Choose to Move for Sedentary Lifestyle

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of British Columbia

Disqualifiers: Non-English speakers, Under 50, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 9

300 Participants Needed

Trial Summary

What is the purpose of this trial?

Choose to Move (CTM) is a 3-month, choice-based health-promoting program for low active older adults being scaled-up across British Columbia (BC), Canada. In this project, the investigators will support community-based seniors' services (CBSS) organizations across BC through a readiness-building process so they can adapt CTM and deliver the program to more diverse groups of underserved older adults than have previously participated in CTM.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Choose to Move for a sedentary lifestyle?

Research shows that increasing physical activity, like walking, can improve health outcomes and reduce hospital readmission risk in older adults. Additionally, a pedometer-based program improved quality of life and daily steps in people with COPD, suggesting that similar activity-focused interventions can be beneficial. ^{1 2 3 4 5}

Is the 'Choose to Move' program safe for humans?

The research articles provided do not contain specific safety data for the 'Choose to Move' program or similar interventions. However, they highlight the health benefits of reducing sedentary behavior and increasing physical activity, which are generally considered safe and beneficial for most people. ^{6 7 8 9 10}

How is the treatment 'Choose to Move' different from other treatments for a sedentary lifestyle?

The 'Choose to Move' treatment is unique because it focuses on increasing physical activity to combat the negative effects of a sedentary lifestyle, which is linked to obesity and chronic diseases. Unlike other treatments that might involve medication, this approach encourages re-imagining environments to promote more movement and active living. ^{11 12 13 14 15}

Research Team

Heather McKay, PhD

Principal Investigator

University of British Columbia

Joanie Sims Gould, MSW, PhD

Principal Investigator

University of British Columbia

Eligibility Criteria

This trial is for older adults in British Columbia who lead a sedentary lifestyle, may feel lonely or socially isolated, and have limited mobility. It's designed to help those who haven't been very active lately.

Inclusion Criteria

Central support unit staff member

I am an activity coach who speaks English.

Punjabi-speaking older adults will also be invited to participate in the evaluation if they can read English or Punjabi and/or if the activity coach or a member of the research team has the necessary language skills to ensure effective communication of the Punjabi language translated consent form and surveys.

Exclusion Criteria

My activity coach does not speak English.

I am under 50 years old.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Consultation

Participants meet 1-on-1 with their activity coach to set goals and develop a physical activity action plan

1 week

1 visit (in-person or virtual)

Group Meetings

Participants attend eight, 1-hour group-based meetings led by an activity coach, covering health-related topics and social connection

12 weeks

8 visits (in-person or virtual)

Follow-up

Participants are monitored for changes in physical activity, mobility, and social connectedness

4 weeks

Treatment Details

Interventions

• Choose to Move

Trial Overview The 'Choose to Move' program is being expanded across BC. It's a 3-month health-promoting initiative aimed at increasing activity levels among less active seniors by adapting the program to better serve diverse groups.

Participant Groups

Group I: Choose to Move Experimental Treatment 1 Intervention

CTM (adapted Phase 4) is a 3-month, flexible, choice-based health-promoting program for low active older adults. CTM includes: 1-on-1 Consultation: Participants meet 1-on-1 with their activity coach at the start of the program to set goals and develop a physical activity action plan tailored to their abilities, interests and resources. Older adults can choose to participate in individual or group-based activities. Group Meetings: Participants will attend eight, 1-hour group-based meetings (max of 15 participants) led by an activity coach. Meetings cover a health-related discussion topic and provide time for social connection among participants. Meetings can be held online or in-person. Community-based seniors' services organizations that deliver CTM may adapt the program (e.g., deliver in a different language, adapt for cultural or geographical factors) to fit the needs of the older adults they serve but the two components listed above will be retained.

Who Is Running the Clinical Trial?

University of British Columbia

Lead Sponsor

Trials

1,506

Recruited

2,528,000+

Public Health Agency of Canada (PHAC)

Collaborator

Trials

51

Recruited

101,000+

Findings from Research

A novel Internet-mediated, pedometer-based exercise intervention for veterans with COPD led to significant improvements in health-related quality of life (HRQL) domains, particularly in Symptoms and Impact, after 4 months.

Participants in the intervention group increased their daily step counts by an average of 779 steps compared to the control group, indicating that the program effectively encouraged physical activity.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An Internet-Mediated Pedometer-Based Program Improves Health-Related Quality-of-Life Domains and Daily Step Counts in COPD: A Randomized Controlled Trial. Moy, ML., Collins, RJ., Martinez, CH., et al.[2022]

The STand Up Frequently From Stroke (STUFFS) intervention, which encourages individuals to replace sedentary time with standing and walking, was feasible and well-received by participants, with 89% satisfaction and high retention rates (94.1% completion).

Participants experienced a significant reduction in sedentary time by an average of 54.2 minutes per day post-intervention, along with improvements in walking speed, cognitive function, and quality of life, indicating positive preliminary effects of the intervention.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Feasibility and Longitudinal Effects of a Home-Based Sedentary Behavior Change Intervention After Stroke. Ezeugwu, VE., Manns, PJ.[2019]

References

1. United States pubmed.ncbi.nlm.nih.gov

An Internet-Mediated Pedometer-Based Program Improves Health-Related Quality-of-Life Domains and Daily Step Counts in COPD: A Randomized Controlled Trial. [2022]

2. England pubmed.ncbi.nlm.nih.gov

Sedentary behaviour in hospitalised older people: a scoping review protocol. [2021]

3. United States pubmed.ncbi.nlm.nih.gov

Sedentary Behavior Is an Independent Predictor of Mortality in Subjects With COPD. [2022]

4. England pubmed.ncbi.nlm.nih.gov

Physical activity and breast cancer survival: results from the Nurses' Health Studies. [2023]

5. United States pubmed.ncbi.nlm.nih.gov

The Feasibility and Longitudinal Effects of a Home-Based Sedentary Behavior Change Intervention After Stroke. [2019]

6. Netherlands pubmed.ncbi.nlm.nih.gov

Non-occupational sedentary behaviors: population changes in The Netherlands, 1975-2005. [2022]

7. United States pubmed.ncbi.nlm.nih.gov

Association between behavioral patterns and mortality among US adults: National Health and Nutrition Examination Survey, 2007-2014. [2022]

8. England pubmed.ncbi.nlm.nih.gov

The descriptive epidemiology of a sedentary lifestyle in adult Australians. [2019]

9. United States pubmed.ncbi.nlm.nih.gov

Relative risk of mortality in the physically inactive is underestimated because of real changes in exposure level during follow-up. [2006]

10. United States pubmed.ncbi.nlm.nih.gov

Office workers' objectively measured sedentary behavior and physical activity during and outside working hours. [2022]

11. Netherlands pubmed.ncbi.nlm.nih.gov

The effects of physical activity on sleep quality, job satisfaction, and quality of life in office workers. [2019]

12. Germany pubmed.ncbi.nlm.nih.gov

Sick of sitting. [2018]

13. United States pubmed.ncbi.nlm.nih.gov

Increasing the Energy Expenditure of Seated Activities in Older Adults with a Portable Elliptical Device. [2018]

14. England pubmed.ncbi.nlm.nih.gov

Exercise - 'best buy': Update on the global pandemic of physical inactivity. [2018]

15. England pubmed.ncbi.nlm.nih.gov

A survey of sitting time among UK employees. [2022]