N/A
N=48
Adherence for Exercise Rehabilitation in Older People Trial
Geriatric · Exercise Adherence
Bottom Line
View on ClinicalTrials.gov: NCT03643432 ↗Enrolled (actual)
48
Serious AEs
0.0%
Results posted
Jul 2020
Primary outcome: Primary: Self-reported Adherence — 6.77; 7.35; 6.60; 7.10 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Exercise adherence intervention (Behavioral); Usual Care (Behavioral)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- Oxford University Hospitals NHS Trust
- Primary completion
- Oct 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Self-reported Adherence |
6.77; 7.35; 6.60; 7.10 | — |
| SECONDARY Exercise Adherence Rating Scale (EARS) |
16.35; 18.25; 15.64; 17.38 | — |
| SECONDARY Exercise Diary |
62.57; 77.21 | — |
| SECONDARY Global Rating of Change |
1; 1; 1; 1 | — |
| SECONDARY Physical Activity Scale for the Elderly (PASE) |
132.96; 131.48; 132.45; 137.14 | — |
| SECONDARY EQ 5D 5L |
0.632308; 0.618553; 0.645892; 0.600624 | — |
| SECONDARY Self-Efficacy for Exercise Scale |
61.50; 61.00; 58.20; 52.53 | — |
| SECONDARY Exercise Regulations Questionnaire (BREQ-3) |
9.27; 11.55; 8.56; 9.71 | — |
| SECONDARY VAS Self-rated Capacity to Exercise, Confidence to Exercise and Motivation to Exercise |
7.85; 7.00; 7.44; 7.48; 8.00; 7.50 | — |
Summary
Exercise is an effective treatment modality for many chronic conditions. The effectiveness of prescribed exercise can be limited by adherence to exercise programmes. Older people are more likely to have a long term, or multiple long term conditions, for which exercise is a treatment option. The investigators know that exercise engagement after discharge from hospital or physiotherapy is poor in older people. In addition to this there may be specific factors that affect exercise adherence in older people. Exercise adherence interventions can be viewed as behaviour change interventions, as their aim is to change the behaviour of the patient. However many interventions lack theoretical underpinning. This study will test the feasibility of a brief behavioural assessment underpinned by the COM-B behaviour change model, in addition to targeted adherence approaches based on that assessment. Participants will be randomised between usual care, and the behavioural assessment intervention arm. Adherence to the exercise programme given in physiotherapy will be recorded in both groups at 6 and 12 weeks. Feasibility of recruitment, retention and acceptability of the intervention will also be assessed. A subsection of participants will also take part in a qualitative interview, this will explore participants experience of the trial intervention, in addition to the participants experience of attempting to adhere to an exercise programme.
Eligibility Criteria
Inclusion Criteria
- Participant is willing and able to give informed consent for participation in the study
- Male or Female, aged 65 years or above
- Referred to physiotherapy with a musculoskeletal problem
- Able to converse in and read English
Exclusion Criteria
- Any comorbidity that precludes exercising such as unstable angina, or acute illness
- Dementia or cognitive impairment precluding the ability to follow an exercise programme
- Patients referred to physiotherapy for post-surgery rehabilitation
Data sourced from ClinicalTrials.gov (NCT03643432). 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.