Clinical trial NCT06434298: Provincial Scale-up of Choose to Move (CTM) Phase 4
Official title: Continued Evaluation of Provincial Scale-up of Choose to Move (CTM) Phase 4
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Aging
Physical Inactivity
Mobility Limitation
Loneliness
Social Isolation
Keywords: Older adults
Physical activity
Mobility
Social isolation
Loneliness
Social connectedness
Behavior change
Implementation
Scale-up
Health equity
Lead sponsor: University of British Columbia
Sponsor class: OTHER
Collaborators: name: British Columbia Ministry of Health
First posted: 2024-05-30
Enrollment: 5720
Sex: ALL
Minimum age (years): 50
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: Choose to Move (CTM) is a 3-month, choice-based health-promoting program for low active older adults being scaled-up across British Columbia (BC), Canada. In this project, the investigators will expand delivery of the optimized Phase 4 program with large and small partner organizations and will describe and assess scale-up, implementation, and impact of CTM Phase 4.

Detailed description: Choose to Move (CTM) a 3-month, choice-based health-promoting program for low active older adults being scaled-up in phases across British Columbia (BC), Canada. To date (Phases 1-4), CTM participants have included mostly white older women living in large urban centres. In this project, the investigators aim to expand the reach of CTM to include even more older adults living in communities across BC.

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 either in person or online.

In this study, the central support unit (CSU) will work with community-based seniors' services (CBSS) organizations in large and small communities across BC to deliver CTM to more older adults. The investigators will then evaluate implementation of CTM programs, and the impact of the CTM program on older adults' physical and social health.

Objectives:

To assess whether CTM (Phase 4) was implemented as planned (fidelity) and investigate factors that support or inhibit its implementation at scale across BC (Part I - Implementation Evaluation).

To assess the impact (effectiveness) of CTM (Phase 4) on the physical activity, mobility, and social connectedness of older adult participants (Part II - Impact Evaluation).

Study Design:

The investigators use a hybrid type 2 effectiveness-implementation (Curran et al. 2012) pre-post study design to evaluate scale-up of CTM Phase 4. The investigators use mixed methods (quantitative and qualitative) and collect data at 0 (baseline) and 3 (post-intervention) months to assess implementation and impact of CTM.

Eligibility criteria: Inclusion Criteria:

* Central support unit staff member
* Activity coach hired by delivery partner organization (activity coaches must speak English to participate in the evaluation);
* English-speaking older adults (aged \>=50 years) who participate in CTM (recruited by delivery partner organizations) will be invited to participate in the evaluation;
* Non-English speaking older adults will also be invited to participate in the evaluation as long as an intermediary who has the necessary language skills to ensure effective communication/translation of the consent and surveys is present.

Exclusion Criteria:

* None

Primary outcomes:
measure: Change in physical activity
timeFrame: 0, 3 months
Secondary outcomes:
measure: Change in capacity for mobility
timeFrame: 0, 3 months
measure: Change in physical functioning
timeFrame: 0, 3 months
measure: Change in loneliness
timeFrame: 0, 3 months
measure: Change in social isolation
timeFrame: 0, 3 months
measure: Change in social network
timeFrame: 0, 3 months
measure: Change in social connectedness
timeFrame: 0, 3 months
measure: Change in bone/muscle-strengthening physical activity
timeFrame: 0, 3 months
measure: Change in balance-enhancing physical activity
timeFrame: 0, 3 months
Other outcomes:
measure: Reach-individual
timeFrame: 3 months
measure: Reach-regional
timeFrame: 3 months
measure: Adoption - CTM program
timeFrame: 3 months
measure: Dose delivered - CTM program (survey)
timeFrame: 3 months
measure: Fidelity - CTM program (survey)
timeFrame: 3 months
measure: Participant Responsiveness - CTM program (survey)
timeFrame: 3 months
measure: Cost
timeFrame: 0, 3 months
measure: Adaptation - CTM program (survey)
timeFrame: 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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