Church-based Intervention to Improve Physical Function
Keep it Movin': A Church-based Intervention to Improve Physical Function
Rush University Medical Center
360 participants
Sep 21, 2023
INTERVENTIONAL
Conditions
Summary
This is a 12-month multi-level behavioral cluster randomized trial testing a church-based intervention to improve physical function (PF) in Americans with PF limitations.
Eligibility
Inclusion Criteria10
- Churches (Community-level):
- Membership of 300 or more adults
- Located in Cook, Lake, Dupage, Will, McHenry, Kane, or Kendall counties
- Participants (Individual-level):
- Age 40 or older
- Have mobility limitations (defined as SPPB score of ≤9)
- Ambulatory, defined as able to get out of a chair and walk without assistance without using a straight cane
- Able to speak and read English
- Attend recruitment church; and
- Safe to begin an exercise program, which will be determined using the Exercise Assessment and Screening for You (EASY) Tool.
Exclusion Criteria8
- Participants (Individual-level):
- Severe cognitive impairment, defined as five or more errors on the Short-Portable Mental Status Questionnaire
- Unable to consistently attend group classes at a scheduled time due to lack of reliable transportation, schedule conflicts, travel, plans to relocate, upcoming surgery, etc.
- Participating in a medically supervised rehabilitation program such as cardiac rehab
- Inpatient treatment for a psychiatric condition within the past 6 months, or currently receiving treatment for schizophrenia or other serious psychiatric illness
- Contraindications to exercise determined using the EASY/healthcare follow-up
- Congestive heart failure New York Health Association (NYHA) Class I or higher; unstable angina; heart attack or stroke within past 6 months
- Visual or hearing impairment.
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Interventions
Individual participants in churches randomized to the intervention arm will participate in the Keep it Movin' multi-component PA education program, as well as be encouraged by their church and study interventionist to participate in the church-wide walking program. Individuals enrolled in Keep It Movin' will attend weekly 90-minute sessions for 24 weeks. All sessions will include the structured physical activity component from the LIFE study intervention, with the following components, which were added to address needs of the target community: functional education, social support and problem-solving. To increase the functional gains seen in the LIFE pilot study and add content addressing self-management and PA with multiple chronic conditions (MCCs), the number of sessions in the proposed trial has been increased from 16 to 24 weeks.
Individual participants in churches randomized to the comparator arm will receive the church-wide walking program and the Go4Life Your Everyday Guide to Exercise and Physical Activity which was developed by the National Institutes of Health National Institute on Aging to promote physical activity in older adults. This includes an evidence-based exercise guide and motivational tips to help older adults start and sustain an exercise program. The Go4Life guide will add individual level education and encouragement to the interpersonal and community levels of intervention provided by the church-wide walking program.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT05345041