Enhancing Independence Using Group-based Community Interventions for Healthy AGing in Elders: the ENGAGE Pilot Study

NCT ID: NCT03430271

Last Updated: 2018-02-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

59 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-12

Study Completion Date

2016-06-30

Brief Summary

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This study will be conducted to determine the safety and feasibility of translating a physical activity intervention (LIFE Study) into a community setting. Study outcomes include physical performance, safety, and feasibility of conducting the LIFE PA intervention in a community setting.

Detailed Description

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Older adults who lose their mobility experience a poorer quality of life, are less likely to remain independent in the community and have higher rates of chronic disease, falls and mortality. Recent results from the Lifestyle Interventions and Independence for Elders (LIFE) study demonstrated that a structured program of physical activity (PA) reduced the onset of major mobility disability in at-risk older adults by up to 28% over a 2.6 year period. Despite the public health significance of this study, to-date no study has attempted to translate LIFE PA to broader populations of at-risk older adults in community-based settings. To address this knowledge gap, and to aid the design of a larger pragmatic trial of LIFE PA in community-based settings, the investigators conducted the ENhancing independence using Group-based community interventions for healthy AGing in Elders (ENGAGE) pilot study. The investigators examined the safety and feasibility of translating LIFE PA into the existing infrastructure of a community-based senior center. The investigators also explored the preliminary real-world effectiveness of PA on physical performance and several other important health related outcomes for older persons, including cognitive function, quality of life, depressive symptoms and frequency of falling.

Conditions

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Mobility Limitation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The ENGAGE Somerville Study is designed as a single blind, randomized-controlled, parallel-group pilot study. This study plans to enroll up to 50 participants to be randomized into the PA or health aging intervention.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The study assessor will be blinded to the treatment assignment. The study investigators and interventionists will not be blinded.

Study Groups

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Physical Activity (PA) Intervention

Group Type ACTIVE_COMPARATOR

Physical Activity Intervention

Intervention Type OTHER

Participants in this arm will complete exercise sessions 1 time per week for 24 weeks. An optional, second PA session will also be offered to PA participants. The exercise sessions will be multimodal and involve walking, lower extremity strengthening exercises, flexibility and balance training.

Health Education (HE) Intervention

Group Type PLACEBO_COMPARATOR

Healthy Aging Intervention

Intervention Type OTHER

Participants will attend health education workshops on topics of relevance to older adults. Workshops will be offered weekly in a group setting, and participants will be required to attend biweekly.

Interventions

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Physical Activity Intervention

Participants in this arm will complete exercise sessions 1 time per week for 24 weeks. An optional, second PA session will also be offered to PA participants. The exercise sessions will be multimodal and involve walking, lower extremity strengthening exercises, flexibility and balance training.

Intervention Type OTHER

Healthy Aging Intervention

Participants will attend health education workshops on topics of relevance to older adults. Workshops will be offered weekly in a group setting, and participants will be required to attend biweekly.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Males and Females age ≥ 65 and ≤89 years
* Community dwelling
* Short Physical Performance Battery ≤ 9
* No participation in a structured physical activity program within the previous 3 months
* Willingness to be randomized and participate for 24 weeks
* Written permission from primary care physician
* Having obtained his/her informed consent

Exclusion Criteria

* Acute or terminal illness
* Modified Mini-Mental State Examination Score \<80(\<76 if African American)\*
* Myocardial Infarction in the previous 6 months
* Symptomatic coronary artery disease
* Upper or lower extremity fracture in the previous 6 months
* Resting blood pressure \>180/100 mmHg
* Unable to communicate due to severe hearing loss or speech disorder
* Severe visual impairment that may preclude participation in the study assessments or interventions
* Non-English speaking
Minimum Eligible Age

65 Years

Maximum Eligible Age

89 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Somerville Council on Aging

UNKNOWN

Sponsor Role collaborator

Tufts University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kieran Reid, PhD

Role: PRINCIPAL_INVESTIGATOR

Tufts University

Locations

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Jean Mayer Human Nutrition Research Center on Aging at Tufts University

Boston, Massachusetts, United States

Site Status

Somerville Council on Aging Holland Street Senior Center

Somerville, Massachusetts, United States

Site Status

Countries

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United States

References

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Other Identifiers

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11624

Identifier Type: -

Identifier Source: org_study_id

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