Clinical trial NCT04494711: Physical Literacy and Rehabilitation
Official title: A Multi-phased Technology Integrated Physical Literacy Program Targeting Adults With Multimorbidity. A Knowledge Translation Project
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Conditions, Multiple
Aging
Mobility Limitation
Keywords: Adults
physical function
physical literacy
Lead sponsor: McMaster University
Sponsor class: OTHER
Collaborators: name: McMaster University
First posted: 2020-07-31
Enrollment: 20
Sex: ALL
Minimum age (years): 45
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Mixed Methods
Primary purpose: PREVENTION

Brief summary: With the aging population, the prevalence of chronic conditions continues to rise, affecting 1/3 of Canadians. The promotion of physical literacy, defined as "the motivation, confidence, physical competence and knowledge, to take responsibility for engagement in physical activity for life", has emerged as a promising strategy to increase movement for children. However, little is known about how physical literacy can impact aging adults. A working definition of physical literacy for adults focusing on mobility, function and self-monitoring provides opportunity to guide public health programs in addressing the rehabilitation needs of persons living with multiple chronic conditions.

Detailed description: The objectives of this three stage mixed methods study is to:

1. Develop a new physical literacy framework, with the help of health professionals and end-users that promotes optimal physical functioning for adults.
2. Develop a population-based health intervention using rehabilitation strategies that are delivered virtually to increase physical literacy for adults.

The first 2 qualitative studies will be used to inform the third quantitative intervention.

First, an on-line consensus approach with physiotherapy leaders, rehabilitation researchers and public health experts will be used to identify a new physical literacy framework as it relates to adults.

Second, virtual semi-structured interviews with working adults who are living with 2 or more chronic conditions will determine how aging adults frame physical literacy in their life, specifically with the management of chronic conditions.

Lastly, working adults with 2 or more chronic conditions will participate in a 5-week physical literacy program. Multifaceted knowledge translation strategies including; "walk and talk" with a neighbour or friend, podcasts and on-line mobility challenges will be utilized.

It is anticipated the intervention will improve important physical literacy outcomes such as; physical competence, function, mobility, motivation, awareness, and self-efficacy.

Eligibility criteria: Inclusion Criteria:

* Subjects will be screened by the primary researcher for the following inclusion criteria:

  1. Diagnosed from a physician with 2 or more chronic conditions and have lived with the conditions for ≥1 year
  2. Able to speak English
  3. Employed full time as a teacher in the Hamilton-Wentworth School Board, Ontario between the ages of 45 and 65 years.
  4. Describe themselves as moderately physically active or inactive over the past 12 months

Exclusion Criteria:

* Advised by physician not to participate in physical activity

Primary outcomes:
measure: Physical Function at Baseline (Week 1)
timeFrame: Week 1
measure: Change in Physical Function from Week 1
timeFrame: Week 5
measure: Mobility Survey at Baseline (Week 1)
timeFrame: Week 1
measure: Change in Mobility from Week 1
timeFrame: Week 5
measure: Self-regulation at Baseline (Week 1)
timeFrame: Week 1
measure: Change in Self-regulation from Week 1
timeFrame: Week 5
Secondary outcomes:
measure: Physical Activity at Baseline (Week 1)
timeFrame: Week 1
measure: Change in Physical Activity from week 1
timeFrame: Week 5
measure: Self-efficacy to manage chronic conditions at Baseline (Week 1)
timeFrame: Week 1
measure: Change in Self-efficacy from week 1
timeFrame: Week 5
measure: Knowledge and Awareness of health changes that occur with aging Baseline (Week 1)
timeFrame: Week 1
measure: Change in Awareness level from week 1
timeFrame: Week 5
measure: Participant satisfaction of the Physical Literacy program
timeFrame: Week 5
Other outcomes:
Locations:
city: Hamilton
country: Canada
facility: Celeste Petrusevski
Study officials:
affiliation: McMaster University
name: Julie Richardson, PhD
role: PRINCIPAL_INVESTIGATOR
References: