Stepping-Up: Partnering with the Community to Prevent Early Mobility Decline

McMaster University

Status: Active, not recruiting

Conditions: Mobility Limitation

Treatments: Other: Stepping-Up; Other: Telephone-Based Coaching Walking Program; Other: Chair-Based Yoga Program

Study type: Interventional

Funder types: Other

Identifiers

NCT04368949

PJT-169034

Details and patient eligibility

About

Preclinical mobility limitations (PCML) manifest early in the process of declining mobility, and are not typically identified or acted upon by clinicians. These mobility limitations manifest as changes in how daily tasks such as walking are performed (slower speed, lower endurance). Persons in the PCML stage are at increased risk for the onset of disability and chronic disease. Persistent deterioration in mobility is a predictor of mortality and has been reported even in the absence of changes in activities of daily living over a two-year period. Further, older persons with mobility limitations, including reduced gait speed, are at risk for falls. These cumulative transitions of a person's life-long mobility form their mobility trajectory and preventing mobility decline at an early stage along this trajectory is the focus of this research initiative. This study will evaluate a novel intervention, STEPPING-UP, for improving walking ability in persons with PCML.

Enrollment: 249 estimated patients

Sex: All

Ages: 55 to 75 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Community-dwelling
2. Age ≥55-75 years
3. PCML as assessed using a questionnaire that requires respondents to self-report difficulties with their mobility (walking 2.0km). Respondents will be considered in a stage of PCML if they report no task difficulty but report modification of task performance (i.e. modify frequency, method or time to complete the task)
4. Understanding of spoken and written English
5. Own a laptop computer, have an email address and have internet capabilities of running the video-conferencing platform, Zoom©.
6. Resident of Ontario, Canada

Exclusion criteria

1. A score of <11 on the MoCA 5-Minute telephone screen
2. Major illness that would prevent participation

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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249 participants in 3 patient groups, including a placebo group

Stepping-Up Group

Experimental group

Description:

Participants will attend one 2-hour virtual session (1-hour exercise and 1-hour SM) per week. Each class of 6-8 participants is supervised by a Physiotherapist (PT) and kinesiologist who will individually tailor the exercises for each participant.

Treatment:

Other: Stepping-Up

TELE Group

Active Comparator group

Description:

The initial telephone session will be 20-30 minutes, with subsequent weekly calls will be approximately 10 minutes.

Treatment:

Other: Telephone-Based Coaching Walking Program

Chair-Based Yoga Group

Placebo Comparator group

Description:

Participants will attend two 1-hour virtual sessions per week to ensure this group is matched for attention to STEPPING-UP.

Treatment:

Other: Chair-Based Yoga Program