Trial Outcomes & Findings for Multilevel Intervention for Physical Activity in Retirement Communities (NCT NCT01155011)

NCT ID: NCT01155011

Last Updated: 2017-08-31

Results Overview

Measured by 7 day accelerometry with a 760 cpm cutpoint.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

307 participants

Primary outcome timeframe

Baseline

Results posted on

2017-08-31

Participant Flow

Participant milestones

Participant milestones
Measure
MIPARC Intervention
The intervention will focus on increasing light to moderate PA, primarily promoting walking by gradually increasing participants' daily step counts. Participants will monitor their steps with a pedometer, daily step logs and progress charts. All participants will have a gradually increasing fixed step goal for each week that will result in an total increase of 3000 steps after 3 months, which they will be supported to maintain for an additional 3 months. Participants will attend group educational sessions and group walks, receive phone counseling calls from UCSD counselors, receive support from peer mentors, In order to increase the sustainability of the project, MIPARC will focus on addressing on-site policies and neighborhood factors that are barriers to physical activity.
Health Education Control
The control group will receive an active health education intervention. The education curriculum will involve both lectures and mailed materials. The lectures will be delivered to match the MIPARC intervention schedule. Sessions will include information on general health and healthy aging. Physical activity will not be discussed in these sessions but participants will receive information on the benefits of PA. Control participants will also receive a health check phone call to match the individual attention paid to participants in the MIPARC intervention sites.
Baseline to 6 Months
STARTED
151
156
Baseline to 6 Months
COMPLETED
129
131
Baseline to 6 Months
NOT COMPLETED
22
25
6 to 12 Months
STARTED
129
131
6 to 12 Months
COMPLETED
120
121
6 to 12 Months
NOT COMPLETED
9
10

Reasons for withdrawal

Reasons for withdrawal
Measure
MIPARC Intervention
The intervention will focus on increasing light to moderate PA, primarily promoting walking by gradually increasing participants' daily step counts. Participants will monitor their steps with a pedometer, daily step logs and progress charts. All participants will have a gradually increasing fixed step goal for each week that will result in an total increase of 3000 steps after 3 months, which they will be supported to maintain for an additional 3 months. Participants will attend group educational sessions and group walks, receive phone counseling calls from UCSD counselors, receive support from peer mentors, In order to increase the sustainability of the project, MIPARC will focus on addressing on-site policies and neighborhood factors that are barriers to physical activity.
Health Education Control
The control group will receive an active health education intervention. The education curriculum will involve both lectures and mailed materials. The lectures will be delivered to match the MIPARC intervention schedule. Sessions will include information on general health and healthy aging. Physical activity will not be discussed in these sessions but participants will receive information on the benefits of PA. Control participants will also receive a health check phone call to match the individual attention paid to participants in the MIPARC intervention sites.
Baseline to 6 Months
Withdrawal by Subject
18
19
Baseline to 6 Months
investigator decision, moved
4
5
Baseline to 6 Months
Death
0
1
6 to 12 Months
Withdrawal by Subject
8
5
6 to 12 Months
Death
1
5

Baseline Characteristics

Multilevel Intervention for Physical Activity in Retirement Communities

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MIPARC Intervention
n=151 Participants
Intervention participants engage in group education session, individual phone counseling calls and group walks for the first 6 months. The telephone counseling calls will be eliminated after 3 months. Participants monitor their steps with a pedometer, daily step logs and progress charts. All participants will have a gradually increasing fixed step goal for each week that will result in an total increase of 3000 steps after 3 months, which they will be supported to maintain for an additional 3 months. They receive support from peer leaders. The peer leaders also receive advocacy training from a non-profit advocacy organization to conduct walk audits of their CCRC and help mobilize participants to make changes to their community that will increase or improve the opportunities for physical activity.
Health Education Control
n=156 Participants
The control group will receive an active health education intervention. The lectures will be delivered to match the MIPARC intervention schedule. Sessions will include information on general health and healthy aging. Physical activity will not be discussed in these sessions but participants will receive information on the benefits of PA. Control participants will also receive a health check phone call to match the individual attention paid to participants in the MIPARC intervention sites.
Total
n=307 Participants
Total of all reporting groups
Age, Continuous
85.3 years
STANDARD_DEVIATION 6.5 • n=5 Participants
81.9 years
STANDARD_DEVIATION 5.9 • n=7 Participants
83.6 years
STANDARD_DEVIATION 6.4 • n=5 Participants
Sex: Female, Male
Female
107 Participants
n=5 Participants
115 Participants
n=7 Participants
222 Participants
n=5 Participants
Sex: Female, Male
Male
44 Participants
n=5 Participants
41 Participants
n=7 Participants
85 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
148 Participants
n=5 Participants
151 Participants
n=7 Participants
299 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Asian
14 Participants
n=5 Participants
1 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
132 Participants
n=5 Participants
150 Participants
n=7 Participants
282 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
Education
91 participants
n=5 Participants
108 participants
n=7 Participants
199 participants
n=5 Participants
Marital Status
45 Participants
n=5 Participants
81 Participants
n=7 Participants
126 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline

Measured by 7 day accelerometry with a 760 cpm cutpoint.

