SuPA Mobility: Supporting Physical Activity for Mobility in Mobility-Limited Older Adults
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Health Coaching Program, Health Education Program.
- Who it may be relevant to
- Registry conditions: Limitation, Mobility, Older Adults. Basic parameters: 70 years — 89 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Canada
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
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.
Detailed 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).
Interventions
- Behavioral Health Coaching Program
The HC program will be delivered over 26-weeks. Participants will have an initial hour-long HC session where the BAP coach will conduct a brief physical assessment and work with the participant to establish their physical activity goals and develop a plan. After the initial consult, coaches will conduct 8 x 20-minute phone calls with participants over the 26-week trial decreasing from bi-weekly phone calls in weeks 1-12 to monthly phone calls in weeks 13-26. Participants in the HC group will ha - Behavioral Health Education Program
Participants will begin with a one-hour, group-based, interactive education session on falls prevention delivered either in-person or by Zoom. Following the initial education session, ED participants will receive additional group education sessions (in-person or by Zoom) with the same duration and schedule as the HC program covering a variety of healthy aging topics.
Primary outcome measures
- Mobility [Time frame: Baseline, 13-weeks, 26-weeks, 52-weeks]
Secondary outcome measures (12)
- Physical activity [Time frame: Baseline, 13-weeks, 26-weeks, 52-weeks]
- Self reported physical activity [Time frame: Baseline, 13-weeks, 26-weeks, 52-weeks]
- Gait speed [Time frame: Baseline, 13- weeks, 26-weeks, 52-weeks]
- Capacity to complete the 400-m walk in ≤ 15 minutes [Time frame: Baseline, 13- weeks, 26-weeks, 52-weeks]
- Cognitive function [Time frame: Baseline, 26-weeks, 52-weeks]
- Community mobility [Time frame: Baseline, 13-weeks, 26-weeks, 39-weeks, 52-weeks]
- Functional mobility [Time frame: Baseline, 13-weeks, 26-weeks, 39-weeks, 52-weeks]
- Fatigue [Time frame: Baseline, 13-weeks, 26-weeks, 39-weeks, 52-weeks]
- Lower extremity strength [Time frame: Baseline, 13- weeks, 26-weeks, 52-weeks]
- Grip strength [Time frame: Baseline, 13-weeks, 26-weeks, 52-weeks]
- Mood [Time frame: Baseline, 13-weeks, 26-weeks, 39-weeks, 52-weeks]
- Health-related quality of life [Time frame: Baseline, 13-weeks, 26-weeks, 39-weeks, 52-weeks]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Canada · 1 center
- Vancouver Coastal Health Research Institute Research Pavilion — Vancouver
Publications
- Rice J, Li LC, Davis JC, Pahor M, Madden K, Wei N, Wong H, Skelton DA, McCormick S, Falck RS, Barha CK, Rhodes RE, Loomba S, Sadatsafavi M, Liu-Ambrose T. Supporting physical activity for mobility in older adults with mobility limitations (SuPA Mobility): study protocol for a randomized controlled trial. Trials. 2023 Nov 28;24(1):769. doi: 10.1186/s13063-023-07798-9. PMID 38017467
Identifiers
NCT: NCT05978336 · H21-00858