Clinical trial NCT05179148: MI for Physical Activity Among Older Adults
Official title: Motivational Interviewing for Physical Activity Among Older Adults
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Motivational Interviewing
Keywords: motivational interviewing
physical activity
older adults
virtual
Lead sponsor: University of Manitoba
Sponsor class: OTHER
First posted: 2022-01-05
Enrollment: 7
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to determine the feasibility of VIrtual Motivational INTerviewing (VIMINT) to promote physical activity levels among older adults; post-intervention and at two-month follow-up.

Detailed description: Evidence shows that moderate and regular physical activity is associated with the prevention of non-communicable diseases, increased bone density, reduced risk of dementia, and prevention of falls among older adults. Despite the numerous benefits of physical activity, many older adults do not meet the recommended physical activity guidelines of 150 min/week of moderate-to-vigorous intensity physical activity in Canada. MI is a client-centered counselling style for strengthening a person's own motivation and commitment to change. MI helps evoke the person's own motivation for changes through reflective listening, engaging, evoking, and planning. MI has shown to be promising in the general adult population for improving physical activity levels, however, there were mixed results for the effectiveness of MI among older adults. In addition, based on the available evidence, there are no studies evaluating the potential long-term effects of MI on physical activity levels among older adults. This feasibility study is necessary to explore possible challenges that may be encountered in the future larger trial with a two-month follow-up. Due to the recent pandemic (COVID-19), the intervention will be conducted virtually through the videoconferencing platform (Zoom). Therefore, the purpose of this study is to determine the feasibility of VIrtual Motivational INTerviewing (VIMINT) to promote physical activity levels among older adults; post-intervention and at two-month follow-up.

The participants will receive five sessions of the virtual MI over a five-week period through the Zoom platform and each session will last between 45 to 60 minutes. The intervention will be delivered by trained personnel in MI. The MI strategies will include evoking change and guiding participants in establishing goals for improving physical activity. After the 2-month evaluation, counsellors and participants will be invited for a one-on-one Zoom interview. The aim is to explore the perception of the counsellors and participants about the VIMINT study including, views about virtual MI, benefits, and challenges.

Eligibility criteria: Inclusion Criteria:

* aged 65 years or older
* living in the community
* able to walk with or without mobility aid for at least 10 metres
* physically inactive i.e., less than 150 minutes of moderate-vigorous intensity
* ready to participate in physical activity and no medical concerns using the Physical Activity Readiness Questionnaire (PAR-Q+)\*
* score of ≥ 18 on the telephone version of the Mini-mental State Exam
* able to speak English
* able to have access to a computer, tablet or mobile phone capable of running the videoconferencing platform (Zoom)
* able to access internet and email

Exclusion Criteria:

* • receiving on-going treatment for any medical condition that would prevent safe participation in physical activity

  * living in long-term care
  * participating in other behavioural interventions that focus on improving physical activity

Primary outcomes:
measure: Total number of participants recruited per month
timeFrame: throughout the study, average of 1 year
measure: the percentage of participants that remained after the last data is completed at 1 year
timeFrame: after completion of data collection at 1 year
measure: the counsellor's competence will be assessed using Motivational Interviewing Treatment Integrity Code 4.2.1 after completing the motivational interviewing counselling at 1 month post-baseline assessment
timeFrame: at 1 month post baseline
measure: participant level of satisfaction will be assessed using the Client Satisfaction Questionnaire version 8 at follow-up assessment which is 3 months post baseline
timeFrame: 3 months post baseline
Secondary outcomes:
measure: change from baseline of self-reported light, moderate and vigorous using Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire at 1 month and 3 months
timeFrame: baseline, 1 month and 3 months post baseline
measure: Change from baseline in the total sporadic minutes per day of the light and moderate-vigorous intensity physical activity and total number of steps per day using activity monitor(GT3X+ model) at 1 months and 3 months
timeFrame: baseline, 1 month and 3 months post baseline
measure: Change from baseline in the quality of life using The Research ANd Development-36 (RAND-36) at 1 month and 3 months
timeFrame: baseline, 1month and 3 months post baseline
measure: change from baseline in the mean self-efficacy for exercise using 9-item Self-efficacy for exercise questionnaire at 1 month and 3 months
timeFrame: baseline, 1month and 3 months post baseline
measure: change from baseline in the mean of task self-efficacy physical activity using 10 items from task self-efficacy physical activity questionnaire at 1 month and 3 months post baseline.
timeFrame: baseline, 1month and 3 months post baseline
measure: change from baseline in the readiness of the participant to change behaviour using readiness-to-change ruler at baseline and 1 month post baseline
timeFrame: baseline and 1 month post baseline
Other outcomes:
Locations:
city: Winnipeg
country: Canada
facility: University of Manitoba
state: Manitoba
Study officials:
affiliation: University of Manitoba
name: Olayinka Akinrolie, MSc
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Akinrolie O, Barclay R, Strachan S, Gupta A, Jasper US, Jumbo SU, et al. The effect of motivational interviewing on physical activity level among older adults: a systematic review and meta-analysis. Physical & occupational therapy In Geriatrics. 2020;38(3):250-63