Trial Outcomes & Findings for Prescribe Exercise for Prevention of Falls and Fractures: A Family Health Team Approach (NCT NCT01698463)

NCT ID: NCT01698463

Last Updated: 2019-02-18

Results Overview

The X2-Mini accelerometer (Gulf Coast Data Concepts.,USA) is a three-dimensional sensor that is used to capture the activity levels of an individual. The accelerometer is worn on the hip of the participant for four days. The number of minutes that the individual spends in each exercise intensity category is acquired. Accelerometer thresholds make up four categories of activity: (1) sedentary; (2) low-light; (3) high-light; (4) moderate-vigorous. Activity monitors have been indicated as the most accurate means of measuring physical activity levels.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

11 participants

Primary outcome timeframe

Baseline, 6 week follow-up

Results posted on

2019-02-18

Participant Flow

No pre-assignment of participants to groups.

Participant milestones

Participant milestones
Measure
Identify Patients at Risk/Exercise Prescription
The intervention was delivered in two visits and two follow-up phone calls. Physician identifies that the patient is at risk of falls or fractures Visit one: individualized exercise prescription by a physiotherapist.Visit two: motivational interviewing (behavioural counselling) by kinesiologist Phone call 1 and 2: Kinesiologist reviews behavioural components (action planning, coping planning, coping self-efficacy, intentions.
Overall Study
STARTED
11
Overall Study
COMPLETED
11
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Identify Patients at Risk/Exercise Prescription
n=11 Participants
The intervention was delivered in two visits and two follow-up phone calls. Physician identifies that the patient is at risk of falls or fractures Visit one: individualized exercise prescription by a physiotherapist. Visit two: motivational interviewing (behavioural counselling) by kinesiologist Phone call 1 and 2: Kinesiologist reviews behavioural components (action planning, coping planning, coping self-efficacy, intentions. Identification of patients at risk, tailored exercise prescription, motivational interviewing, review of behavioural outcomes: The intervention was delivered in two visits and two follow-up phone calls.
Age, Categorical
<=18 years
0 Participants
n=11 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=11 Participants
Age, Categorical
>=65 years
11 Participants
n=11 Participants
Sex: Female, Male
Female
10 Participants
n=11 Participants
Sex: Female, Male
Male
1 Participants
n=11 Participants
Region of Enrollment
Canada
11 Participants
n=11 Participants
Sedentary
546.2 min/day
STANDARD_DEVIATION 274.7 • n=11 Participants
Low Light Physical Activity
211.3 min/day
STANDARD_DEVIATION 100.0 • n=11 Participants
High Light Physical Activity
32.8 min/day
STANDARD_DEVIATION 24.4 • n=11 Participants
Moderate to Vigorous Physical Activity
24.7 min/day
STANDARD_DEVIATION 22.8 • n=11 Participants
Short Physical Performance Battery
7.91 units on a scale
STANDARD_DEVIATION 3.02 • n=11 Participants
Timed Up and Go (TUG)
13.95 seconds
STANDARD_DEVIATION 6.12 • n=11 Participants
Coping Planning
10.45 units on a scale
STANDARD_DEVIATION 3.93 • n=11 Participants
Action Planning
16.45 units on a scale
STANDARD_DEVIATION 5.66 • n=11 Participants
Coping Self-Efficacy
32.55 units on a scale
STANDARD_DEVIATION 6.59 • n=11 Participants
Intentions
11.73 units on a scale
STANDARD_DEVIATION 2.20 • n=11 Participants
EQ-5D-5L (HRQOL)
7.05 units on a scale
STANDARD_DEVIATION 1.19 • n=11 Participants

PRIMARY outcome

Timeframe: Baseline, 6 week follow-up

The X2-Mini accelerometer (Gulf Coast Data Concepts.,USA) is a three-dimensional sensor that is used to capture the activity levels of an individual. The accelerometer is worn on the hip of the participant for four days. The number of minutes that the individual spends in each exercise intensity category is acquired. Accelerometer thresholds make up four categories of activity: (1) sedentary; (2) low-light; (3) high-light; (4) moderate-vigorous. Activity monitors have been indicated as the most accurate means of measuring physical activity levels.

