An intervention to increase physical activity in care home residents: results of a cluster-randomised, controlled feasibility trial (the REACH trial)
| Autor: | Bryony Dawkins, Claire Hulme, Mary Godfrey, Anne Forster, Amanda Farrin, Reach Programme Team, Bonnie Cundill, Jennifer Airlie, Bev Gallagher, Nicola McMaster, Robert Cicero, Vicki McLellan, Liz Graham, Alison Ellwood, John Green, Joan Firth, David R. Ellard |
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| Přispěvatelé: | The REACH Programme Team |
| Rok vydání: | 2021 |
| Předmět: |
staff training
Aging medicine.medical_specialty Randomization Physical activity BF ageing/4 physical activity Disease cluster older people AcademicSubjects/MED00280 cluster randomised feasibility trial 03 medical and health sciences 0302 clinical medicine Quality of life Surveys and Questionnaires Intervention (counseling) Humans Medicine 030212 general & internal medicine Exercise Data collection business.industry General Medicine Long-term care Mood Quality of Life Physical therapy Feasibility Studies long-term care Sedentary Behavior Geriatrics and Gerontology business RA 030217 neurology & neurosurgery RC Research Paper |
| Zdroj: | Age and Ageing |
| ISSN: | 1468-2834 0002-0729 |
| Popis: | Background Care home (CH) residents are mainly inactive, leading to increased dependency and low mood. Strategies to improve activity are required. Design and setting Cluster randomised controlled feasibility trial with embedded process and health economic evaluations. Twelve residential CHs in Yorkshire, United Kingdom, were randomised to the MoveMore intervention plus usual care (UC) (n = 5) or UC only (n = 7). Participants Permanent residents aged ≥65 years. Intervention MoveMore: a whole home intervention involving all CH staff designed to encourage and support increase in movement of residents. Objectives and measurements Feasibility objectives relating to recruitment, intervention delivery, data collection and follow-up and safety concerns informed the feasibility of progression to a definitive trial. Data collection at baseline, 3, 6 and 9 months included: participants’ physical function and mobility, perceived health, mood, quality of life, cognitive impairment questionnaires; accelerometry; safety data; intervention implementation. Results 300 residents were screened; 153 were registered (62 MoveMore; 91 UC). Average cluster size: MoveMore: 12.4 CHs; UC: 13.0 CHs. There were no CH/resident withdrawals. Forty (26.1%) participants were unavailable for follow-up: 28 died (12 MoveMore; 16 UC); 12 moved from the CH. Staff informant/proxy data collection for participants was >80%; data collection from participants was Conclusions Recruiting CHs and residents was feasible. Intervention implementation and data collection methods need refinement before a definitive trial. There were no safety concerns. |
| Databáze: | OpenAIRE |
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