Physical Activity to Improve Physical Function in a Community-Based Health Ministry

Study Overview
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Brief Summary
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This study is being conducted to test if a program with physical activity and learning about movement (including goal setting, benefits of physical activity, and how to increase physical activity gradually) helps people to become more active and to move better. The physical activity program involves specific exercises done in a group setting, and the education part will involve learning about different ways to move to make everyday activities easier. The program will last 16 weeks. This program will take place in a large fellowship area of a partner church through an established community-based participatory research partnership in Chicago, IL.

Detailed Description
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Limitations in physical function (PF) are related to decreased quality of life and are predictive of disability, nursing home admission, increased healthcare costs, and mortality in older adults. Structured physical activity has been shown to prevent mobility disability among those with physical function limitations, though community-based programs are needed, particularly in underserved communities. The purpose of this study is to pilot test a tailored physical activity intervention in churches in Chicago's West Side through an existing community-based participatory research partnership. The investigators previously found high rates of physical function limitations in these communities, and through qualitative research have identified intervention components that may aid in promoting physical activity among community members with physical function limitations. The primary aim is test the intervention in a 16 week, proof-of-concept study in 20 participants who are ambulatory but have PF limitations. The group-based physical activity intervention will take place in a large common area of a church. For feasibility the investigators will be testing the intervention in one church. The intervention will be delivered over 16 weeks, with assessments at baseline and 16 weeks.

Official Title
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Physical Activity to Improve Physical Function in a Community-Based Health Ministry in Chicago's West Side

Conditions
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Aging, Mobility Limitation

Intervention / Treatment
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* Behavioral: Physical Activity


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 40 or older Not currently participating in another formal exercise program and perform less than 150 minutes per week of exercise Ambulatory, defined as able to get out of a chair and walk without assistance aside from using a straight cane. Have any difficulty: Walking ¼ mile, (about 2-3 blocks) OR Walking up 10 steps without resting Speak English Safe to begin an exercise program (determined using the Exercise Assessment and Screening for You (EASY) Tool. Physician clearance may be needed based upon EASY Screening recommendations Exclusion Criteria: Severe cognitive impairment, defined as five or more errors on the Short-Portable Mental Status Questionnaire Plans to move out of the geographic area during the study period Plans to have major surgery within the study period Anticipate having major schedule changes that would interfere with ability to participate in the program. Inability to get to intervention location on a weekly basis Unwilling to commit to a weekly, approximately 90 minute program for 16 weeks. Contraindications to exercise determined using the EASY/healthcare follow-up. Self-reported Heart disease Uncontrolled diabetes mellitus Pacemaker Stroke within past 12 months Severe chronic lung disease (emphysema or COPD) Recent healing or unhealed fractures in the past 6 months Heart failure Chronic kidney disease

Ages Eligible for Study
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Minimum Age: 40 Years

Sexes Eligible for Study
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All

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: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Physical Activity<br>16 week physical activity intervention | Behavioral: Physical Activity<br>* Participants will meet in a weekly group session to discuss a topic related to physical activity and physical function and participate in group-based physical activity. Participants will also have instructions to participate in physical activity outside of the weekly sessions, incrementally increasing their total physical activity over the intervention period.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physical Function | Change in Short Physical Performance Battery score Scale ranges from 0-12 (integers only) with higher scores indicating better function. | 16 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physical Activity (Objective) | Change in accelerometer measured physical activity (minutes of moderate/vigorous physical activity per day, and number of steps per day). Accelerometer will be worn for 1 full week at the hip but removed for sleep at night). Higher positive values of change indicate larger increases in physical activity. | 16 weeks | 
| Physical Activity (Self-Reported) | Change in physical activity as assessed by the Champs physical activity. questionnaire. Activity will be expressed as caloric expenditure/week in all exercise-related activities (in calories per week). Higher positive values of change indicate larger increases in physical activity. | 16 weeks | 
| Acceptability of intervention: | Acceptability questionnaire specific to intervention, attendance (% of sessions attended out of 16 total) | 16 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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aging, physical function