scholarly journals A novel behavioural INTErvention to REduce Sitting Time in older adults undergoing orthopaedic surgery (INTEREST): results of a randomised-controlled feasibility study

2020 ◽  
Vol 32 (12) ◽  
pp. 2565-2585 ◽  
Author(s):  
Justin Avery Aunger ◽  
Colin J. Greaves ◽  
Edward T. Davis ◽  
Evans Atiah Asamane ◽  
Anna C. Whittaker ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Feasibility Study ◽  
Sedentary Time ◽  
Retention Rate ◽  
Psychological Needs ◽  
Basic Psychological Needs ◽  
Sitting Time ◽  
Post Surgery ◽  
Randomised Controlled

Abstract Background Osteoarthritis is a prevalent condition in older adults that causes many patients to require a hip or knee replacement. Reducing patients’ sedentariness prior to surgery may improve physical function and post-operative outcomes. Methods We conducted a pragmatic randomised-controlled feasibility study with 2:1 allocation into intervention or usual care groups. The intervention, based on Self-Determination Theory, involved techniques to reduce sedentary behaviour, including motivational interviewing, setting of behavioural goals, and more. The primary outcome was feasibility, assessed using mixed methods. We included exploratory measures to inform a future definitive trial, such as ActivPal3 accelerometry to measure movement, the Short Physical Performance Battery (SPPB), Basic Psychological Needs, and cardiometabolic biomarkers. Assessments were at baseline, 1-week pre-surgery, and 6-week post-surgery. Results We recruited 35 participants aged ≥ 60 years approximately 8 weeks before hip or knee arthroplasty. Participant uptake rate was 14.2%, and retention rate 85.7%. Participants were very satisfied with the study which was found to be feasible with some modifications. Exploratory within-group comparisons found that the intervention has potential to improve SPPB by 0.71 points from baseline to pre-surgery, a clinically significant increase, and reduce sedentary time by up to 66 min d−1. Conclusion In this older surgical population, it is feasible to use behavioural techniques to displace sedentary time to activity and to conduct a trial spanning the period of surgical intervention. This may improve physical function and surgical outcomes. The INTEREST intervention is now ready for evaluation in a full-scale randomised-controlled trial. Registration This trial was registered on Clinicaltrials.gov on 13/11/2018. ID: NCT03740412.

scholarly journals A RANDOMISED FEASIBILITY STUDY TO REDUCE SITTING IN OLDER ADULTS UNDERGOING ORTHOPAEDIC SURGERY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S850-S850
Author(s):  
Justin A Aunger ◽  
Colin T Greaves ◽  
Evans A Asamane ◽  
Edward T Davis ◽  
Anna C Whittaker ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Feasibility Study ◽  
Orthopaedic Surgery ◽  
Sedentary Time ◽  
Intervention Group ◽  
Action Planning ◽  
Psychological Needs ◽  
Basic Psychological Needs ◽  
Post Surgery

Abstract Osteoarthritis is a prevalent condition in older adults that causes many patients to require a hip or knee replacement in order to improve quality of life and reduce pain. Reducing sedentariness prior to surgery may aid in improving physical function and post-operative outcomes. Thus, we performed a pragmatic randomised controlled feasibility study with 2:1 allocation into intervention or usual care in Birmingham, UK. The intervention involved multiple techniques to reduce sedentary behaviour, including motivational interviewing and action planning. The primary outcome was feasibility, assessed using mixed methods. We included exploratory measures to inform a future definitive trial, such as ActivPal3 objective measurement of physical activity and sedentariness, Short Physical Performance Battery (SPPB), Basic Psychological Needs questionnaire, and serum cardiometabolic biomarkers. Assessments were at baseline, one-week pre-surgery, and six-weeks post-surgery. We recruited 35 participants aged 64-87 years eight weeks before hip or knee arthroplasty. The study was found to be feasible with some modifications. Within-group comparisons showed that the intervention group significantly improved their physical function (SPPB) score by 0.71 points (95% CI 0.07 to 1.36, p=0.032), a clinically significant increase. Additionally, those in the intervention group retained to post-surgery trended towards a mean sedentary time reduction of 66 min.d-1 (p=0.497). In this older mobility-limited surgical population it is feasible to use behavioural techniques to displace sedentary time to activity. Future trials should further assess the effect of reducing sedentariness on health in larger samples of older adults with osteoarthritis undergoing orthopaedic surgery.

scholarly journals Schema in older adults: does the schema mode model apply?

