Evaluating Impact and Implementation of Choose to Move (Phase 4)
NCT ID: NCT05678985
Last Updated: 2025-03-27
Study Results
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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COMPLETED
NA
550 participants
INTERVENTIONAL
2020-09-17
2025-01-29
Brief Summary
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CTM Phase 4 is a 3-month, choice-based program for low active older adults being scaled-up across British Columbia (BC), Canada. The goals of CTM are to enhance physical activity, mobility and social connectedness in older adults living in BC, Canada.
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Detailed Description
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Objectives:
1. To assess the impact (effectiveness) of CTM (Phase 4) delivered at scale on the physical activity, mobility, and social connectedness of older adults (Part I - Impact Evaluation)
2. To assess whether CTM (Phase 4) was implemented as planned (fidelity) and investigate factors that support or inhibit its implementation at scale (Part II - Implementation Evaluation).
Study Design:
The investigators use a hybrid type 2 effectiveness-implementation (Curran et al 2012) pre-post study design to evaluate CTM. The investigators use multiple methods (quantitative and qualitative) and collect data at 0 (baseline), 3 (post-intervention), 6 (3 months post-intervention), 15 (12 months post-intervention) and 27 (24 months post-intervention) months to assess impact and implementation of CTM.
Conditions
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Study Design
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NA
SINGLE_GROUP
PREVENTION
NONE
Study Groups
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Choose to Move
CTM (Phase 4) is a 3-month, flexible, choice-based program for low active older adults that can be delivered in-person or online.
CTM includes
* One-on-One Consultation: Participants meet 1-on-1 with their activity coach at the start of the program to set goals and develop an action plan tailored to their abilities, interests and resources. Older adults can choose to participate in individual or group-based activities.
* Group Meetings: Over the 3-months, participants will attend eight, 1-hour group-based meetings (up to 12 participants total) led by their activity coach. Meetings cover a discussion topic (health-related) and provide time and space for social connection between participants. Group meetings are held in person or online as public health restrictions and community preference dictate.
Choose to Move
As described under study arm description.
Interventions
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Choose to Move
As described under study arm description.
Eligibility Criteria
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Inclusion Criteria
* demonstrate readiness for physical activity via the PAR-Q+ questionnaire, Get Active Questionnaire, or a letter of recommendation from their physician
* \<150 min/week physical activity
* English speaking
* Able to connect to the Zoom or GoToMeeting platform via phone or internet in order to participate in virtual group meetings (for online programs only)
* Activity coaches will be English speaking, British Columbia Recreation and Parks Association (BCRPA) registered older adult fitness leaders or kinesiologists who are delivering CTM at participating centres
* Recreation Managers and Coordinators affiliated with participating centres delivering CTM
* Provincial Partners (e.g., individuals/partners who make strategic and/or policy decisions) at partner organizations delivering Choose to Move
* Able to connect to the Zoom or GoToMeeting platform via internet (video and audio required in order to see and hear participants) for online programs
* Able to connect to the Zoom or GoToMeeting platform via phone or internet in order to participate in virtual group meetings (for online programs only)
* Currently (or recently completed) participating in CTM evaluation
Exclusion Criteria
60 Years
ALL
Yes
Sponsors
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Canadian Institutes of Health Research (CIHR)
OTHER_GOV
Active Aging Society
OTHER
University of British Columbia
OTHER
Responsible Party
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Heather McKay
Professor
Principal Investigators
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Heather A McKay, PhD
Role: PRINCIPAL_INVESTIGATOR
University of British Columbia
Joanie Sims Gould, PhD
Role: PRINCIPAL_INVESTIGATOR
University of British Columbia
Locations
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Centre for Hip Health and Mobility, Robert H.N. Ho Research Centre, University of British Columbia
Vancouver, British Columbia, Canada
Countries
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References
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Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care. 2012 Mar;50(3):217-26. doi: 10.1097/MLR.0b013e3182408812.
Hughes ME, Waite LJ, Hawkley LC, Cacioppo JT. A Short Scale for Measuring Loneliness in Large Surveys: Results From Two Population-Based Studies. Res Aging. 2004;26(6):655-672. doi: 10.1177/0164027504268574.