Outcome measures

Outcome measures
Measure
Identify Patients at Risk/Exercise Prescription
n=11 Participants
The intervention was delivered in two visits and two follow-up phone calls. Physician identifies that the patient is at risk of falls or fractures Visit one: individualized exercise prescription by a physiotherapist. Visit two: motivational interviewing (behavioural counselling) by kinesiologist Phone call 1 and 2: Kinesiologist reviews behavioural components (action planning, coping planning, coping self-efficacy, intentions. Identification of patients at risk, tailored exercise prescription, motivational interviewing, review of behavioural outcomes: The intervention was delivered in two visits and two follow-up phone calls.
Physical Activity (Reporting Change in Physical Activity From Baseline to Six-week Follow-up)
21.6 minutes/day
Standard Deviation 15.8

PRIMARY outcome

Timeframe: Baseline, 6 week follow-up

Participants complete a physical activity log book daily in order to document their completion of the prescribed exercises and list any additional activities that they may have been engaged in. The percentage of prescribed exercises completed are reported (for e.g. if participants completed 2 of 3 prescribed exercise then the reported percentage would be 67%). Mean (SD) are reported.

Outcome measures

Outcome measures
Measure
Identify Patients at Risk/Exercise Prescription
n=11 Participants
The intervention was delivered in two visits and two follow-up phone calls. Physician identifies that the patient is at risk of falls or fractures Visit one: individualized exercise prescription by a physiotherapist. Visit two: motivational interviewing (behavioural counselling) by kinesiologist Phone call 1 and 2: Kinesiologist reviews behavioural components (action planning, coping planning, coping self-efficacy, intentions. Identification of patients at risk, tailored exercise prescription, motivational interviewing, review of behavioural outcomes: The intervention was delivered in two visits and two follow-up phone calls.
Physical Activity (Self-report) (Reporting Change in Physical Activity From Baseline to Six-week Follow-up)
65.7 percentage of completed exercise
Standard Deviation 23.2

SECONDARY outcome

Timeframe: Baseline, 6 week follow-up

A psychometric questionnaire will assess action planning using a likert scale at baseline and 6 weeks follow-up. Action Planning: when, where and how an individual will engage in the recommended exercise. Psychometric questionnaire assessing Action Planning was administered at baseline and follow-up. The psychometric questionnaire used a 5 point likert scale. (0 represents worst performance) to 25 (best performance).

Outcome measures

Outcome measures
Measure
Identify Patients at Risk/Exercise Prescription
n=11 Participants
The intervention was delivered in two visits and two follow-up phone calls. Physician identifies that the patient is at risk of falls or fractures Visit one: individualized exercise prescription by a physiotherapist. Visit two: motivational interviewing (behavioural counselling) by kinesiologist Phone call 1 and 2: Kinesiologist reviews behavioural components (action planning, coping planning, coping self-efficacy, intentions. Identification of patients at risk, tailored exercise prescription, motivational interviewing, review of behavioural outcomes: The intervention was delivered in two visits and two follow-up phone calls.
Behavior Change Outcome: Action Planning
21.00 units on a scale
Standard Deviation 1.79

SECONDARY outcome

Timeframe: Baseline, 6 week follow-up

A psychometric questionnaire will assess coping planning using a likert scale at baseline and 6 weeks follow-up. Coping Planning: assesses an individuals ability to overcome perceived barriers e.g. lack of time, poor weather. Psychometric questionnaire assessing coping planning was administered at baseline and follow-up. The psychometric questionnaire used a 5 point likert scale. (0 represents worst performance) to 20 (best performance).

