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

336 Participants Needed

Trial Summary

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 treatments can be effective. ^{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 general health benefits of reducing sedentary behavior and increasing physical activity, which are associated with lower mortality rates and improved health outcomes. ^{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}

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 Phase 5, the goal of CTM is to enhance physical activity, mobility and social connectedness in three target populations: South Asian older adults, older men, and older adults living in Northern BC. To do so, the investigators will support community-based seniors' services (CBSS) organizations through a readiness-building process so they can adapt CTM and deliver the program to these populations. This study has two main research questions: 1. How are adapted CTM programs delivered ('implementation outcomes') and what factors influence delivery ('implementation determinants')? 2. What is the impact of the adapted CTM programs on health outcomes of older adults?

Research Team

Heather A McKay, PhD

Principal Investigator

University of British Columbia

Joanie Sims Gould, PhD

Principal Investigator

University of British Columbia

Dawn Mackey, PhD

Principal Investigator

Simon Fraser University

Farinaz Havaei, RN, PhD

Principal Investigator

University of British Columbia

Eligibility Criteria

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

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)

Treatment Details

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.

Participant Groups

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+

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]