Clinical trial NCT05678985: Evaluating Impact and Implementation of Choose to Move (Phase 4)
Official title: Choose to Move (Phase 4): Impact and Implementation Evaluation of a Program to Enhance Older Adult Physical Activity, Mobility and Health
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Aging
Mobility Limitation
Sedentary Behaviour
Loneliness
Social Isolation
Social Connectedness
Keywords: Older adults
Behaviour change
Physical inactivity
Mobility
Social connectedness
Loneliness
Effectiveness
Maintenance
Implementation
Adaptation
Acceptability
Feasibility
Fidelity
Dose
Lead sponsor: University of British Columbia
Sponsor class: OTHER
Collaborators: name: Canadian Institutes of Health Research (CIHR)
name: Active Aging Society
First posted: 2023-01-10
Enrollment: 550
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: The objectives of this study are to: 1) evaluate whether Choose to Move (CTM) Phase 4 improves health outcomes in older adults who participate and 2) assess whether CTM Phase 4 is delivered as planned and what factors support or inhibit its delivery at scale.

CTM Phase 4 is a 3-month, choice-based program for low active older adults being scaled-up across British Columbia (BC), Canada. The goals of CTM are to enhance physical activity, mobility and social connectedness in older adults living in BC, Canada.

Detailed description: Choose to Move (CTM) Phase 4 is a 3-month, choice-based program for low active older adults being scaled-up in phases across British Columbia (BC), Canada. Within CTM (Phase 4), trained activity coaches support older adults in two ways. First, in a one-on-one consultation, activity coaches help participants to set goals and create action plans for physical activity tailored to each person's interests and abilities. Older adults can choose to participate in individual or group-based activities. Second, activity coaches facilitate 8 group meetings with small groups of participants. Activity coaches and recreation departments across BC are trained and provided with resources to deliver CTM.

Objectives:

1. To assess the impact (effectiveness) of CTM (Phase 4) delivered at scale on the physical activity, mobility, and social connectedness of older adults (Part I - Impact Evaluation)
2. To assess whether CTM (Phase 4) was implemented as planned (fidelity) and investigate factors that support or inhibit its implementation at scale (Part II - Implementation Evaluation).

Study Design:

The investigators use a hybrid type 2 effectiveness-implementation (Curran et al 2012) pre-post study design to evaluate CTM. The investigators use multiple methods (quantitative and qualitative) and collect data at 0 (baseline), 3 (post-intervention), 6 (3 months post-intervention), 15 (12 months post-intervention) and 27 (24 months post-intervention) months to assess impact and implementation of CTM.

Eligibility criteria: Inclusion Criteria (older adults):

* ≥60 years of age
* demonstrate readiness for physical activity via the PAR-Q+ questionnaire, Get Active Questionnaire, or a letter of recommendation from their physician
* \<150 min/week physical activity
* English speaking
* Able to connect to the Zoom or GoToMeeting platform via phone or internet in order to participate in virtual group meetings (for online programs only)

Exclusion Criteria (older adults):

* Previous participation in CTM

Inclusion Criteria (delivery partners):

* Activity coaches will be English speaking, British Columbia Recreation and Parks Association (BCRPA) registered older adult fitness leaders or kinesiologists who are delivering CTM at participating centres
* Recreation Managers and Coordinators affiliated with participating centres delivering CTM
* Provincial Partners (e.g., individuals/partners who make strategic and/or policy decisions) at partner organizations delivering Choose to Move

Activity Coach inclusion criteria:

* Able to connect to the Zoom or GoToMeeting platform via internet (video and audio required in order to see and hear participants) for online programs
* Able to connect to the Zoom or GoToMeeting platform via phone or internet in order to participate in virtual group meetings (for online programs only)
* Currently (or recently completed) participating in CTM evaluation

Primary outcomes:
measure: Change in physical activity
timeFrame: 0, 3, 6, 15, 27-months
Secondary outcomes:
measure: Change in capacity for mobility
timeFrame: 0, 3, 6, 15, 27-months
measure: Change in physical functioning
timeFrame: 0, 3, 6, 15, 27-months
measure: Change in mobility
timeFrame: 0, 3, 6, 15, 27-months
measure: Change in loneliness
timeFrame: 0, 3, 6, 15, 27-months
measure: Change in social isolation
timeFrame: 0, 3, 6, 15, 27-months
measure: Change in social network
timeFrame: 0, 3, 6, 15, 27-months
measure: Change in social connectedness
timeFrame: 0, 3, 6, 15, 27-months
measure: Change in sitting time
timeFrame: 0, 3, 6, 15, 27-months
measure: Change in screen time
timeFrame: 0, 3, 6, 15, 27-months
measure: Change in health-related quality of life (EQ-5D-5L Profile)
timeFrame: 0, 3, 6, 15, 27-months
measure: Change in health-related quality of life (EQ-5D-5L Level Sum Score)
timeFrame: 0, 3, 6, 15, 27-months
measure: Change in health-related quality of life (EQ-5D-5L Visual Analogue Scale)
timeFrame: 0, 3, 6, 15, 27-months
Other outcomes:
measure: Reach-individual
timeFrame: 3-months
measure: Reach-organizational
timeFrame: 3-months
measure: Dose delivered
timeFrame: 3-months
measure: Fidelity (survey)
timeFrame: 3-months
measure: Fidelity (interview/focus group)
timeFrame: 3-months
measure: Participant responsiveness (survey)
timeFrame: 3-months
measure: Participant responsiveness (interview)
timeFrame: 3-months
measure: Adaptation (survey)
timeFrame: 3-months
measure: Adaptation (interview/focus group)
timeFrame: 3-months
measure: Contextual factors influencing implementation (survey)
timeFrame: 3-months
measure: Contextual factors influencing implementation (interview/focus group)
timeFrame: 3-months
measure: Cost
timeFrame: 3-months
measure: Change in Organizational Readiness (Organizational Readiness Rubric)
timeFrame: 0, 3-months
measure: Change in Organizational Readiness (Readiness for Organizational Change Scale)
timeFrame: 0, 3-months
measure: Organizational Readiness (OR) (interview/focus group)
timeFrame: 0, 3-months
Locations:
city: Vancouver
country: Canada
facility: Centre for Hip Health and Mobility, Robert H.N. Ho Research Centre, University of British Columbia
state: British Columbia
Study officials:
affiliation: University of British Columbia
name: Heather A McKay, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: University of British Columbia
name: Joanie Sims Gould, PhD
role: PRINCIPAL_INVESTIGATOR
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