2019 ◽  
Vol 48 (3) ◽  
pp. 341-349
Author(s):  
Katelyn Phillips ◽  
Robert Brockman ◽  
Phoebe E. Bailey ◽  
Ian I. Kneebone
Keyword(s):  
Older Adults ◽  
Healthy Adult ◽  
Schema Theory ◽  
Psychological Needs ◽  
Basic Psychological Needs ◽  
Exclusion Criteria ◽  
Younger Adults ◽  
Schema Modes ◽  
Relationship Of ◽  
The Relationship

AbstractBackground:The relevance of schema theory to psychopathology, in particular personality disorder, in younger adults is established. Investigations into the relevance of schema theory to older adults, however, is highly limited.Aims:To consider the relationship of schema modes to psychopathology in older adults and establish whether maladaptive schema modes are associated with unmet needs and that this relationship is mediated by the healthy adult mode of responding in this population.Method:One hundred and four older adults were recruited from an established database. Participants completed questionnaires assessing psychopathology, schema modes (YAMI: Young-Atkinson Mode Inventory) and basic psychological needs (BPNS: Basic Psychological Needs Scale – autonomy, competence and relatedness). Ninety-four responses were included after applying exclusion criteria.Results:The healthy adult schema mode was found to be associated with reduced psychopathology, and maladaptive child modes (angry and vulnerable child) to increased psychopathology. The healthy adult schema mode mediated the relationship between maladaptive child modes and needs satisfaction.Conclusions:As predicted by schema theory, the presence of one of the maladaptive child modes makes it difficult for an older individual to have their needs met, but the presence of healthy adult mode works to support this process.

Perceived Health Care Climate of Older People Attending an Exercise Program: Validation of the German Short Version of the Health Care Climate Questionnaire

2020 ◽  
Vol 28 (2) ◽  
pp. 276-286 ◽  
Author(s):  
Andreas Heissel ◽  
Anou Pietrek ◽  
Michael A. Rapp ◽  
Stephan Heinzel ◽  
Geoffrey Williams
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Older People ◽  
Exercise Program ◽  
Psychological Needs ◽  
Need Satisfaction ◽  
Basic Psychological Needs ◽  
Basic Need Satisfaction ◽  
Basic Need

The role of perceived need support from exercise professionals in improving mental health was examined in a sample of older adults, thereby validating the short Health Care Climate Questionnaire. A total of 491 older people (M = 72.68 years; SD = 5.47) attending a health exercise program participated in this study. Cronbach’s alpha was found to be high (α = .90). Satisfaction with the exercise professional correlated moderately with the short Health Care Climate Questionnaire mean value (r = .38; p < .01). The mediator analyses yielded support for the self-determination theory process model in older adults by showing both basic need satisfaction and frustration as mediating variables between perceived autonomy support and depressive symptoms. The short Health Care Climate Questionnaire is an economical instrument for assessing basic need satisfaction provided by the exercise therapist from the participant’s perspective. Furthermore, this cross-sectional study supported the link from coaching style to the satisfaction/frustration of basic psychological needs, which in turn, predicted mental health. Analyses of criterion validity suggest a revision of the construct by integrating need frustration.

scholarly journals 86 Developing the Adapted Lifestyle - Integrated Functional Exercise Programme in Thai Context (TLIFE) to Prevent Falls among Older Adults in Thailand: A Mixed Methods Study

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv18-iv27
Author(s):  
Sasiporn Ounjaichon ◽  
Chris Todd ◽  
Emma Stanmore ◽  
Elisabeth Boulton
Keyword(s):  
Older Adults ◽  
Randomised Controlled Trial ◽  
Retention Rate ◽  
Controlled Trial ◽  
Intervention Group ◽  
Exercise Programme ◽  
Community Dwelling ◽  
Control Group ◽  
Functional Exercise ◽  
Randomised Controlled

