Choose to Move for Sedentary Lifestyle

(CTM Trial)

Overseen By Douglas L Race, MA

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of British Columbia

Disqualifiers: Non-English speaking staff, coaches

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

Compensation: Varies

Number of Visits: 11

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to boost physical activity, mobility, and social connections among low-active older adults in British Columbia, Canada. It tests a 3-month program called "Choose to Move," which includes personalized activity plans and group meetings, adapted for three groups: South Asian older adults, older men, and those living in Northern BC. Participants will work with an activity coach to set goals and join either individual or group activities. The trial seeks older adults who speak English or Punjabi and are eager to increase their activity levels. As an unphased trial, this study offers participants the chance to enhance their well-being and connect with others in a supportive environment.

Will I have to stop taking my current medications?

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

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that the "Choose to Move" program helps older adults become more active and socially connected. Although specific safety data for this program is unavailable, it emphasizes increasing movement. Studies indicate that boosting physical activity, such as walking, can improve health and reduce hospital readmissions for older adults. Since the program is neither a drug nor a medical procedure, typical concerns about side effects do not apply. Participants generally receive it well because it involves lifestyle changes, such as increased activity and social interaction. ^{1 2 3 4 5}

Why are researchers excited about this trial?

"Choose to Move" is unique because it is a flexible, choice-based program specifically designed for low active older adults, focusing on personal preferences and needs. Unlike standard exercise programs, which can be rigid and one-size-fits-all, this program offers personalized 1-on-1 consultations and allows participants to choose between individual or group activities. Additionally, it provides social support through group meetings, fostering a sense of community which can be particularly motivating. Researchers are excited about its adaptability to different populations, such as Northern BC residents and South Asian older adults, potentially making it a more inclusive and effective option for promoting physical activity among diverse groups.

What evidence suggests that this trial's treatments could be effective for enhancing physical activity and social connectedness in older adults?

Research shows that the Choose to Move (CTM) program can help older adults become more active. One study found that participants walked an average of 779 more steps each day than those not in the program. This indicates that CTM effectively encourages movement. Participants also reported feeling less lonely, highlighting the program's positive impact on social connections. The program's emphasis on setting personal activity goals and fostering group discussions may contribute to these benefits. This trial will test different adaptations of the CTM program, such as "The Forgotten North," "Men on the Move," and "Ethnicity and Culture in Focus," to evaluate their effectiveness in helping older adults lead more active and connected lives. ^{1 2 5 6 7}

Who Is on the Research Team?

Dawn Mackey, PhD

Principal Investigator

Simon Fraser University

Farinaz Havaei, RN, PhD

Principal Investigator

University of British Columbia

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 low active older adults who feel socially isolated, have limited mobility, or lead a sedentary lifestyle. It's specifically aimed at South Asian older adults, older men, and those living in Northern British Columbia.

Inclusion Criteria

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.

I am an activity coach who speaks English.

Central support unit staff member

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 tailored to their abilities, interests, and resources.

1 week

1 visit (in-person or online)

Group Meetings

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

8 weeks

8 visits (in-person or online)

Follow-up

Participants are monitored for the impact on physical activity, mobility, and social connectedness after the program.

12 months

2 visits (in-person or online)

What Are the Treatments Tested in This Trial?

Interventions

• Choose to Move

Trial Overview The 'Choose to Move' program is being tested to see if it can improve physical activity, mobility, and social connectedness among the target groups by adapting the program through community-based seniors' services organizations.

How Is the Trial Designed?

Group I: The Forgotten North Experimental Treatment 1 Intervention

CTM (Phase 5) is a 3-month, flexible, choice-based health-promoting program for low active older adults that can be delivered in-person or online. The program 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 their activity coach. Meetings cover a health-related discussion topic and provide time and space for social connection among participants. Meetings can be held online or in-person. The CTM program will be adapted for older adults living in Northern BC, and may include additional intervention components customized for this population.

Group II: Men on the Move Experimental Treatment 1 Intervention

CTM (Phase 5) is a 3-month, flexible, choice-based health-promoting program for low active older adults that can be delivered in-person or online. The program 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 their activity coach. Meetings cover a health-related discussion topic and provide time and space for social connection among participants. Meetings can be held online or in-person. The CTM program will be adapted for older men, and may include additional intervention components customized for this population.

Group III: Ethnicity and Culture in Focus Experimental Treatment 1 Intervention

CTM (Phase 5) is a 3-month, flexible, choice-based health-promoting program for low active older adults that can be delivered in-person or online. The program 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 their activity coach. Meetings cover a health-related discussion topic and provide time and space for social connection among participants. Meetings can be held online or in-person. The CTM program will be adapted for South Asian older adults, and may include additional intervention components customized for this population.

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+

Public Health Agency of Canada (PHAC)

Collaborator

Trials

51

Recruited

101,000+

Published Research Related to This Trial

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]

Citations

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

features of the Choose to Move physical activity intervention ... We collected survey data from participants (n = 458 at baseline) at 0 (baseline), 3 (mid-intervention) and 6 (post-intervention) months. We conducted in depth ...

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

Choose to Move for Sedentary Lifestyle · Info for Participants 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 ...

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

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 ...

4. bmcpublichealth.biomedcentral.com bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-10363-1

“It makes me feel not so alone”: features of the Choose to ... Are physical activity interventions for healthy inactive adults effective in promoting behavior change and maintenance, and which behavior ...

5. sciencedirect.com sciencedirect.com/science/article/pii/S0939475325001255

A mutual interplay with early and overt frailty Sedentary behaviour and physical inactivity are strictly linked to frailty and pre-frailty, both in adults and the elderly, with or without chronic diseases.

6. withpower.com withpower.com/trial/phase-social-isolation-3-2024-66219

Choose to Move for Sedentary Lifestyle (CTM Trial) Research shows that increasing physical activity, like walking, can improve health outcomes and reduce hospital readmission risk in older adults.

7. 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.