Clinical trial NCT02433249: Developing a Intervention to Enhance Motivation for Physical Activities Known to Reduce Fall Risk
Official title: Enhancing Motivation for Physical Activity to Reduce the Risk of Falls Among Community-Dwelling Older Adults: A Wellness Intervention.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Accidental Falls
Sedentary Lifestyle
Lead sponsor: University of Minnesota
Sponsor class: OTHER
First posted: 2015-05-04
Enrollment: 103
Sex: ALL
Minimum age (years): 70
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The purpose of this pilot study is to develop an intervention, based on empirical evidence and health-related behavioral change theory, to enhance motivation for engaging in fall-reducing physical activities.

Detailed description: The intervention being developed, Ready\~Steady, combines 3 components; a) interpersonal motivation, b) intrapersonal motivation, and c) physical activity. Theoretical concepts from the wellness motivation theory are (a) translated into intervention strategies; and (b) operationalized as variables to form a basis for evaluating this intervention. The overall objective is to advance the development of Ready\~Steady by assessing the impact of its motivation components.

Eligibility criteria: Inclusion Criteria:

* ≥ 70 years, level of physical activity (strength training and aerobic) below national recommendations

Exclusion Criteria:

* Dementia, recent injury or surgery, unable to participate in light-moderately intense exercise

Primary outcomes:
measure: Change in self-reported physical activity behavior
timeFrame: Baseline; 1 week post; 6 months post
measure: Change in objectively measured physical activity behavior
timeFrame: Baseline; 1 week post; 6 months post
Secondary outcomes:
measure: Change in functional strength and balance
timeFrame: Baseline; 1 week post; 6 months post
measure: Change in functional strength and balance
timeFrame: Baseline; 1 week post; 6 months post
measure: Change in the number of community resources used for physical activity
timeFrame: Baseline; 1 week post; 6 months post
measure: Change in social support for fall-reducing physical activities
timeFrame: Baseline; 1 week post; 6 months post
measure: Change in readiness
timeFrame: Baseline; 1 week post; 6 months post
measure: Change in self-regulation
timeFrame: Baseline; 1 week post; 6 months post
measure: Change in self-reported lower extremity function
timeFrame: Baseline; 1 week post; 6 months post
measure: Change in self-reported ability to participate in social activities
timeFrame: Baseline; 1 week post; 6 months post
Other outcomes:
measure: Technology acceptability and utility
timeFrame: 1 week post; 6 months post
Locations:
Study officials:
affiliation: University of Minnesota
name: Siobhan K McMahon, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: McMahon S, Vankipuram M, Hekler EB, Fleury J. Design and evaluation of theory-informed technology to augment a wellness motivation intervention. Transl Behav Med. 2014 Mar;4(1):95-107. doi: 10.1007/s13142-013-0221-4.
citation: McMahon S, Fleury J. Wellness in older adults: a concept analysis. Nurs Forum. 2012 Jan-Mar;47(1):39-51. doi: 10.1111/j.1744-6198.2011.00254.x.
citation: Perez A, Fleury J. Wellness motivation theory in practice. Geriatr Nurs. 2009 Mar-Apr;30(2 Suppl):15-20. doi: 10.1016/j.gerinurse.2009.02.006. No abstract available.
citation: McMahon S, Talley KM, Wyman JF. Older people's perspectives on fall risk and fall prevention programs: a literature review. Int J Older People Nurs. 2011 Dec;6(4):289-98. doi: 10.1111/j.1748-3743.2011.00299.x.
citation: McMahon SK, Lewis B, Oakes JM, Wyman JF, Guan W, Rothman AJ. Examining Potential Psychosocial Mediators in a Physical Activity Intervention for Older Adults. West J Nurs Res. 2020 Aug;42(8):581-592. doi: 10.1177/0193945919871697. Epub 2019 Aug 30.
citation: McMahon SK, Lewis B, Oakes JM, Wyman JF, Guan W, Rothman AJ. Assessing the Effects of Interpersonal and Intrapersonal Behavior Change Strategies on Physical Activity in Older Adults: a Factorial Experiment. Ann Behav Med. 2017 Jun;51(3):376-390. doi: 10.1007/s12160-016-9863-z.
citation: McMahon SK, Lewis B, Oakes M, Guan W, Wyman JF, Rothman AJ. Older Adults' Experiences Using a Commercially Available Monitor to Self-Track Their Physical Activity. JMIR Mhealth Uhealth. 2016 Apr 13;4(2):e35. doi: 10.2196/mhealth.5120.