Trial Outcomes & Findings for Peer Support for Exercise in Older Veterans With Psychotic Disorders (NCT NCT02958007)

NCT ID: NCT02958007

Last Updated: 2023-09-25

Results Overview

Percent of participants randomized to PEER who attend at least three group sessions

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

22 participants

Primary outcome timeframe

12 weeks

Results posted on

2023-09-25

Participant Flow

Participant milestones

Participant milestones
Measure
Peer Education on Exercise for Recovery
A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity Peer Education on Exercise for Recovery: A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity
Enhanced Supervised Fitness Training
A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff Enhanced supervised fitness training: A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff
Overall Study
STARTED
11
11
Overall Study
COMPLETED
10
8
Overall Study
NOT COMPLETED
1
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Peer Support for Exercise in Older Veterans With Psychotic Disorders

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Peer Education on Exercise for Recovery
n=11 Participants
A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity Peer Education on Exercise for Recovery: A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity
Enhanced Supervised Fitness Training
n=11 Participants
A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff Enhanced supervised fitness training: A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff
Total
n=22 Participants
Total of all reporting groups
Age, Continuous
60.8 years
STANDARD_DEVIATION 4.1 • n=93 Participants
64.4 years
STANDARD_DEVIATION 8.4 • n=4 Participants
62.8 years
STANDARD_DEVIATION 6.9 • n=27 Participants
Sex: Female, Male
Female
3 Participants
n=93 Participants
2 Participants
n=4 Participants
5 Participants
n=27 Participants
Sex: Female, Male
Male
8 Participants
n=93 Participants
9 Participants
n=4 Participants
17 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=93 Participants
5 Participants
n=4 Participants
13 Participants
n=27 Participants
Race (NIH/OMB)
White
3 Participants
n=93 Participants
5 Participants
n=4 Participants
8 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
11 participants
n=93 Participants
11 participants
n=4 Participants
22 participants
n=27 Participants

PRIMARY outcome

Timeframe: 12 weeks

Percent of participants randomized to PEER who attend at least three group sessions

Outcome measures

Outcome measures
Measure
Peer Education on Exercise for Recovery
n=11 Participants
A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity Peer Education on Exercise for Recovery: A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity
Enhanced Supervised Fitness Training
A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff Enhanced supervised fitness training: A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff
Intervention Engagement
8 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: 25% of recorded group sessions randomly selected and reviewed by independent rater for fidelity

Percent of sampled PEER group sessions in which the peer coaches were adequately adherent, as per the PEER Fidelity Measure. This measure includes content items (e.g., "How well did facilitators review the educational topic of the day") and process items (e.g., "How well did facilitators provide positive feedback and reinforcement throughout the class?") Each item is rated as 0 (unacceptable), 1 (acceptable), or 2 (excellent), and then an average score is calculated. Adequate adherence was defined as an average score of 1 or greater and no items rated as unacceptable.

Outcome measures

Outcome measures
Measure
Peer Education on Exercise for Recovery
n=13 Recorded group sessions
A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity Peer Education on Exercise for Recovery: A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity
Enhanced Supervised Fitness Training
A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff Enhanced supervised fitness training: A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff
Intervention Fidelity
11 Recorded group sessions

PRIMARY outcome

Timeframe: 12 weeks

Attendance- mean number of supervised fitness training sessions attended

Outcome measures

Outcome measures
Measure
Peer Education on Exercise for Recovery
n=11 Participants
A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity Peer Education on Exercise for Recovery: A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity
Enhanced Supervised Fitness Training
n=11 Participants
A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff Enhanced supervised fitness training: A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff
Attendance
11.8 sessions
Standard Deviation 10.6
9.5 sessions
Standard Deviation 7.1

Adverse Events

Peer Education on Exercise for Recovery

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Enhanced Supervised Fitness Training

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Peer Education on Exercise for Recovery
n=11 participants at risk
A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity Peer Education on Exercise for Recovery: A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity
Enhanced Supervised Fitness Training
n=11 participants at risk
A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff Enhanced supervised fitness training: A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff
Respiratory, thoracic and mediastinal disorders
Acute hypoxic respiratory failure- unrelated to study
0.00%
0/11 • 24 weeks following randomization
9.1%
1/11 • Number of events 1 • 24 weeks following randomization

Other adverse events

Other adverse events
Measure
Peer Education on Exercise for Recovery
n=11 participants at risk
A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity Peer Education on Exercise for Recovery: A 24-week group-based peer coaching intervention delivered by a VA Peer Specialist, to promote participation in a supervised fitness training program and general physical activity
Enhanced Supervised Fitness Training
n=11 participants at risk
A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff Enhanced supervised fitness training: A 24-week intervention to promote participation in a supervised fitness training program and general physical activity, which includes individual support from non-peer staff
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
27.3%
3/11 • Number of events 4 • 24 weeks following randomization
18.2%
2/11 • Number of events 4 • 24 weeks following randomization
Nervous system disorders
Lightheaded during exercise
9.1%
1/11 • Number of events 1 • 24 weeks following randomization
0.00%
0/11 • 24 weeks following randomization
Renal and urinary disorders
Urinary tract infection
0.00%
0/11 • 24 weeks following randomization
9.1%
1/11 • Number of events 1 • 24 weeks following randomization
Musculoskeletal and connective tissue disorders
Fell in his home
0.00%
0/11 • 24 weeks following randomization
9.1%
1/11 • Number of events 1 • 24 weeks following randomization
Skin and subcutaneous tissue disorders
Leg wound- unrelated to exercise
9.1%
1/11 • Number of events 1 • 24 weeks following randomization
0.00%
0/11 • 24 weeks following randomization
Respiratory, thoracic and mediastinal disorders
Bronchitis
0.00%
0/11 • 24 weeks following randomization
9.1%
1/11 • Number of events 1 • 24 weeks following randomization
Gastrointestinal disorders
Hernia- unrelated to study
9.1%
1/11 • Number of events 1 • 24 weeks following randomization
0.00%
0/11 • 24 weeks following randomization
Psychiatric disorders
Anxious distress at gym
0.00%
0/11 • 24 weeks following randomization
9.1%
1/11 • Number of events 1 • 24 weeks following randomization

Additional Information

Anjana Muralidharan

VA Maryland Healthcare System

Phone: 443-421-6275

Results disclosure agreements

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