scholarly journals The MIPAM trial: a 12-week intervention with motivational interviewing and physical activity monitoring to enhance the daily amount of physical activity in community-dwelling older adults – a study protocol for a randomized controlled trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Rasmus Tolstrup Larsen ◽  
Christoffer Bruun Korfitsen ◽  
Carsten Bogh Juhl ◽  
Henning Boje Andersen ◽  
Jan Christensen ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Older Adults ◽  
Motivational Interviewing ◽  
Self Efficacy ◽  
Community Dwelling ◽  
World Health ◽  
Secondary Outcome ◽  
Randomized Controlled ◽  
Physical Activity Monitoring

Abstract Background Physical Activity Monitors (PAMs) have been shown to effectively enhance level of physical activity (PA) in older adults. Motivational interviewing is a person-centred model where participants are guided using self-reflection and counselling, and addresses the behavioural and psychological aspects of why people initiate health behaviour change by prompting increases in motivation and self-efficacy. The addition of motivational interviewing to PA interventions may increase the effectiveness of PAMs for older adults. Methods This motivational interviewing and PA monitoring trial is designed as an investigator-blinded, two arm parallel group, randomized controlled superiority trial with primary endpoint after 12 weeks of intervention. The intervention group will receive a PAM-based intervention and motivational interviewing and the control group will only receive the PAM-based intervention. The primary outcome is PA, objectively measured as the average daily number of steps throughout the intervention period. Secondary outcome measures include self-reported PA health-related quality of life, loneliness, self-efficacy for exercise, outcome expectancy for exercise, and social relations. The outcomes will be analysed with a linear regression model investigating between-group differences, adjusted for baseline scores. Following the intention to treat principle, multiple imputation will be performed to handle missing values. Discussion A moderate effect of daily PA measured using PAMs is expected in this superiority RCT investigating the effect of adding motivational interviewing to a PAM intervention. According to the World Health Organization, walking and cycling are key activities in regular PA and should be promoted. To increase the general public health and lower the burden of inactivity in older adults, cost-beneficial solutions should be investigated further. If this RCT shows that motivational interviewing can enhance the effect of PAM-based interventions, it might be included as an add-on intervention when appropriate. No matter what the results of this study will be, the conclusions will be relevant for clinicians as the dependence on technology is increasing, especially in relation to public health promotion. Trial registration NCT03906162, April 1, 2019.

scholarly journals The MIPAM trial – motivational interviewing and physical activity monitoring to enhance the daily level of physical activity among older adults – a randomized controlled trial

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Rasmus Tolstrup Larsen ◽  
Christoffer Bruun Korfitsen ◽  
Camilla Keller ◽  
Jan Christensen ◽  
Henning Boje Andersen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Motivational Interviewing ◽  
Community Dwelling ◽  
Step Count ◽  
World Health ◽  
Controlled Study ◽  
Daily Step ◽  
Randomized Controlled ◽  
Daily Step Count

Abstract Background One in four older adults in Denmark and almost half of the very old above 75 do not meet the World Health Organization’s recommendations for a minimum of physical activity (PA). A cost-efficient and effective way to increase focus on and motivation for daily walking might be to use Physical Activity Monitors (PAMs) in combination with behavioural change intervention. Thus, the objective of this randomized controlled study was to investigate the effect of Motivational Interviewing (MI) as an add-on intervention to a PAM-based intervention measured in community-dwelling older adults. Methods This two-arm parallel group randomized controlled effectiveness trial compared a 12-weeks PAM-based intervention with additional MI (PAM+MI group) with a PAM-based intervention alone (PAM group). The primary outcome, average daily step count, was analysed with a linear regression model, adjusted for sex and baseline daily step count. Following the intention-to-treat principle, multiple imputation based on baseline step count, sex and age was performed. Results In total, 38 participants were randomized to the PAM intervention and 32 to the PAM+MI intervention arm. During the intervention period, PAM+MI participants walked on average 909 more steps per day than PAM participants, however insignificant (95%CI: − 71; 1889) and reported 2.3 points less on the UCLA Loneliness Scale (95%CI: − 4.5; − 1.24). Conclusion The use of MI, in addition to a PAM-based intervention among older adults in PA promoting interventions hold a potential clinically relevant effect on physical activity and should thus be investigated further with adequately powered RCTs. Trial registration This study was pre-registered in the clinicaltrials.gov database with identifier: NCT03906162.

