SuPA Mobility: Supporting Physical Activity for Mobility in Mobility-Limited Older Adults

University of British Columbia

Status: Enrolling

Conditions: Older Adults; Limitation, Mobility

Treatments: Behavioral: Health Coaching Program; Behavioral: Health Education Program

Study type: Interventional

Funder types: Other

Identifiers

NCT05978336

H21-00858

Details and patient eligibility

About

The goal of this randomized controlled trial is to investigate the effectiveness of a health-coaching intervention to improve physical activity in older adults with limited mobility when compared to a control, health education group.

Full description

A total of 290 older adults with limited mobility will be randomized to either a 26-week health coaching program or health education program. Outcomes will be assessed at baseline, 13-weeks, 26-weeks (end of intervention), and 52 week (6-month follow-up period).

Enrollment: 290 estimated patients

Sex: All

Ages: 70 to 89 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• scored ≤ 9/12 on the SPPB
• are able to complete the 400-m walk in ≤ 15 minutes without sitting or physical assistance from another person or walker (use of cane is acceptable)
• scored 22/30 or higher on the Mini-Mental State Examination (MMSE)
• have no significant functional impairment as indicated by a score of 6/8 or higher on the Lawton and Brody Instrumental Activities of Daily Living Scale
• are able to safely engage in MVPA as indicated by the PAR-Q+ and by the family or study physician as necessary
• are community-dwelling
• are able to provide written informed consent.

Exclusion criteria

• are diagnosed with dementia or stroke
• self-report engaging in MVPA ≥ 10 minutes per week in the prior 3 months
• are unable to understand, speak, and read English proficiently

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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290 participants in 2 patient groups

Health Coaching (HC)

Experimental group

Description:

The health coaching program will be delivered by trained and certified kinesiologists utilizing Brief Action Planning (BAP) principals. The BAP behavior change approach utilizes the following 4 techniques: 1) goal-setting; 2 )action planning; 3) self-monitoring; and 4) feedback. Participants will utilize daily physical activity diaries to enable self-monitoring, and BAP coaches will provide feedback on progress toward individualized physical activity goals.

Treatment:

Behavioral: Health Coaching Program

Health Education Program (ED)

Active Comparator group

Description:

This program is an attention control group, which consists of general health education. Education sessions will be delivered either by zoom or in person. The education sessions will cover the following topics: 1) falls prevention; 2) sleep; 3) healthy eating; 4) cognitive health; and 5) mental and emotional health.

Treatment:

Behavioral: Health Education Program