Outcome measures

Outcome measures
Measure
MIPARC Intervention
n=151 Participants
Participants received group educations sessions, group walks, phone counseling, support from peer leaders.
Health Education Control
n=156 Participants
The control group will receive an active health education intervention.. The lectures will be delivered to match the MIPARC intervention schedule.
Daily Minutes of Physical Activity
50.03 minutes
Standard Deviation 29.02
39.19 minutes
Standard Deviation 28.3

PRIMARY outcome

Timeframe: 6 months

Measured by 7 day accelerometry in adults, ≥65, with a 760 CPM cutpoint.

Outcome measures

Outcome measures
Measure
MIPARC Intervention
n=124 Participants
Participants received group educations sessions, group walks, phone counseling, support from peer leaders.
Health Education Control
n=127 Participants
The control group will receive an active health education intervention.. The lectures will be delivered to match the MIPARC intervention schedule.
Daily Minutes of Physical Activity
59.46 minutes
Standard Deviation 40.05
39.24 minutes
Standard Deviation 25.11

PRIMARY outcome

Timeframe: 12 months

Measured by 7 day accelerometry in adults, ≥65, using a 760 CPM cutpoint.

Outcome measures

Outcome measures
Measure
MIPARC Intervention
n=110 Participants
Participants received group educations sessions, group walks, phone counseling, support from peer leaders.
Health Education Control
n=107 Participants
The control group will receive an active health education intervention.. The lectures will be delivered to match the MIPARC intervention schedule.
Minutes of Light to Moderate Physical Activity
56.79 minutes
Standard Deviation 38.32
38.70 minutes
Standard Deviation 26.50

Adverse Events

MIPARC Intervention

Serious events: 38 serious events
Other events: 23 other events
Deaths: 1 deaths

Health Education Control

Serious events: 30 serious events
Other events: 12 other events
Deaths: 5 deaths

Serious adverse events

Serious adverse events
Measure
MIPARC Intervention
n=151 participants at risk
Intervention participants received group education sessions, group walks, phone counseling and support from peer leaders.
Health Education Control
n=156 participants at risk
The control group will receive an active health education intervention. The lectures will be delivered to match the MIPARC intervention schedule. Sessions will include information on general health and healthy aging. Physical activity will not be discussed in these sessions but participants will receive information on the benefits of PA.
General disorders
Death
0.66%
1/151 • Number of events 1
3.2%
5/156 • Number of events 5
General disorders
Fall
13.2%
20/151 • Number of events 20
10.3%
16/156 • Number of events 16
Musculoskeletal and connective tissue disorders
Serious physical injury
3.3%
5/151 • Number of events 5
0.64%
1/156 • Number of events 1
General disorders
Persistent or significant physical or cognitive disability or incapacity
2.0%
3/151 • Number of events 3
1.9%
3/156 • Number of events 3
General disorders
Overnight hospitalization
6.6%
10/151 • Number of events 10
3.2%
5/156 • Number of events 5

Other adverse events

Other adverse events
Measure
MIPARC Intervention
n=151 participants at risk
Intervention participants received group education sessions, group walks, phone counseling and support from peer leaders.
Health Education Control
n=156 participants at risk
The control group will receive an active health education intervention. The lectures will be delivered to match the MIPARC intervention schedule. Sessions will include information on general health and healthy aging. Physical activity will not be discussed in these sessions but participants will receive information on the benefits of PA.
General disorders
Change in care status
0.66%
1/151 • Number of events 1
0.00%
0/156
General disorders
Emergency room visit
2.0%
3/151 • Number of events 3
1.9%
3/156 • Number of events 3
General disorders
Other
12.6%
19/151 • Number of events 19
5.1%
8/156 • Number of events 8
General disorders
Decreased cognition
0.00%
0/151
0.64%
1/156 • Number of events 1

Additional Information

Jacqueline Kerr

UCSD

Phone: 858-534-9305

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place