Clinical trial NCT05635695: Cultural Pathways to Develop Sustainable Health
Official title: Assessment of Cultural Pathways in the City Developed on a Smartphone Application on Physical Abilities, Well-being and Sustainable Health Knowledge
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Sedentary Behavior
Keywords: Sustainable health
Physical Activity
Cultural pathways
App
Sedentary
Lead sponsor: School of Health Sciences Geneva
Sponsor class: OTHER
First posted: 2022-12-02
Enrollment: 64
Sex: ALL
Minimum age (years): 50
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The 2030 Agenda for Sustainable Development, adopted by all United Nations Member States in 2015 includes the goal 3 "Ensure healthy lives and promote well-being for all at all ages". One of the essential axes is to promote primary prevention in order to avoid the emergence of diseases and the treatments use with a high environmental impact. Physical activity (PA) is a means of primary prevention known to be very effective in the fight against chronic diseases.

Despite the recommendations on PA, a high number of people are sedentary and in particular in older persons. The main barriers are accessibility and lack of motivation for traditional PA. The investigators believe that the development of cultural pathways could be an excellent way to improve people's health.

The objective of this study is to assess the effects of cultural pathways on the physical abilities, well-being and sustainable health knowledge of sedentary people over 50 years old. This intervention will be compared to a control group visiting a museum freely. The hypothesis is that cultural pathways including games induce enough steps to be considered an effective activity to fight sedentary lifestyle. The number of steps should be higher than the control group. Fatigue, stress and well-being should be improved after the visit as well as sustainable health knowledge.

All the tests will be carried out during the same day by experienced physiotherapists. Physical and well-being tests will be performed before and after the intervention or control. The number of steps taken during the cultural activity will be measured.


Eligibility criteria: Inclusion Criteria:

* Age \> 50 years
* Sedentary condition (\<150 minutes of physical activity per week)
* Medical stability
* Walking independently with or without assistance
* Ability to understand the instructions

Exclusion Criteria:

* Refusal to participate;
* Person with other conditions affecting independent walking;
* Contraindications to prolonged standing;
* Concomitant pathologies that may interfere with the results;
* Inability to follow the study procedure (cognitive disorders, dementia, psychological disorders, language problems...).

Primary outcomes:
measure: Number of steps during cultural activity in the 2 groups (free visit vs.cultural pathways)
timeFrame: 75 minutes
Secondary outcomes:
measure: Change from baseline (pre-visit): fatigue in the 2 groups (free visit vs.cultural pathways)
timeFrame: 75 minutes
measure: Change from baseline (pre-visit): stress in the 2 groups (free visit vs.cultural pathways)
timeFrame: 75 minutes
measure: Change from baseline (pre-visit): pain in the 2 groups (free visit vs.cultural pathways)
timeFrame: 75 minutes
measure: Change from baseline (pre-visit): perceived balance in the 2 groups (free visit vs.cultural pathways)
timeFrame: 75 minutes
measure: Change from baseline (pre-visit): survey about "sustainable health knowledge" (questionnaire en santé durable in french - QSDFr) in the 2 groups (free visit vs.cultural pathways)
timeFrame: 75 minutes
measure: Change from baseline (pre-visit): Activities-Specific Balance Confidence (ABC-scale short version) (only intervention group)
timeFrame: 75 minutes
measure: Change from baseline (pre-visit): Postural control (only intervention group) center of pressure displacement
timeFrame: 75 minutes
measure: Change from baseline (pre-visit): Postural control (only intervention group) center of pressure velocity
timeFrame: 75 minutes
measure: Change from baseline (pre-visit): Postural control (only intervention group) center of pressure sway area
timeFrame: 75 minutes
measure: Change from baseline (pre-visit): gait speed and dual task (only intervention group)
timeFrame: 75 minutes
measure: Change from baseline (pre-visit): museum well-being measures (only intervention group)
timeFrame: 75 minutes
measure: Change from baseline (pre-visit): museum well-being umbrella measures (only intervention group)
timeFrame: 75 minutes
measure: Safety endpoint: pain (Numeric Rating Scale)
timeFrame: 3 hours
measure: Safety endpoint: fatigue (Numeric Rating Scale)
timeFrame: 3 hours
measure: Safety endpoint: number of subjects who completed the cultural activity and tests.
timeFrame: 3 hours
Other outcomes:
Locations:
city: Geneva
country: Switzerland
facility: Geneva School of Health Sciences
Study officials:
affiliation: Geneva School of Health Sciences
name: Anne-Violette Bruyneel
role: PRINCIPAL_INVESTIGATOR
References:
citation: Harvey JA, Chastin SF, Skelton DA. Prevalence of sedentary behavior in older adults: a systematic review. Int J Environ Res Public Health. 2013 Dec 2;10(12):6645-61. doi: 10.3390/ijerph10126645.
citation: Tudor-Locke C, Craig CL, Aoyagi Y, Bell RC, Croteau KA, De Bourdeaudhuij I, Ewald B, Gardner AW, Hatano Y, Lutes LD, Matsudo SM, Ramirez-Marrero FA, Rogers LQ, Rowe DA, Schmidt MD, Tully MA, Blair SN. How many steps/day are enough? For older adults and special populations. Int J Behav Nutr Phys Act. 2011 Jul 28;8:80. doi: 10.1186/1479-5868-8-80.
citation: Camic PM, Chatterjee HJ. Museums and art galleries as partners for public health interventions. Perspect Public Health. 2013 Jan;133(1):66-71. doi: 10.1177/1757913912468523.