Please select the eligibility criteria that correspond to the clinical trial below.
Title: Intervention to Reduce Sedentary Time in Older Adults Undergoing Orthopaedic Surgery: a Feasibility Study (INTEREST)
Brief Summary: The aim of this study is to investigate the feasibility of an intervention to reduce sedentary behaviour in older adults waiting for hip and knee replacements. The study will be a randomised controlled trial design, including 2:1 randomisation into an intervention and usual care group respectively. A target of n=45 patients ≥60 years will be recruited from Russells Hall Hospital, Dudley, UK, approximately 8-10 weeks before surgery, assisted by research nurses. The variable-length intervention, informed by Self-Determination Theory (SDT), will be composed of multiple behaviour change techniques, namely motivational interviewing, individualised feedback on sedentariness, goal-setting, environmental modification, self-monitoring, and social support. Assessments will occur at baseline, 1 week pre-surgery, and 6 weeks post-surgery. The primary outcome will be the feasibility of the trial, assessed quantitatively using study statistics, and with mixed-methods assessment of acceptability, practicality, adaption, satisfaction, and safety via questionnaires given to participants. Exploratory outcomes will include physical function, cardiometabolic biomarkers, measurement of SDT constructs, and both objective and subjective measurement daily activity and sedentariness. The study will last up to 18 weeks per participant.


Options:
A: Inclusion Criteria:

1. Men and women aged ≥60 years.
2. Listed for elective hip or knee surgery.
3. Capable of providing informed consent.
4. Regular access to a phone at pre-specified times.
5. Able to speak English.

Exclusion Criteria:

1. Neuromuscular impairments that preclude participating in physical activity, visual, hearing, or moderate/ severe cognitive impairments as indicated by the research nurse prior to recruitment.
2. Significant co-morbid disease that would pose a safety threat, affect blood measures significantly, or impair ability to participate such as coronary artery disease, severe hypertension, peripheral vascular disease, stroke, congestive heart failure, chronic obstructive pulmonary disease, insulin-dependent diabetes, psychiatric disease, renal disease, liver disease, or an active cancer other than skin cancer.
3. Working more than 2 days per week.
4. Unwillingness or inability to comply with the intervention.
B: Inclusion Criteria:

* 18 years or older
* Type 2 diabetes
* Have access to internet
* Being computer literate

Exclusion Criteria:

* not Dutch Speaking
C: Inclusion Criteria:

* being non-active, defined as reporting not engaging in regular activity (30 minutes accumulated per day) on more than two days of the week in the prior six months;
* aged 65 - 85 years;
* capable of participation in a program of flexibility,
* toning and balance without exacerbating any pre-existing conditions;
* able to obtain medical clearance for physical activity.

Exclusion Criteria:

* self-reported physical activity on a regular basis within the last six months (2 times or more per week);
* any physical disability that strictly prohibits stretching, strengthening and balance exercises;
* no regular access to a television;
* unable to successfully answer 21 out of 39 questions on the Telephone Interview of Cognitive Status questionnaire (TICS-M).
D: Inclusion Criteria:

* Participants must expect to reside in the Chicagoland area for the next 9 months
* Must be willing to record diet, sedentary activities, and/or stress and sleep and wear an accelerometer for 12 weeks and intermittently thereafter for the next 9-months
* Must agree to make changes in eating and activity or in sleep and relaxation behaviors
* Participants must report all of the following on screening questionnaires:

  * Low fiber diet (\< 9 FV servings/day)
  * High saturated fat intake (\> 8% of daily calories from fat)
  * Less than 150 minutes per week of moderate intensity physical activity per week for the past 3 months (or less than 75 minutes of vigorous intensity activity per week)
  * An average of \> 120 minutes/day spent on non-work, non-education related use of the following recreational sedentary pastimes: television, videos/movies, videogames, and computer use

Exclusion Criteria:

* Unstable medical conditions (e.g., uncontrolled hypertension, diabetes, recent myocardial infarction)
* Physician approval for those with existing and controlled medication conditions
* Those that require an assistive device for ambulation
* \> 350 lbs
* Currently taking weight loss medications
* Psychiatric hospitalization in past 5 years
* Those at risk for adverse cardiovascular disease (CVD) events with moderate intensity activity (e.g., CVD symptoms while walking, those scheduled for cardiac stress test within 2 months)
* Those who cannot read English sufficiently to respond to self-report questionnaires
* Current or anticipated pregnancy
* Women who are lactating
* Current active eating disorders (anorexia, bulimia)
* Current substance abuse or dependence (other than nicotine)

Answer: A