What is the effect of a combined physical activity and fall prevention intervention enhanced with health coaching and pedometers on older adults’ physical activity levels and mobility-related goals?: Study protocol for a randomised controlled trial

BMC Public Health

Study Protocol

Nicola Fairhall¹  Elisabeth Ramsay¹  Catherine Kirkham¹  Kathryn Chamberlain¹  Juliana S Oliveira¹  Sandra D O’Rourke²  Catherine Sherrington³  Anne Tiedemann³  Serene Paul³  Leanne Hassett³  Dafna Merom⁴ 

[1] The George Institute for Global Health, Sydney, Australia;The George Institute for Global Health, Sydney, Australia;Neuroscience Research Australia, Randwick, Australia;The George Institute for Global Health, Sydney, Australia;The University of Sydney, Camperdown, Australia;University of Western Sydney, Penrith, Australia;

关键词: Physical activity;    Exercise;    Prevention;    Aged;    Health coaching;    Intervention studies;    Accidental falls;    Clinical trial;    Pedometer;   

DOI  :  10.1186/s12889-015-1380-7

 received in 2014-12-15, accepted in 2015-01-08,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundPhysical inactivity and falls in older people are important public health problems. Health conditions that could be ameliorated with physical activity are particularly common in older people. One in three people aged 65 years and over fall at least once annually, often resulting in significant injuries and ongoing disability. These problems need to be urgently addressed as the population proportion of older people is rapidly rising. This trial aims to establish the impact of a combined physical activity and fall prevention intervention compared to an advice brochure on objectively measured physical activity participation and mobility-related goal attainment among people aged 60 +.Methods/designA randomised controlled trial involving 130 consenting community-dwelling older people will be conducted. Participants will be individually randomised to a control group (n = 65) and receive a fall prevention brochure, or to an intervention group (n = 65) and receive the brochure plus physical activity promotion and fall prevention intervention enhanced with health coaching and a pedometer.Primary outcomes will be objectively measured physical activity and mobility-related goal attainment, measured at both six and 12 months post randomisation. Secondary outcomes will include: falls, the proportion of people meeting the physical activity guidelines, quality of life, fear of falling, mood, and mobility limitation. Barriers and enablers to physical activity participation will be measured 6 months after randomisation.General linear models will be used to assess the effect of group allocation on the continuously-scored primary and secondary outcome measures, after adjusting for baseline scores. Between-group differences in goal attainment (primary outcome) will be analysed with ordinal regression. The number of falls per person-year will be analysed using negative binomial regression models to estimate the between-group difference in fall rates after one year (secondary outcome). Modified Poisson regression models will compare groups on dichotomous outcome measures. Analyses will be pre-planned, conducted while masked to group allocation and will use an intention-to-treat approach.DiscussionThis trial will address a key gap in evidence regarding physical activity and fall prevention for older people and will evaluate a program that could be directly implemented within Australian health services.Trial registrationACTRN12614000016639, 7/01/2014.

【 授权许可】

CC BY   
© Tiedemann et al.; licensee BioMed Central. 2015