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

What You Need to Know Before You Apply

What is the purpose of this trial?

The trial examines a 3-month program called "Choose to Move," designed to help older adults in British Columbia stay active. The program provides personalized coaching to set fitness goals and includes group meetings for social support and health discussions. It suits older adults who engage in little physical activity and wish to become more active. English speakers or those with access to translation services can join to observe the program's impact on their health and lifestyle. As an unphased trial, this study offers participants a unique opportunity to enhance their health and lifestyle through a supportive community program.

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

Research has shown that older adults have well-received the "Choose to Move" program in past studies. Participants reported no major side effects, indicating the program's safety. It encourages physical activity and social interaction, both generally safe for older adults. The program's widespread use has allowed for thorough safety checks over time, confirming its suitability for the intended audience. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the "Choose to Move" program because it offers a flexible, choice-based approach to physical activity for older adults, which is different from traditional exercise programs that often have rigid structures. This program emphasizes personal goal-setting through one-on-one consultations, allowing participants to tailor their activity plans to their own abilities and interests. Additionally, the inclusion of group meetings encourages social interaction, which can boost motivation and adherence to the program. Unlike typical exercise regimens, "Choose to Move" can be adapted to fit various cultural or geographical needs, making it highly accessible and inclusive for diverse communities.

What evidence suggests that the Choose to Move program is effective for low active older adults?

Research has shown that Choose to Move (CTM), the program under study in this trial, successfully improves health in older adults. Studies have found that it helps participants become more active and healthier overall. Specifically, data from about 2,800 older adults demonstrated positive outcomes, such as increased physical activity and better social connections. CTM is adaptable and can be tailored to fit different cultural or geographical needs, making it accessible to many people. Early results suggest that the program is effective both online and in person. ^{3 6 7 8 9}

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 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 for a Trial Participant

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

What Are the Treatments Tested in This Trial?

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.

How Is the Trial Designed?

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+

Published Research Related to This Trial

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]

Citations

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

Does optimizing Choose to Move – a health-promoting ... Importantly, participant-level outcomes did not differ between older adults who participated in-person compared with those who participated ...

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

From Start-Up to Scale-Up of a Health-Promoting ... Of these, approximately 2,800 older adults have been evaluated, and their data comprise our outcomes. ... older adults—Choose to Move—Is ...

3. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/39695643/

a health-promoting program for older adults Does optimizing Choose to Move - a health-promoting program for older adults - enhance scalability, program implementation and effectiveness?

4. clinicaltrials.gov clinicaltrials.gov/study/NCT04592614

Study Details | NCT04592614 | Choose to Move Choose to Move (CTM) is an effective, adaptable, community-based health promotion program for older adults. CTM, co-created with government and community ...

5. journals.humankinetics.com journals.humankinetics.com/view/journals/jpah/18/10/article-p1236.pdf

Do Older Adults Maintain Benefits From Choose to Move— ... Background: Choose to Move is one of few scaled-up health-promoting interventions for older adults. The authors evaluated whether Choose to Move ...

6. 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.

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

Rapidly adapting an effective health promoting intervention for ... Rapidly adapting an effective health promoting intervention for older adults—choose to move—for virtual delivery during the COVID-19 pandemic.

8. health.gov health.gov/sites/default/files/2023-06/PAG_MidcourseReport_508c_final.pdf

Implementation Strategies for Older Adults The report provides an overview of evidence-based strategies to increase physical activity among older adults in key settings and reinforces the ...

9. 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.