Return to Everyday Activities in the Community and Home

Study Overview
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Brief Summary
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The purpose of this study is to test feasibility for the delivery and perceptions of a lifestyle model for middle-aged and older adults by involving participants in its development. The goal of the program is to reduce sedentary behaviour, increase physical activity, and increase strength and balance. An optional walking program will be run in parallel to emphasize the importance of moving more. Participants will be asked to fill out questionnaires on course delivery, content and effect throughout the program and 2-3 recorded interviews throughout the study. We will collect measurements of physical performance before and after the program.

Detailed Description
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This study aims to describe the delivery of a lifestyle model for older adults. Return to Everyday Activities in the Community and Home (REACH) is a health promotion program aimed at middle-aged and older adults. The goal of REACH is to reduce sedentary behaviour, increase physical activity, and increase strength and balance. The REACH program is comprised of six sessions which include evidence-based education, behaviour change theory, and activity instruction. REACH also teaches goal setting techniques, mindfulness, and encourages active community engagement. In this study we are running the REACH program for women aged 55 and older alongside a supplementary optional walking program run by SportMedBC. We will gather pre- and post-intervention measures of program perceptions, delivery psychological variables and physical performance outcomes. We will also collect participant feedback about course delivery, content and effect throughout the program. This study will allow us to describe the delivery strategies of REACH and involve the participants in the development of the REACH program. The optional walking program will emphasize the importance of increasing daily physical activity.

Official Title
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REACH Lifestyle Program for Older Adults

Conditions
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Lifestyle, Aging, Activity

Intervention / Treatment
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* Behavioral: REACH


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants included will be women aged 55 and older. Participants must speak English. Participants must be able to walk a minimum of four city blocks, climb a flight of stairs and take part in a physical activity and walking program. Participants must be cleared by a health care professional to participate using the Physical Activity Readiness Questionnaire for Everyone (Par-Q+) assessment to determine if they are physically able to take part in the activity program. Exclusion Criteria: Individuals will be excluded if they are men, under the age of 55 and/or do not speak English.

Ages Eligible for Study
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Minimum Age: 55 Years
Maximum Age: 105 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: REACH Participant Course<br>This study will run twice a week over 6 weeks with 6 REACH sessions optional walking program sessions. The optional walking program will be run by SportMedBC and may consist of one or more educational sessions (e.g., nutrition). Each REACH session introduces new topics, strength and balance activities and home practices which progressively build on each other. We will ask participants to provide feedback after each session, and in two to three 30 minutes recorded interviews (in-person or over the telephone) at the end of the study. | Behavioral: REACH<br>* REACH is a lifestyle intervention program which aims to reduce sedentary behaviour, increase physical activity, and increase strength and balance. The REACH program is comprised of six sessions which include evidence-based education, behaviour change theory, and activity instruction. REACH also teaches goal setting techniques, mindfulness, and encourages active community engagement. In this study we are running the REACH program for women aged 55 and older alongside a supplementary optional walking program run by SportMedBC.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| REACH Session Feedback | We will ask participants to report feedback and experience following each REACH session. As this was a pilot study we wanted to capture participants' perceptions of the program. When appropriate, we adjusted the content/delivery in consultation with participants. We also asked participants to rate their overall experience with REACH [1 (low) - 7 (high)]. | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physical Activity Identity | A questionnaire will be administered at the beginning and end of the REACH sessions to determine how the participant identifies themselves with regard to physical activity. The minimum score is 9 and the maximal score is 63; the higher the score the better. | 6 weeks | 
| Grit Score | A questionnaire will be used to determine how the participant perceives their ability to stick with (follow through on) projects or goals. The higher the score the better. Scores range from 1 (not like me to) to 5 (very much like me). | 6 weeks | 
| Automaticity Subscale of the Self-Report Habit Index | A questionnaire will be administered to determine the participant's level of automaticity for physical activity. Scores are based on a 7-point Likert scale (1=strongly disagree- 7=strongly agree). In other words, participants rate how automatic their behavior is for physical activity. | 6 weeks | 
| Sedentary Behaviour | We will request participants record their sedentary behaviour data from activity monitors. | weekly for 6 weeks | 
| Hourly Activity | We will request participants to record their hourly activity (number of hours active per day) data from activity monitors. | weekly for 6 weeks | 
| Step Count | We will request participants to record their daily step count data from activity monitors. | weekly for 6 weeks | 
| Number of REACH Sessions Attended | Number of REACH sessions attended during the project. | weekly for 6 weeks |