Outcome measures

Outcome measures
Measure
Identify Patients at Risk/Exercise Prescription
n=11 Participants
The intervention was delivered in two visits and two follow-up phone calls. Physician identifies that the patient is at risk of falls or fractures Visit one: individualized exercise prescription by a physiotherapist. Visit two: motivational interviewing (behavioural counselling) by kinesiologist Phone call 1 and 2: Kinesiologist reviews behavioural components (action planning, coping planning, coping self-efficacy, intentions. Identification of patients at risk, tailored exercise prescription, motivational interviewing, review of behavioural outcomes: The intervention was delivered in two visits and two follow-up phone calls.
Behavior Change Outcome: Coping Planning
14.55 units on a scale
Standard Deviation 1.92

SECONDARY outcome

Timeframe: Baseline, 6 week follow-up

A psychometric questionnaire will assess coping self-efficacy using a likert scale at baseline and 6 weeks follow-up. Coping Self-Efficacy: assesses an individuals belief in their ability to overcome barriers. Psychometric questionnaire assessing Coping Self-Efficacy was administered at baseline and follow-up. The psychometric questionnaire used a 5 point likert scale. (0 represents worst performance) to 45 (best performance).

Outcome measures

Outcome measures
Measure
Identify Patients at Risk/Exercise Prescription
n=11 Participants
The intervention was delivered in two visits and two follow-up phone calls. Physician identifies that the patient is at risk of falls or fractures Visit one: individualized exercise prescription by a physiotherapist. Visit two: motivational interviewing (behavioural counselling) by kinesiologist Phone call 1 and 2: Kinesiologist reviews behavioural components (action planning, coping planning, coping self-efficacy, intentions. Identification of patients at risk, tailored exercise prescription, motivational interviewing, review of behavioural outcomes: The intervention was delivered in two visits and two follow-up phone calls.
Behavior Change Outcome: Coping Self-Efficacy
34.45 units on a scale
Standard Deviation 4.11

SECONDARY outcome

Timeframe: Baseline, 6 week follow-up

A psychometric questionnaire will assess intentions using a likert scale at baseline and 6 weeks follow-up. Intentions: assesses an individuals intention to engage in recommended exercises. Psychometric questionnaire assessing Intentions was administered at baseline and follow-up. The psychometric questionnaire used a 5 point likert scale. (0 represents worst performance) to 15 (best performance).

Outcome measures

Outcome measures
Measure
Identify Patients at Risk/Exercise Prescription
n=11 Participants
The intervention was delivered in two visits and two follow-up phone calls. Physician identifies that the patient is at risk of falls or fractures Visit one: individualized exercise prescription by a physiotherapist. Visit two: motivational interviewing (behavioural counselling) by kinesiologist Phone call 1 and 2: Kinesiologist reviews behavioural components (action planning, coping planning, coping self-efficacy, intentions. Identification of patients at risk, tailored exercise prescription, motivational interviewing, review of behavioural outcomes: The intervention was delivered in two visits and two follow-up phone calls.
Behavior Change Outcome: Intentions
12.0 units on a scale
Standard Deviation 1.61

SECONDARY outcome

Timeframe: Baseline, 6 week follow-up

The EQ-5D-5L questionnaire will be used to assess health related quality of life at baseline and at six weeks follow-up. The EQ-5D-5L questionnaire is very short and easy to complete making it ideal for a busy clinical setting. It consists of five questions which ask about pain, depression, activities, self-care and mobility. 0 (represents best performance) to 25 (represents worst performance).

Outcome measures

Outcome measures
Measure
Identify Patients at Risk/Exercise Prescription
n=11 Participants
The intervention was delivered in two visits and two follow-up phone calls. Physician identifies that the patient is at risk of falls or fractures Visit one: individualized exercise prescription by a physiotherapist. Visit two: motivational interviewing (behavioural counselling) by kinesiologist Phone call 1 and 2: Kinesiologist reviews behavioural components (action planning, coping planning, coping self-efficacy, intentions. Identification of patients at risk, tailored exercise prescription, motivational interviewing, review of behavioural outcomes: The intervention was delivered in two visits and two follow-up phone calls.
Health Related Quality of Life (HRQOL)
8.0 units on a scale
Standard Deviation 1.0

Adverse Events

Identify Patients at Risk/Exercise Prescription

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Lora Giangregorio

University of Waterloo

Phone: (519) 888-4567

Results disclosure agreements

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