Choose to Move for Aging

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of British Columbia

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

Compensation: Varies

Number of Visits: 9

5720 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 expand delivery of the optimized Phase 4 program with large and small partner organizations and will describe and assess scale-up, implementation, and impact of CTM Phase 4.

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 Aging?

The Lifestyle Interventions and Independence for Elders (LIFE) clinical trial showed that a structured physical activity program reduced mobility-disability in older adults by up to 28%. This suggests that similar physical activity programs, like Choose to Move, could be effective in improving mobility in older adults. ^{1 2 3 4 5}

Research Team

Heather A McKay, PhD

Principal Investigator

University of British Columbia

Joanie Sims Gould, PhD

Principal Investigator

University of British Columbia

Eligibility Criteria

This trial is for older adults who feel lonely or socially isolated, have limited mobility, lead a sedentary lifestyle, and are looking to become more active. It's specifically designed to help them integrate physical activity into their daily lives.

Inclusion Criteria

Central support unit staff member

I need a translator to understand the consent and surveys for the study.

Exclusion Criteria

Not applicable.

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 group-based meetings led by an activity coach, covering health-related topics and social connection

8 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 tested. It's a 3-month health-promotion initiative aimed at increasing the physical activity of low-active older adults through personalized plans in British Columbia.

Participant Groups

Group I: Choose to Move Experimental Treatment 1 Intervention

CTM (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+

British Columbia Ministry of Health

Collaborator

Trials

1

Recruited

5,700+

Findings from Research

The ENGAGE pilot study showed that a community-based physical activity program for older adults with severe lower extremity functional limitations was safe, with fewer serious adverse events compared to a health education control group (0 vs 2).

Participants who engaged in the physical activity program demonstrated meaningful improvements in physical performance, with an average increase of ~0.7 units in the short physical performance battery score, indicating the program's preliminary effectiveness in enhancing mobility.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Translating the Lifestyle Interventions and Independence for Elders Clinical Trial to Older Adults in a Real-World Community-Based Setting. Reid, KF., Laussen, J., Bhatia, K., et al.[2022]

References

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

Improving the assessment and documentation of patient mobility using a quality improvement framework. [2021]

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

Implementation of interventions to maintain and promote the functional mobility of nursing home residents - a scoping review. [2023]

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

Translating the Lifestyle Interventions and Independence for Elders Clinical Trial to Older Adults in a Real-World Community-Based Setting. [2022]

4. Germany pubmed.ncbi.nlm.nih.gov

Effects of interventions on physical activity in nursing home residents. [2020]

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

A Scoping Review of Personal, Financial, and Environmental Determinants of Mobility Among Older Adults. [2023]