Concurrent Validity Between Electronically Administered Physical Activity Questionnaires and Objectively Measured Physical Activity in Danish Community-Dwelling Older Adults

2020 ◽  
pp. 1-9
Author(s):  
Rasmus T. Larsen ◽  
Christoffer B. Korfitsen ◽  
Carsten B. Juhl ◽  
Henning Boje Andersen ◽  
Henning Langberg ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Concurrent Validity ◽  
Short Form ◽  
Community Dwelling ◽  
World Health ◽  
Moderate Physical Activity ◽  
Physical Activity Questionnaire ◽  
Objectively Measured ◽  
Activity Questionnaire

Aim: To investigate the concurrent validity of the International Physical Activity Questionnaire-short form (IPAQ-SF) and the Nordic Physical Activity Questionnaire-short (NPAQ-short) when compared with objectively measured daily steps among older adults. Methods: Spearman’s ρ between IPAQ-SF and NPAQ-short and objectively measured steps using Garmin Vivofit 3 physical activity monitors. Results: A total of 54 participants were included. The IPAQ-SF subscales’ moderate physical activity (PA), moderate to vigorous PA (MVPA), and sedentary time showed little or no correlation with daily steps. The NPAQ-short subscales’ vigorous PA, moderate PA, and MVPA showed little or no correlation. The IPAQ-SF subscales’ vigorous PA and walking showed fair correlation. Only the IPAQ-SF metabolic equivalent of task minutes showed moderate to good correlation with daily steps. The IPAQ-SF categories and NPAQ-short categorization of World Health Organization compliance were significantly different, but the magnitudes were small and distributions indicated problems with the categorization. Conclusion: The concurrent validity is low, as the scores did not reflect objectively measured daily steps.

scholarly journals Physical Activity With Tailored mHealth Support for Individuals With Intellectual Disabilities: Protocol for a Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Henriette Michalsen ◽  
Silje Camilla Wangberg ◽  
Gunnar Hartvigsen ◽  
Letizia Jaccheri ◽  
Miroslav Muzny ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Intellectual Disabilities ◽  
Self Efficacy ◽  
Standard Care ◽  
Goal Attainment ◽  
Care Staff ◽  
Secondary Outcome ◽  
Randomized Controlled ◽  
Individuals With Intellectual Disabilities

BACKGROUND Individuals with intellectual disabilities (IDs) have lower levels of physical activity (PA) and greater barriers for participation in fitness activities compared with members of the general population. As increased PA has positive effects on cardiovascular and psychosocial health, it is exceedingly important to identify effective interventions for use in everyday settings. Mobile health (mHealth) methods such as motion sensor games (exergames) and smartphone reminders for PA have been explored and found to be promising in individuals with IDs. OBJECTIVE The purpose of this study is to examine the effectiveness of an individually tailored PA program with motivational mHealth support on daily levels of PA in youth and adults with IDs. METHODS The trial uses a randomized controlled design comprising 30 intervention participants and 30 control group participants, aged 16 to 60 years, with sedentary lifestyles or low PA levels. While the controls will receive standard care, the intervention aims to increase the level of PA, measured as steps per day, as the primary outcome. Secondary outcome variables are body mass index, blood pressure, physical performance, social support for PA, self-efficacy in a PA setting, behavior problems, and goal attainment. The intervention involves the delivery of tailored mHealth support, using smartphones or tablets to create structure with focus on the communicative abilities of individual participants. Rewards and feedback are provided in order to motivate individuals to increase participation in PA. Participants in the intervention group, their close relatives, and care staff will be invited to participate in a preintervention goal-setting meeting, where goal attainment scaling will be used to select the participants’ PA goals for the intervention period. All participants will be assessed at baseline, at 3 months, and at 6 months. RESULTS Enrollment was planned to start in April 2020 but will be delayed due to the pandemic situation. The main contribution of this paper is a detailed plan to run our study, which will produce new knowledge about tailored mHealth to support PA in individuals with intellectual disabilities. CONCLUSIONS We expect the new intervention to perform better than standard care in terms of improved PA, improved self-efficacy, and social support for activities. Technology offers new opportunities to promote healthy behaviors. The results of the study will determine the effectiveness and sustainability of a tailored mHealth support intervention to increase PA in youth and adults with IDs. CLINICALTRIAL ClinicalTrials.gov NCT04079439; https://clinicaltrials.gov/ct2/show/NCT04079439 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/19213

scholarly journals Wearable Based Calibration of Contactless In-home Motion Sensors for Physical Activity Monitoring in Community-Dwelling Older Adults

2021 ◽  
Vol 2 ◽  
Author(s):  
Narayan Schütz ◽  
Hugo Saner ◽  
Angela Botros ◽  
Philipp Buluschek ◽  
Prabitha Urwyler ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Indicators ◽  
Community Dwelling ◽  
Motion Sensors ◽  
Ground Truth Data ◽  
Physical Activity Monitoring ◽  
Community Dwelling Older Adults ◽  
Activity Quantification ◽  
Passive Infrared

