evaluating impact and implementation of choose to move (phase 4)

Conditions: Aging; Mobility Limitation; Sedentary Behaviour; Loneliness; Social Isolation; Social Connectedness

Summary: the objectives of this study are to: 1) evaluate whether choose to move (ctm) phase 4 improves health outcomes in older adults who participate and 2) assess whether ctm phase 4 is delivered as planned and what factors support or inhibit its delivery at scale. ctm phase 4 is a 3-month, choice-based program for low active older adults being scaled-up across british columbia (bc), canada. the goals of ctm are to enhance physical activity, mobility and social connectedness in older adults living in bc, canada.

choose to move (ctm) phase 4 is a 3-month, choice-based program for low active older adults being scaled-up in phases across british columbia (bc), canada. within ctm (phase 4), 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. activity coaches and recreation departments across bc are trained and provided with resources to deliver ctm. objectives: 1. to assess the impact (effectiveness) of ctm (phase 4) delivered at scale on the physical activity, mobility, and social connectedness of older adults (part i - impact evaluation) 2. to assess whether ctm (phase 4) was implemented as planned (fidelity) and investigate factors that support or inhibit its implementation at scale (part ii - implementation evaluation). study design: the investigators use a hybrid type 2 effectiveness-implementation (curran et al 2012) pre-post study design to evaluate ctm. the investigators use multiple methods (quantitative and qualitative) and collect data at 0 (baseline), 3 (post-intervention), 6 (3 months post-intervention), 15 (12 months post-intervention) and 27 (24 months post-intervention) months to assess impact and implementation of ctm.

Eligibility criteria:
inclusion criteria (older adults): * ≥60 years of age * demonstrate readiness for physical activity via the par-q+ questionnaire, get active questionnaire, or a letter of recommendation from their physician * \<150 min/week physical activity * english speaking * able to connect to the zoom or gotomeeting platform via phone or internet in order to participate in virtual group meetings (for online programs only) exclusion criteria (older adults): * previous participation in ctm inclusion criteria (delivery partners): * activity coaches will be english speaking, british columbia recreation and parks association (bcrpa) registered older adult fitness leaders or kinesiologists who are delivering ctm at participating centres * recreation managers and coordinators affiliated with participating centres delivering ctm * provincial partners (e.g., individuals/partners who make strategic and/or policy decisions) at partner organizations delivering choose to move activity coach inclusion criteria: * able to connect to the zoom or gotomeeting platform via internet (video and audio required in order to see and hear participants) for online programs * able to connect to the zoom or gotomeeting platform via phone or internet in order to participate in virtual group meetings (for online programs only) * currently (or recently completed) participating in ctm evaluation

Keywords: older adults behaviour change physical inactivity mobility social connectedness loneliness effectiveness maintenance implementation adaptation acceptability feasibility fidelity dose