Lau, E. Y., Wandersman, A.H., & Pate, R. R. Factors Influencing Implementation of Youth Physical Activity Interventions: An Expert Perspective. Translational Journal of the ACSM: July 1, 2016 - Volume 1 - Issue 7 - p 60-70 doi: 10.1249/TJX.0000000000000006
Lubben J, Blozik E, Gillmann G, Iliffe S, von Renteln Kruse W, Beck JC, Stuck AE. Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations. Gerontologist. 2006 Aug;46(4):503-13. doi: 10.1093/geront/46.4.503.
Marshall AL, Miller YD, Burton NW, Brown WJ. Measuring total and domain-specific sitting: a study of reliability and validity. Med Sci Sports Exerc. 2010 Jun;42(6):1094-102. doi: 10.1249/MSS.0b013e3181c5ec18.
Rejeski WJ, Rushing J, Guralnik JM, Ip EH, King AC, Manini TM, Marsh AP, McDermott MM, Fielding RA, Newman AB, Tudor-Locke C, Gill TM; LIFE Study Group. The MAT-sf: identifying risk for major mobility disability. J Gerontol A Biol Sci Med Sci. 2015 May;70(5):641-6. doi: 10.1093/gerona/glv003. Epub 2015 Feb 13.
Simonsick EM, Newman AB, Visser M, Goodpaster B, Kritchevsky SB, Rubin S, Nevitt MC, Harris TB; Health, Aging and Body Composition Study. Mobility limitation in self-described well-functioning older adults: importance of endurance walk testing. J Gerontol A Biol Sci Med Sci. 2008 Aug;63(8):841-7. doi: 10.1093/gerona/63.8.841.
EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy. 1990 Dec;16(3):199-208. doi: 10.1016/0168-8510(90)90421-9.
Veroff, J., Kulka, R. A., & Douvan, E. A. M. (1981). Mental health in America: patterns of help-seeking from, 1957 to 1976: patterns of help-seeking from 1957 to 1976. Basic Books.
Warburton, D. E., Jamnik, V. K., Bredin, S. S., & Gledhill, N. (2011). The physical activity readiness questionnaire for everyone (PAR-Q+) and electronic physical activity readiness medical examination (ePARmed-X+). The Health & Fitness Journal of Canada, 4(2), 3-17.
Ware, J. E. (1989). SF-36 health status questionnaire. Boston, MA: Institute for the Improvement of Medical Care and Health, New England Medical Center Hospital, Quality Quest Inc.
Milton K, Bull FC, Bauman A. Reliability and validity testing of a single-item physical activity measure. Br J Sports Med. 2011 Mar;45(3):203-8. doi: 10.1136/bjsm.2009.068395. Epub 2010 May 19.
Holt, D.T., Armenakis, A.A., Feild, H.S., & Harris, S.G. Readiness for Organizational Change: the systematic development of a scale. The Journal of Applied Behavioral Science. 2007; 43(2): 232-255. https://doi.org/10.1177/0021886306295295
Vancouver Coastal Health, Fraser Health, University of British Columbia. My Health My Community Survey. 2014. https://myhealthmycommunity.org/
Nettlefold L, Macdonald HM, Sims Gould J, Bauman A, Szewczyk Z, McKay HA. Does optimizing Choose to Move - a health-promoting program for older adults - enhance scalability, program implementation and effectiveness? Int J Behav Nutr Phys Act. 2024 Dec 18;21(1):140. doi: 10.1186/s12966-024-01649-9.
Gray SM, Nettlefold L, Mackey D, Gould JS, McKay HA. Feasibility of a Virtual Health-Promoting Intervention (Choose to Move) for Older Adults: A Rapid Adaptation in Response to COVID-19. J Aging Phys Act. 2023 Aug 3;31(6):1003-1015. doi: 10.1123/japa.2023-0011. Print 2023 Dec 1.
Other Identifiers
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PJT-169159
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
H20-00780
Identifier Type: -
Identifier Source: org_study_id
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