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N/A N=48 Treatment

Measuring the Implementation of the LiFE Program in Primary Care for Older Adults Aged 75 Years or Older

Chronic Disease

Enrolled (actual)
48
Serious AEs
10.4%
Results posted
Aug 2019
Primary outcome: Primary: Feasibility of Recruitment — 48 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Lifestyle-integrated Functional Exercise (Other)
Age
Older Adult · 75+ yrs
Sex
All
Sponsor
University of Waterloo
Primary completion
Aug 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Feasibility of Recruitment
48
PRIMARY
Retention
32
PRIMARY
Adherence (Including Withdrawals)
27; 25; 22
SECONDARY
Change in Physical Activity- Moderate-to-vigorous Physical Activity (MVPA) (Minutes/Week)
58.6; 52.5; 41.2; 60.6
SECONDARY
Change in Physical Performance- Scores on the Short Physical Performance Battery (SPPB)
9.78; 9.63
SECONDARY
Change in Quality of Life- EQ5D Dimensions and VAS Score
70.84; 76.17
SECONDARY
Number of Falls
19
SECONDARY
Number of Participants With Falls
10
SECONDARY
Number of Participants With Multiple Falls
3
SECONDARY
Number of Participants With Adverse Events or Injuries (Serious or Otherwise)
5; 14
SECONDARY
Average Scores on Fidelity Rating Form - Individual and Group Sessions
1.8; 1.9
SECONDARY
Sum of Scores on Fidelity Rating Forms - Individual and Group Sessions
62; 33
SECONDARY
Number of Participants Who Provided Feedback on the Barriers and Facilitators to the Implementation of the Exercise Program
47
SECONDARY
Change in TFEQ-R21 Score- Cognitive Restraint Subscale
16.0; 16.9
SECONDARY
Change in TFEQ-R21 Score - Uncontrolled Eating Subscale
45.5; 45.5
SECONDARY
Change in TFEQ-R21 Score - Emotional Eating Behaviour Subscale
15.5; 14.3

Summary

The goal of this study is to evaluate how to implement an evidence-based lifestyle-integrated strength and balance exercise (LiFE) intervention in primary care to promote increased physical activity (PA) and improvements in function and quality of life in older adults 75 years or older. This study will evaluate the public health impact of the LiFE intervention using the RE-AIM model: reach (recruitment), effectiveness (PA levels), adoption (physician acceptance), implementation (fidelity), and maintenance (retention, adherence). If the intervention appears feasible, we will use the resultant information to design a larger pragmatic trial.

Eligibility Criteria

Inclusion Criteria

Patients who do not exercise beyond moving around/walking during activities of daily living or exercise occasionally/during certain seasons more than others, and are interested in information about an exercise program offered by CFFM will be contacted about the study. To qualify for the study, patients must be: (i) 75 years or older, (ii) able to communicate in English (if unable to speak English, patient may qualify if a translator can attend program sessions and assist with completion of program materials), and (iii) able to give informed consent.

Exclusion Criteria

Patients will be excluded if they: (i) currently participate in lower body muscle strengthening and balance exercise 3 or more times per week for 30 minutes or more, (ii) have a known diagnosis of dementia (those with mild cognitive impairment may be eligible if the can understand instructions or have a caregiver that can assist with the program) , (iii) have any significant lung disease, moderate to severe chronic obstructive pulmonary disease, and (iv) have contraindication(s) to exercise (e.g., uncontrolled hypertension).

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02266225). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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