A RCT of Walking With Positive Education in Retired Elders

National Defense Medical Center, Taiwan

Status: Completed

Conditions: Happiness; Educational Problems; Exercise

Treatments: Behavioral: Pedometer walking training and positive education; Behavioral: Pedometer walking with training; Behavioral: pedometer walking

Study type: Interventional

Funder types: Other

Identifiers

NCT03607877

Exercise and Psychology

Details and patient eligibility

About

Three arms of experimental design were used: Pedometer walking training (PWT), positive education and pedometer walking training (PEPWT), and pedometer walking (PW). Trained walking exercise was provided by a physical education expert three times per week, 45 minutes per session. Positive education was designed and led by a licensed psychologist. Six sessions of activities targeted participants' self-strength, competence and self-efficacy in walking exercise; positive relations with others; and positive emotions about life and healthy lifestyle. Of 150 participants, 60, 60 and 30 were randomly assigned to PWT, PEPWT, and PW, respectively. Demographic information, Chinese Happiness Inventory (CHI), regular walking exercise and six-minute walking distance were assessed before and after the intervention.

Full description

Randomization (allocation ratio 2:2:1) was stratified to three arms: pedometer walking (PW), pedometer walking with training (PWT), and positive education and pedometer walking with training (PEPWT). Randomization was conducted using opaque envelops and a randomly generated number sequence by an independent research assistant who had no prior knowledge of the recruited elders. Researchers allocated participants to their treatment condition based on the randomization code in the sealed envelope (opened in order of sequence). Researchers were not blind to the patients' treatment allocation.

Enrollment: 150 patients

Sex: All

Ages: 55+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Inclusion criteria included being retired from work and being at least 55 years old.

Exclusion criteria

• Elders who had cardiovascular disease, who were unable to walk, who had dementia or psychiatric disease, who already exercised regularly, or who were unwilling to sign the consent form were excluded from the study.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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150 participants in 3 patient groups

pedometer walking (PW)

Active Comparator group

Description:

15 minutes of warm-up activities, 30 minutes of walking, and 10 minutes to cool down for 3 months.

Treatment:

Behavioral: pedometer walking

pedometer walking with training (PWT)

Active Comparator group

Description:

15 minutes of warm-up activities, 30 minutes of walking, and 10 minutes to cool down. Exercise intensity for the first four weeks was 50-55% heart rate reserve (HRR) with training for 3 months.

Treatment:

Behavioral: Pedometer walking with training

positive education and walking (PEPWT)

Experimental group

Description:

PEPWT: 15 minutes of warm-up activities, 30 minutes of walking, and 10 minutes to cool down for 3 months and six sessions of positive education.

Treatment:

Behavioral: Pedometer walking training and positive education