Passive infrared motion sensors are commonly used in telemonitoring applications to monitor older community-dwelling adults at risk. One possible use case is quantification of in-home physical activity, a key factor and potential digital biomarker for healthy and independent aging. A major disadvantage of passive infrared sensors is their lack of performance and comparability in physical activity quantification. In this work, we calibrate passive infrared motion sensors for in-home physical activity quantification with simultaneously acquired data from wearable accelerometers and use the data to find a suitable correlation between in-home and out-of-home physical activity. We use data from 20 community-dwelling older adults that were simultaneously provided with wireless passive infrared motion sensors in their homes, and a wearable accelerometer for at least 60 days. We applied multiple calibration algorithms and evaluated results based on several statistical and clinical metrics. We found that using even relatively small amounts of wearable based ground-truth data over 7–14 days, passive infrared based wireless sensor systems can be calibrated to give largely better estimates of older adults' daily physical activity. This increase in performance translates directly to stronger correlations of measured physical activity levels with a variety of age relevant health indicators and outcomes known to be associated with physical activity.

scholarly journals Perceived somatic and affective barriers for self-efficacy and physical activity

2017 ◽  
Vol 24 (13) ◽  
pp. 1850-1862 ◽  
Author(s):  
Lisa M Warner ◽  
Julia K Wolff ◽  
Svenja M Spuling ◽  
Susanne Wurm
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Longitudinal Study ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Community Dwelling ◽  
Activity Levels ◽  
Objective Health ◽  
Physical Activity Levels

According to Bandura’s social-cognitive theory, perceptions of somatic and affective barriers are sources of self-efficacy. This longitudinal study compares general indicators of health barriers with measures of perceived somatic and affective barriers to predict self-efficacy and accelerometer-assessed physical activity in a subsample of n = 153 (selected at random from N = 310) community-dwelling German older adults. Perceived somatic and affective barriers longitudinally predicted physical activity mediated by self-efficacy, whereas general health barriers did not. Perceived health barriers to physical activity might be more important than more objective health barriers for older adults’ physical activity levels.

scholarly journals Promoting Physical Activity in Older Adults With Knee Osteoarthritis and Hypertension: A Randomized Controlled Trial

2020 ◽  
pp. 1-12 ◽  
Author(s):  
Elizabeth A. Schlenk ◽  
G. Kelley Fitzgerald ◽  
Joan C. Rogers ◽  
C. Kent Kwoh ◽  
Susan M. Sereika
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Older Adults ◽  
Randomized Controlled Trial ◽  
Lower Extremity ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Attention Control ◽  
Outcome Expectancy ◽  
Randomized Controlled

A 6-month self-efficacy intervention was compared with attention-control intervention on physical activity, clinical outcomes, and mediators immediate postintervention and 6-month postintervention in 182 older adults with knee osteoarthritis and hypertension using a randomized controlled trial design. The intervention group received six weekly individual physical therapy sessions for lower-extremity exercise and fitness walking and nine biweekly nurse telephone counseling sessions. The attention-control group received six weekly and nine biweekly nurse telephone sessions on health topics. Lower-extremity exercise was assessed by e-diary; fitness walking was assessed by accelerometer and e-diary; blood pressure was assessed by automated monitor; function was assessed by performance-based tests and questionnaires; and pain, self-efficacy, and outcome expectancy were assessed by questionnaires. Self-reported lower-extremity exercise and fitness walking, function, pain, self-efficacy, and outcome expectancy showed significant group or group by time effects favoring intervention. The intervention did not improve physical activity by accelerometer and blood pressure. Mean minutes of fitness walking fell short of the 150 min/week goal.

Telephone-Based Motivational Interviewing to Promote Physical Activity and Stage of Change Progression in Older Adults

2014 ◽  
Vol 22 (4) ◽  
pp. 527-535 ◽  
Author(s):  
Kaitlin R. Lilienthal ◽  
Anna Evans Pignol ◽  
Jeffrey E. Holm ◽  
Nancy Vogeltanz-Holm
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Motivational Interviewing ◽  
Self Efficacy ◽  
Stage Of Change ◽  
Aging Adults ◽  
Healthy Activity ◽  
To Receive

This study examined the efficacy of motivational interviewing (MI) for increasing physical activity in aging adults. Eighty-six participants aged 55 years and older were randomly assigned to receive either four weekly sessions of telephone-based MI for increasing physical activity, or a healthy activity living guide (information only control). Changes from baseline weekly caloric expenditure from physical activity, self-efficacy for physical activity, and stage of change for physical activity were compared across groups at posttreatment and six months follow-up. Results indicated that MI participants had higher weekly caloric expenditures from physical activity at posttreatment, but not at six months follow-up; higher self-efficacy for physical activity at six months follow-up; and demonstrated greater stage of change progression across assessments. These findings support the use of telephone-based MI for increasing physical activity in older adults in the short-term. Future studies will need to determine if follow-up booster sessions increase long-term efficacy.

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