriate physical activity (PA) promotion strategies among older Chinese adults living in the UK.
The main questions the study aimed to answer were:
Whether older Chinese adults in the UK were willing to take part in the study and to be randomly assigned to a group
Whether participants were willing to remain in the study for its full duration
Whether participants were willing to engage with the PA promotion strategies, including attending workshops, using a logbook, wearing a pedometer, and joining a social media support group
Whether participants found the PA promotion strategies and outcome measures acceptable
Whether physical activity, physical function, and quality of life showed changes in the intervention and control groups
Researchers compared the culturally appropriate PA promotion strategies with a World Health Organization (WHO) PA recommendation leaflet. The study lasted 18 weeks, including a 12-week intervention and a 6-week follow-up.
Participants in the intervention group received culturally appropriate PA promotion materials, including booklets, workshops, a social media support group, a resistance band for strength and balance exercises, and a pedometer.
Participants in the control group received a WHO PA information leaflet and a pedometer.
Participants in both groups completed data collection at three time points. At each time point, participants were asked to wear a pedometer for 7 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The culturally appropriate physical activity promotion strategies | Experimental | The culturally appropriate physical activity promotion strategies were developed based on 27 BCTs and will be delivered through three parts: a series of booklets, three workshops and a virtual social media support group |
|
| WHO physical activity guideline group | Active Comparator | The printed leaflet of recommendations from the WHO physical activity guideline for older adults |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The culturally appropriate PA promotion strategies | Behavioral | The intervention was developed based on the Behaviour Change Wheel, aiming to increase participants' capability, opportunity, and motivation to engage in physical activity. It consisted of three components: printed materials, group workshops, and an online social media support group.
|
| Measure | Description | Time Frame |
|---|---|---|
| Recruitment rate | We aimed to recruit at least 30 participants within eight weeks. Detailed records were kept of the total number of potential participants approached by the researcher, the number of participants who attend the screening, and the number of participants who are ultimately included in the study. | Baseline |
| Compliance rate and follow-up rate. | Participants were not fully withdrawn from the study solely due to discontinuation of or noncompliance with the intervention. For example, participants could choose to stop attending workshops or participating in the social media group while still remaining willing to complete data collection activities. Alternatively, participation could be discontinued based on clinical judgment. Every effort was made to collect as much data as possible to maintain the integrity of the study. Reasons for participants' exit from the trial were recorded separately. | 18 weeks |
| Adherence | In this study, adherence was mainly assessed by the number of workshops attended by the participants. | 12 week |
| Acceptability | Qualitative interviews. At the end of the study, about 50% of participants (including those who withdraw from the trial) was invited for follow-up interviews. | 12 to 18 week |
| Measure | Description | Time Frame |
|---|---|---|
| Subjective measures of physical activity | Subjective measurement was conducted using the Chinese version of the Physical Activity Scale for the Elderly (PASE). | Baseline, 12-week and 18-week |
| Objective measures of physical activity |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The university of Manchester | Manchester | Great Manchester | M13 9PL | United Kingdom |
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| Label | URL |
|---|---|
| Published protocol | View source |
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The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request
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Participants are randomly assigned to either a culturally appropriate physical activity promotion strategies group or a control group receiving standard WHO physical activity information and are followed in parallel.
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|
| WHO leaflet group (control) | Behavioral | In the control group, participants received a printed leaflet outlining World Health Organization (WHO) physical activity recommendations for older adults. Participants were encouraged to follow these guidelines, including 150-300 minutes of moderate-intensity or 75-150 minutes of vigorous-intensity aerobic activity per week, along with strength and balance exercises twice weekly, at a time and place convenient to them. No additional support was provided. |
|
A pedometer (Realalt 3DTriSport 3D Pedometer; 3DTriSport Pedometer for Walking with Clip and Lanyard - Realalt) was used to monitor participants' PA level (i.e., step counts).
| baseline, 12-week and 18-week |
| COM-B questionnaires | Brief COM-B questionnaires was used to assess the perceived capability, opportunity and motivation for PA behaviour among older Chinese adults in the UK. | Baseline, 12-week and 18-week |
| Physical Function | The Short Physical Performance Battery (SPPB) will be used to assess the potential change of physical function | Baseline, 12-week and 18-week |
| Health-related quality of life | The CASP-12 (Control, Autonomy, Self-realisation, and Pleasure-12) questionnaire was used to measure older adults' health-related quality of life | Baseline, 12-week and 18-week |
| Adverse events | A safety reporting protocol was followed for managing related and unexpected serious adverse events (SAEs) and directly attributable adverse events (AEs). | Whole study period-18 weeks |
| ID | Term |
|---|---|
| D057185 | Sedentary Behavior |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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