Enhancing Independence Using Group-based Community Interventions for Healthy AGing in Elders: the ENGAGE Pilot Study

Tufts University

Status

Completed

Conditions

Mobility Limitation

Treatments

Other: Physical Activity Intervention

Other: Healthy Aging Intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT03430271

11624

Details and patient eligibility

About

This study will be conducted to determine the safety and feasibility of translating a physical activity intervention (LIFE Study) into a community setting. Study outcomes include physical performance, safety, and feasibility of conducting the LIFE PA intervention in a community setting.

Full description

Older adults who lose their mobility experience a poorer quality of life, are less likely to remain independent in the community and have higher rates of chronic disease, falls and mortality. Recent results from the Lifestyle Interventions and Independence for Elders (LIFE) study demonstrated that a structured program of physical activity (PA) reduced the onset of major mobility disability in at-risk older adults by up to 28% over a 2.6 year period. Despite the public health significance of this study, to-date no study has attempted to translate LIFE PA to broader populations of at-risk older adults in community-based settings. To address this knowledge gap, and to aid the design of a larger pragmatic trial of LIFE PA in community-based settings, the investigators conducted the ENhancing independence using Group-based community interventions for healthy AGing in Elders (ENGAGE) pilot study. The investigators examined the safety and feasibility of translating LIFE PA into the existing infrastructure of a community-based senior center. The investigators also explored the preliminary real-world effectiveness of PA on physical performance and several other important health related outcomes for older persons, including cognitive function, quality of life, depressive symptoms and frequency of falling.

Enrollment

59 patients

Sex

All

Ages

65 to 89 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Males and Females age ≥ 65 and ≤89 years
Community dwelling
Short Physical Performance Battery ≤ 9
No participation in a structured physical activity program within the previous 3 months
Willingness to be randomized and participate for 24 weeks
Written permission from primary care physician
Having obtained his/her informed consent

Exclusion criteria

Acute or terminal illness
Modified Mini-Mental State Examination Score <80(<76 if African American)*
Myocardial Infarction in the previous 6 months
Symptomatic coronary artery disease
Upper or lower extremity fracture in the previous 6 months
Resting blood pressure >180/100 mmHg
Unable to communicate due to severe hearing loss or speech disorder
Severe visual impairment that may preclude participation in the study assessments or interventions
Non-English speaking