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Completed

NCT Number: NCT05081505

Community-based Physical Fitness Exercise on the Older Adults' Functional Fitness and Adherence to Physical Activity

Maintaining adequate physical activity (PA) and regularly exercising are very important to promote the good physical and mental health of the elderly. According to the transtheoretical model (TTM) framework, previous research studies have formulated many strategies to promote exercise behaviors, such as incentive strategies, combines municipal resources and links up with the referral of primary care institutions, or including patients in the decision-making process about exercise choices to enable patients to have greater autonomy. In addition, in terms of the strategic aspects of achieving goals, competitive incentives are also an effective strategy. Therefore, this study aims to find out the effects of the community-based physical fitness exercise course, which is given according to TTM, on improving functional fitness and exercise persistence of the older adults.

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Key information

Conditions

Older Adult

Age range

65 year–82 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kaohsiung Medical University

Kaohsiung City, 80708, Taiwan

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • age between 65 to 90 years old
  • can stand up from a chair without armrests
  • can walk independently for 2 minutes without relying on any mechanical assistance
  • no medical issues according to the PAR-Q+ form assessment
  • can complete the Senior Fitness Test (SFT)

Exclusion criteria

  • diagnosed with severe dementia (unable to understand and/or follow verbal commands)
  • suffering from stroke, severe hypertension, heart disease, and diabetes
  • hip or knee replacement surgery in the past 6 months
  • hip fracture
  • having undergoing rehabilitation plan
  • unable to complete the pre-tests or post-test

Treatment and study plan

Structural exercise course

Behavioral

12-week structured exercise class, team competition, social support, and incentive strategy

Autonomous group class

Behavioral

12-week autonomous group class, team competition, social support, and incentive strategy

Primary outcomes

  1. Exercise stage of change questionnaire

    Time frame: basal, 12, 24 weeks follow up

    Exercise Change Stage Short Question Form is a 5 item scale. It has only one question, used to categorizes individuals into one of the five stages of change: (1) Precontemplation (2) Contemplation (3) Preparation (4) Action (5) Maintenance.

  2. Physical Activity Scale for the Elderly (PASE)

    Time frame: basal, 12, 24 weeks follow up

    PASE is used to assess the physical activity level of elderly individuals, the factors affecting the activity level, the relationship between physical activity and health profile. The minimum and maximum score that can be obtained from the scale is 0 and 400.The higher score indicates better level of physical activity.

  3. Exercise Self-efficacy Scale

    Time frame: basal, 12, 24 weeks follow up

    The Exercise Self-efficacy Scale measures an individual's perceived ability to overcome various obstacles to perform physical activity, with higher scores indicating more confidence in performing the exercise.

  4. Outcome Expectations for Exercise Scale

    Time frame: basal, 12, 24 weeks follow up

    The Outcome Expectations for Exercise Scale contains 9 statements rated by participants using a 5-point Likert scale from 1 "Strongly Disagree" to 5 "Strongly Agree". It can help identify older adults with low outcome expectations for exercise.

  5. Physical Activity Survey

    Time frame: basal, 12, 24 weeks follow up

    The physical activity survey is measured according to the PASE items. It is calculated by the frequency value (hours per day in the one-week reporting period) for low-intensity, medium-intensity, high-intensity, and muscle strengthening exercise. The higher score indicates the more time spent on the physical activity at each level.

  6. Attendance rate

    Time frame: 12 and 24 weeks

    The attendance rate of the subjects participating in structured exercise courses and autonomous group classes

  7. Senior Fitness Test - Body Mass Index (BMI)

    Time frame: basal, 12, 24 weeks follow up

    Body Mass Index (BMI) is a person's weight in kilograms divided by the square of height in meters.

  8. Senior Fitness Test - Waist-hip ratio

    Time frame: basal, 12, 24 weeks follow up

    The waist-hip ratio is the dimensionless ratio of the circumference of the waist to that of the hips.

  9. Senior Fitness Test - 30s Chair stand

    Time frame: basal, 12, 24 weeks follow up

    Evaluates the lower body strength according to the number of times the individual stood up and sat down in 30 seconds. Characterized as continuous numeric variable

  10. Senior Fitness Test - Chair Sit-&-Reach

    Time frame: basal, 12, 24 weeks follow up

    Evaluates the lower back and hamstring flexibility according to the distance measured between the tip of the finger tips and the toes. Characterized as continuous numerical variable.

  11. Senior Fitness Test - 8-Foot Up-&-Go

    Time frame: basal, 12, 24 weeks follow up

    Assesses motor agility and dynamic balance. Evaluates the time in seconds and hundredths in an established path of 2.44 meters on the route to go and return to starting position. Characterized as continuous numerical variable.

  12. Senior Fitness Test - 30s Arm curl

    Time frame: basal, 12, 24 weeks follow up

    Evaluates the upper body strength and endurance according to the number of arm curls in 30 seconds. Characterized as continuous numeric variable.

  13. Senior Fitness Test - Back scratch

    Time frame: basal, 12, 24 weeks follow up

    Evaluates the flexibility of the upper limbs. It measures the distance in inches between the tips of the fingers in the back area. Characterized as continuous numeric variable

  14. Senior Fitness Test - 2-Minute Step

    Time frame: basal, 12, 24 weeks follow up

    Evaluates aerobic endurance. Total double past stationary in 2 minutes. Characterized as continuous numeric variable.

  15. Open-eyes one leg stand

    Time frame: basal, 12, 24 weeks follow up

    Evaluates the balance ability. The standing time on one leg, keep eyes open. Characterized as continuous numeric variable.

Sponsors and collaborators

Lead sponsor

Kaohsiung Medical University Chung-Ho Memorial Hospital

Other

Registry information

Official study title

The Influence of a New Intervention Model of Community-based Physical Fitness Exercise on the Older Adults' Adherence to Physical Activity and the Improvement of Functional Fitness

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Oct 18, 2021
Registry last updated
Oct 18, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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