Promoting Community Mobility for Wellness in Older Adults in Urban Environments

Study Overview
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Brief Summary
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This study evaluates the program outcomes of the Let's Go program. The standardized community mobility program employs multi-modal group and individual sessions to facilitate wellness in older adults.

Detailed Description
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This study examines the outcomes of Let's Go, a standardized community mobility program which employs group and individual sessions of education, peer interaction, engagement in meaningful occupations, and self-reflections to help individuals understand the importance of community participation and its relationship to well-being. Program outcomes explored include increased confidence in community mobility, increased autonomy outdoors, social life and relationships, frequency of community trips, and decreased social isolation.

Official Title
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Let's Go: Promoting Community Mobility for Wellness in Older Adults in Urban Environments

Conditions
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Healthy

Intervention / Treatment
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* Other: Let's Go Community Mobility Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Community dwelling individual Report desire to learn about community mobility options Able to participate in group education sessions ( Able to attend during a 45 minute session Independent mobility in community with or without an assistive device. Exclusion Criteria: Individual lives in Long Term Care facility Aphasia Individual has impaired cognition demonstrated by MoCA exam score ≤ 17 Individual is unable to stay awake for entire group session Individual acts out (yelling, monopolizes, motor restlessness or agitation) in group setting.

Ages Eligible for Study
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Minimum Age: 55 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: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Let's Go Community Mobility Program<br>Participation in 4 week program | Other: Let's Go Community Mobility Program<br>* Four week multi-modal education and experiential program to improve community mobilty<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Impact on Participation and Autonomy Questionnaire-Autonomy Outdoors Sub scale | The IPAQ measures an individual's perception of the impact of chronic disability on participation, has good responsiveness and its content, construct, and discriminant validity as well as internal consistency are deemed adequate and verified by Rasch analysis (Magasi & Post, 2010). The content validity of the autonomy outdoors subscale (α = .81) and social life and relationships scale (α = .86) are strong. Internal reliability of the IPAQ on all subscales is high (all Cronbach's alphas >0.8). The individual items on the AO subscale have a test-retest reliability ranging from .69 to .84 and those on the SL subscale ranged from Kw = .71 to .77 (Cardol et al., 1999, Sibley et al., 2006). | Baseline, 4 weeks (program end), 6 month follow up | 
| Change in Impact on Participation and Autonomy Questionnaire- Social Life and Relationships Sub scale | The IPAQ measures an individual's perception of the impact of chronic disability on participation, has good responsiveness and its content, construct, and discriminant validity as well as internal consistency are deemed adequate and verified by Rasch analysis (Magasi & Post, 2010). The content validity of the autonomy outdoors subscale (α = .81) and social life and relationships scale (α = .86) are strong. Internal reliability of the IPAQ on all subscales is high (all Cronbach's alphas >0.8). The individual items on the AO subscale have a test-retest reliability ranging from .69 to .84 and those on the SL subscale ranged from Kw = .71 to .77 (Cardol et al., 1999, Sibley et al., 2006). | Baseline, 4 weeks (program end), 6 month follow up | 
| Change in Frequency of community trips per month | A Participant Survey was developed by the Primary Investigator in which participants self reported the frequency of community trips in the past 30 days | Baseline, 4 weeks (program end), 6 month follow up | 
| Change in Confidence in community mobility | A Participant Survey was developed by the Primary Investigator in which participants self reported their confidence in community mobility on a Likert Scale | Baseline, 4 weeks (program end), 6 month follow up | 
| Change in Self report of feelings of isolation | A Participant Survey was developed by the Primary Investigator in which participants self reported their feeling of isolation on a Likert Scale | Baseline, 4 weeks (program end), 6 month follow up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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older adults, community mobility, wellness, isolation