Choose to Move Program for Sedentary Older Adults

(CTM Trial)

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of British Columbia

Disqualifiers: Previous CTM participation

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

Compensation: Varies

Number of Visits: 12

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if a new program, Choose to Move, can help older adults in British Columbia, Canada, improve their health and remain active. The program lasts three months and provides personalized activity plans and group meetings for social connections and health discussions. It targets individuals aged 60 and above who engage in less than 150 minutes of physical activity per week and can access online meetings. As an unphased trial, this study offers participants a unique opportunity to enhance their well-being and contribute to valuable research on healthy aging.

Do I need to stop my current medications to join the trial?

The trial information does not specify whether you need to stop taking your current medications. It focuses on increasing physical activity for older adults.

What prior data suggests that the Choose to Move program is safe for older adults?

Research has shown that the "Choose to Move" program is safe for older adults. Although specific safety data is lacking, studies have examined its effects on physical activity, mobility, and social connections. The program's flexibility allows participants to choose activities that suit their interests and abilities, making it easy to engage at a comfortable level. Furthermore, as it is neither a drug nor a medical procedure, the risk of side effects remains low. Overall, "Choose to Move" gently encourages older adults to become more active and enhance their social connections. ^{1 2 3 4 5}

Why are researchers excited about this trial?

The Choose to Move program is unique because it offers a highly personalized and flexible approach to increasing physical activity among sedentary older adults. Unlike traditional exercise programs, Choose to Move allows participants to tailor their activities based on their personal interests and capabilities while providing both individual and group support. Researchers are excited about this program because it not only encourages physical activity but also fosters social connections, which can be crucial for mental health and motivation in older adults. This dual focus on customization and community makes Choose to Move stand out from more rigid exercise regimens.

What evidence suggests that the Choose to Move program is effective for enhancing physical activity in older adults?

Research shows that the Choose to Move (CTM) program, which participants in this trial will engage in, can improve health for older adults. Studies have found that this 3-month program helps people become more active, leading to better movement and a reduced risk of hospital readmission. Participants reported feeling less alone due to group activities that foster friendships. An evaluation found that about two-thirds of participants maintained or increased their activity levels. Overall, CTM appears to enhance both physical and social well-being for older adults. ^{1 4 6 7 8}

Who Is on the Research Team?

Heather A McKay, PhD

Principal Investigator

University of British Columbia

Joanie Sims Gould, PhD

Principal Investigator

University of British Columbia

Are You a Good Fit for This Trial?

This trial is for English-speaking adults aged 60 or older in British Columbia who are not very active (less than 150 minutes of physical activity per week), ready to start exercising, and can join virtual meetings online. It's not suitable for those who don't meet these criteria.

Inclusion Criteria

I am 60 years old or older.

I do less than 150 minutes of physical activity per week.

I can use Zoom or GoToMeeting for virtual meetings.

Exclusion Criteria

I have previously participated in a clinical trial.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

One-on-One Consultation

Participants meet 1-on-1 with their activity coach to set goals and develop an action plan tailored to their abilities, interests, and resources.

1 week

1 visit (in-person or virtual)

Group Meetings

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

12 weeks

8 visits (in-person or virtual)

Follow-up

Participants are monitored for changes in physical activity, mobility, and social connectedness after the intervention.

24 months

Data collection at 3, 6, 15, and 27 months post-intervention

What Are the Treatments Tested in This Trial?

Interventions

• Choose to Move

Trial Overview The 'Choose to Move' program aims to improve health by increasing physical activity, mobility, and social connections among older adults over a period of three months. The study will check if the program works well and what helps or hinders its large-scale delivery.

How Is the Trial Designed?

Group I: Choose to Move Experimental Treatment 1 Intervention

CTM (Phase 4) is a 3-month, flexible, choice-based program for low active older adults that can be delivered in-person or online. CTM includes * One-on-One Consultation: Participants meet 1-on-1 with their activity coach at the start of the program to set goals and develop an action plan tailored to their abilities, interests and resources. Older adults can choose to participate in individual or group-based activities. * Group Meetings: Over the 3-months, participants will attend eight, 1-hour group-based meetings (up to 12 participants total) led by their activity coach. Meetings cover a discussion topic (health-related) and provide time and space for social connection between participants. Group meetings are held in person or online as public health restrictions and community preference dictate.

Who Is Running the Clinical Trial?

University of British Columbia

Lead Sponsor

Trials

1,506

Recruited

2,528,000+

Canadian Institutes of Health Research (CIHR)

Collaborator

Trials

1,417

Recruited

26,550,000+

Active Aging Society

Collaborator

Trials

4

Recruited

2,500+

Active Aging Society

Collaborator

Trials

4

Recruited

2,500+

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11657647/

Does optimizing Choose to Move – a health-promoting ... We assessed older adults' physical activity (PA), mobility, social isolation, and loneliness before and after (0, 3 months) the program. Results.

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC7865112/

features of the Choose to Move physical activity intervention ... Health promoting interventions that focus on PA and social connectedness through group-based activities can effectively reduce social isolation and loneliness ...

3. clinicaltrials.gov clinicaltrials.gov/study/NCT06252259

Evaluating Implementation and Impact of the Adapted ... 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.

4. withpower.com withpower.com/trial/phase-aging-5-2024-1428f

Choose to Move for Sedentary Lifestyle · Info for Participants Research shows that increasing physical activity, like walking, can improve health outcomes and reduce hospital readmission risk in older adults. Additionally, ...

5. journals.humankinetics.com journals.humankinetics.com/view/journals/krj/12/1/article-p76.xml

From Start-Up to Scale-Up of a Health-Promoting ... Our effectiveness evaluation of the virtual CTM program showed that approximately two-thirds of older adults maintained or increased their ...

6. ijbnpa.biomedcentral.com ijbnpa.biomedcentral.com/articles/10.1186/s12966-024-01649-9

Does optimizing Choose to Move – a health-promoting ... We assessed older adults' physical activity (PA), mobility, social isolation, and loneliness before and after (0, 3 months) the program. Results.

7. journals.humankinetics.com journals.humankinetics.com/view/journals/jpah/18/10/article-p1236.xml

Do Older Adults Maintain Benefits From Choose to Move ... The intervention benefits related to social outcomes were maintained 1-year postintervention in both age groups, with the exception of social ...

8. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC9188419/

Rapidly adapting an effective health promoting intervention for ... we rapidly adapted an effective health promoting intervention for older adults—Choose to Move (CTM)—to be delivered virtually throughout British ...