Intervention to Support Participation in Regular Exercise in the Elderly (INSPIRE)

Weill Cornell Medicine (WCM)

Status: Unknown

Conditions: Chronic Illnesses

Treatments: Behavioral: Physical activity plus positive affect; Behavioral: Physical activity plus education

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT02464254

1K23AG042869-01A1 (U.S. NIH Grant/Contract)

1303013686

Details and patient eligibility

About

The investigators will conduct a 1-year prospective and randomized study to evaluate the initial efficacy of positive affect vs. an educational control to motivate physical activity in older adults with high burdens of chronic disease.

Full description

Older adults with multiple chronic diseases are at high risk for both disability and adverse clinical events, outcomes that can be improved with physical activity, but there have been no trials to establish physical activity recommendations or clinical guidelines for this vulnerable population. A recent randomized controlled trial conducted by Dr. Peterson established the efficacy of inducing positive affect-a feeling of happiness and well-being-in motivating physical activity in older adults with cardiovascular disease. This new randomized controlled trial will pilot test the a new PAIRE (Positive Affect Induction for Regular Exercise) intervention that is specific to older adults with multiple high-risk chronic illnesses versus an educational control group. This work is innovative because it will translate the benefits of a proven intervention focused on positive affect to increase physical activity in older adults with multiple high-risk chronic illnesses, one that is tailored to the clinical and psychosocial challenges of this particularly vulnerable population. This work is significant because an effective intervention promoting physical activity will improve outcomes for older adults with multiple high-risk chronic diseases, and currently one does not exist.

Enrollment: 60 estimated patients

Sex: All

Ages: 60 to 110 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Charlson Index greater or equal to 3

Exclusion criteria

1. Cognitive impairment
2. Inability to walk
3. < 12 month anticipated survival
4. enrollment in other behavioral programs
5. lack of medical approval to participate
6. substance/alcohol dependence or participation in a substance abuse treatment program within 12 months
7. major psychiatric illness.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Physical activity plus positive affect

Experimental group

Description:

Subjects will be randomized to a physical activity goal and the positive affect component

Treatment:

Behavioral: Physical activity plus positive affect

Behavioral: Physical activity plus education

Physical activity plus education

Active Comparator group

Description:

Subjects will be randomized to a physical activity goal and education

Treatment:

Behavioral: Physical activity plus education