Abstract Introduction Falls are the leading cause of injuries in older Thai adults. There is a need to develop a fall prevention exercise programme to encourage participation and adherence. The adapted Lifestyle-integrated Functional Exercise (aLiFE) programme may be suitable by integrating exercise into daily routines as opposed to attending an exercise class. This study aimed to explore the acceptability and feasibility of the aLiFE programme in Thai context (TLiFE) among older Thai adults. Methods Based on the findings of a prior qualitative study, a feasibility randomised controlled trial (RCT) of TLiFE was conducted among community-dwelling older adults, comparing the TLiFE intervention group with a usual care control group. Outcome measures were analysed at baseline, 3 months, and after 6 months of the intervention. Results We recruited a total of 72 older adults into the RCT, randomised to TLiFE (n=36) and control (n=36). The retention rate at 6 months was 91.7%. Attendance in the intervention group (3 home visits and 4 follow-up calls) was 82.9%. There were no differences in fall incidence between the groups. The acceptability survey reveals TLiFE is easy to perform in daily life, safe, and useful. No adverse events were reported. Conclusion The TLiFE programme appears to be acceptable and feasible to deliver to community-dwelling older Thai adults. This feasibility study was not powered to detect a difference between groups. A further fully powered definitive randomised controlled trial of TLiFE is needed to evaluate long-term outcomes and cost-effectiveness before it is integrated within the healthcare system in Thailand.

scholarly journals Reducing Sedentary Time for Obese Older Adults: Protocol for a Randomized Controlled Trial (Preprint)

2017 ◽  
Author(s):  
Dori E Rosenberg ◽  
Amy K Lee ◽  
Melissa Anderson ◽  
Anne Renz ◽  
Theresa E Matson ◽  
...  
Keyword(s):  
Older Adults ◽  
Behavioral Interventions ◽  
Sedentary Time ◽  
Controlled Trial ◽  
Pilot Trial ◽  
Self Report ◽  
Sitting Time ◽  
Future Research ◽  
Innovative Strategy ◽  
Novel Approaches

BACKGROUND Older adults have high rates of obesity and are prone to chronic health conditions. These conditions are in part due to high rates of sedentary time (ST). As such, reducing ST could be an innovative strategy for improving health outcomes among obese older adults. To test this theory, we developed a novel, technology-enhanced intervention to reduce sitting time (I-STAND) and pilot tested it to assess the feasibility, acceptability, and preliminary effects of the intervention on ST and biometric outcomes. OBJECTIVE The current paper aims to describe the rationale, design, and methods of the I-STAND sitting reduction pilot trial. METHODS Older adults with obesity (n=60) were recruited from a large health care system and randomized to receive I-STAND or a healthy living intervention. I-STAND combined personal coaching with a technology-enhanced intervention (Jawbone UP band) to cue breaks from sitting. Participants completed self-report and biometric assessments at baseline and 3 months. Additional qualitative results were collected from a subset of I-STAND participants (n=22) to further inform the feasibility and acceptability of the interventions. The primary outcome was total hours of daily sitting time measured by the activPAL device. Secondary outcomes included sit-to-stand transitions, bouts of sitting longer than 30 minutes, physical function, blood pressure, fasting glucose, cholesterol, and depressive symptoms. RESULTS Study enrollment has ended and data processing is underway. CONCLUSIONS Data from randomized trials on sitting reduction are needed to inform novel approaches to health promotion among older adults with obesity. Our trial will help fill this gap. The methods used in our study can guide future research on using technology-based devices to assess or prompt sedentary behavior reduction, or those interested in behavioral interventions targeting obese older adults with novel approaches CLINICALTRIAL ClinicalTrials.gov: NCT02692560; https://clinicaltrials.gov/ct2/show/NCT02692560 (Archived by WebCite at http://www.webcitation.org/6wppLTWAl)

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