The effect of ongoing feedback on physical activity levels following an exercise intervention in older adults: a randomised controlled trial protocol

IntroductionThe European population is rapidly ageing. In order to handle substantial future challenges in the healthcare system, we need to shift focus from treatment towards health promotion. The PreventIT project has adapted the Lifestyle-integrated Exercise (LiFE) programme and developed an intervention for healthy young older adults at risk of accelerated functional decline. The intervention targets balance, muscle strength and physical activity, and is delivered either via a smartphone application (enhanced LiFE, eLiFE) or by use of paper manuals (adapted LiFE, aLiFE).Methods and analysisThe PreventIT study is a multicentre, three-armed feasibility randomised controlled trial, comparing eLiFE and aLiFE against a control group that receives international guidelines of physical activity. It is performed in three European cities in Norway, Germany, and The Netherlands. The primary objective is to assess the feasibility and usability of the interventions, and to assess changes in daily life function as measured by the Late-Life Function and Disability Instrument scale and a physical behaviour complexity metric. Participants are assessed at baseline, after the 6 months intervention period and at 1 year after randomisation. Men and women between 61 and 70 years of age are randomly drawn from regional registries and respondents screened for risk of functional decline to recruit and randomise 180 participants (60 participants per study arm).Ethics and disseminationEthical approval was received at all three trial sites. Baseline results are intended to be published by late 2018, with final study findings expected in early 2019. Subgroup and further in-depth analyses will subsequently be published.Trial registration numberNCT03065088; Pre-results.

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Promoting physical activity through group self-management support for those with multimorbidity: a randomised controlled trial

British Journal of General Practice ◽

10.3399/bjgp.2021.0172 ◽

2021 ◽

pp. BJGP.2021.0172

Author(s):

Kamlesh Khunti ◽

Patrick James Highton ◽

Ghazala Waheed ◽

Helen Dallosso ◽

Emma Redman ◽

...

Keyword(s):

Physical Activity ◽

Randomised Controlled Trial ◽

Primary Outcome ◽

Controlled Trial ◽

Self Management ◽

Activity Levels ◽

Activity Promotion ◽

Physical Activity Levels ◽

Randomised Controlled ◽

The Impact

Background: Targeted self-management programmes may improve health and increase physical activity in people with multimorbidity. Aim: Investigate the impact of a structured, theoretically-driven self-management group education programme on habitual physical activity levels in people with multimorbidity. Design: Individually randomised controlled trial with 12-month follow-up. Setting: Nine primary care practices within Leicestershire, UK. Methods: N=353 adults with multimorbidity (age 67.8±9 years, 161 male) were randomly assigned (1:1) to intervention (n=180) or control (n=173) groups. Intervention participants were invited to attend four group-based self-management sessions, centred primarily on increasing physical activity. They also received motivational text message support. The primary outcome measure was change from baseline in device-measured (GENEActiv wrist-worn accelerometer) overall volume of daily physical activity at 12 months. Results: At baseline, the total sample was achieving 22mins/day of moderate-to-vigorous intensity physical activity. At 12 months a reduction in daily average physical activity was seen in the intervention group relative to control participants in the complete-case analysis (-0.80 mg; 95% CI: -1.57, -0.03; p=0.04) (primary outcome data available for 71.1% and 79.2% of intervention and control groups respectively). Similar reductions were seen in time spent in moderate-to-vigorous physical activity (-3.86 mins/day; 95% CI:-6.70, -1.03; p=0.01) and time spent at an intensity equivalent to a slow walk (-4.66 mins/day; 95% CI: -8.82, -0.51; p=0.028). Conclusions: The self-management programme elicited a slight reduction in physical activity levels in people with multimorbidity. Future studies should identify and target subgroups of those with multimorbidity at greatest need for physical activity promotion.

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An intervention to improve the physical activity levels of children: Design and rationale of the ‘Active Classrooms’ cluster randomised controlled trial

Contemporary Clinical Trials ◽

10.1016/j.cct.2015.01.019 ◽

2015 ◽

Vol 41 ◽

pp. 180-191 ◽

Cited By ~ 15

Author(s):

Rosemarie Martin ◽

Elaine M. Murtagh

Keyword(s):

Physical Activity ◽

Randomised Controlled Trial ◽

Controlled Trial ◽

Cluster Randomised Controlled Trial ◽

Activity Levels ◽

Cluster Randomised ◽

Physical Activity Levels ◽

Randomised Controlled

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Randomised controlled trial comparing two group-based exercise programmes (team sport vs circuit training) on men’s health: study protocol

BMJ Open Sport & Exercise Medicine ◽

10.1136/bmjsem-2021-001140 ◽

2021 ◽

Vol 7 (3) ◽

pp. e001140

Author(s):

Henry T Blake ◽

Brad J Stenner ◽

Jonathan David Buckley ◽

Alyson J Crozier

Keyword(s):

Physical Activity ◽

Randomised Controlled Trial ◽

Controlled Trial ◽

Team Sport ◽

Social Health ◽

Activity Levels ◽

Middle Aged ◽

Circuit Training ◽

Physical Activity Levels ◽

Randomised Controlled

IntroductionPhysical activity promotes physical, psychological and social health. Despite this, almost half of middle-aged (35–54 years) Australian men are insufficiently active. Exercise adherence is increased with social interaction in a group setting. Team sport can leverage the power of groups and has shown to be more intrinsically motivating than discrete exercise modes. Evaluation of the effect of team sport compared with traditional group exercise on health, particularly psychological and social health, and physical activity levels of middle-aged men is limited. This study aims to compare the effects of team sport participation and group circuit training on physical activity levels and health in insufficiently active middle-aged men.Methods and analysisIn this parallel randomised controlled trial, n=128 men aged 35–54 years will complete a 12-week team sport or group circuit exercise programme. Participants must self-report to not be meeting Australian physical activity guidelines or participating in team sport before recruitment. Health-related quality of life, exercise motivation, psychological needs satisfaction, sleep and physical activity levels (accelerometry), blood lipids, glucose and metabolic syndrome risk score will be assessed at baseline, end of the programme and 12 weeks follow-up. Linear mixed effect models will be used.Ethics and disseminationThe study has received ethical approval from the University of South Australia’s Human Research Ethics Committee (Ethics Protocol 203274). Study results will be disseminated via publication in disciplinary-specific journals, conference presentations, and as part of a Doctoral thesis.Trial registration numberANCTRN12621000483853.

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