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A Pilot Randomised Clinical Trial of a Novel Approach to Reduce Sedentary Behaviour in Care Home Residents: Feasibility and Preliminary Effects of the GET READY Study

Author

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  • Maria Giné-Garriga

    (School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK
    Department of Physical Activity and Sport Sciences, Faculty of Psychology, Education and Sport Sciences (FPCEE) Blanquerna, Ramon Llull University, Císter 34, 08022 Barcelona, Spain)

  • Philippa M. Dall

    (School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK)

  • Marlene Sandlund

    (Department of Community Medicine and Rehabilitation, Umeå University, 901 87 Umeå, Sweden)

  • Javier Jerez-Roig

    (Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVIC-UCC), 08500 Vic, Spain)

  • Sebastien F. M. Chastin

    (School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK
    Department of Movement and Sport Science, Ghent University, St. Pietersnieuwstraat 33, 9000 Ghent, Belgium)

  • Dawn A. Skelton

    (School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK)

Abstract

Care-home residents are among the most sedentary and least active of the population. We aimed to assess the feasibility, acceptability, safety, and preliminary effects of an intervention to reduce sedentary behaviour (SB) co-created with care home residents, staff, family members, and policymakers within a pilot two-armed pragmatic cluster randomized clinical trial (RCT). Four care homes from two European countries participated, and were randomly assigned to control (usual care, CG) or the Get Ready intervention (GR), delivered by a staff champion one-to-one with the care home resident and a family member. A total of thirty-one residents participated (51.6% female, 82.9 (13.6) years old). GR involves six face to face sessions over a 12-week period with goal-oriented prompts for movement throughout. The feasibility and acceptability of the intervention were assessed and adverse events (AEs) were collected. The preliminary effects of the GR on SB, quality of life, fear of falling, and physical function were assessed. Means and standard deviations are presented, with the mean change from baseline to post-intervention calculated along with 95% confidence intervals. The CG smoked more, sat more, and had more functional movement difficulties than the GR at baseline. The GR intervention was feasible and acceptable to residents and staff. No AEs occurred during the intervention. GR participants showed a decrease in daily hours spent sitting/lying (Cohen’s d = 0.36) and an increase in daily hours stepping, and improvements in health-related quality of life, fear of falling, and habitual gait speed compared to usual care, but these effects need confirmation in a definitive RCT. The co-created GR was shown to be feasible and acceptable, with no AEs.

Suggested Citation

  • Maria Giné-Garriga & Philippa M. Dall & Marlene Sandlund & Javier Jerez-Roig & Sebastien F. M. Chastin & Dawn A. Skelton, 2020. "A Pilot Randomised Clinical Trial of a Novel Approach to Reduce Sedentary Behaviour in Care Home Residents: Feasibility and Preliminary Effects of the GET READY Study," IJERPH, MDPI, vol. 17(8), pages 1-18, April.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2866-:d:348487
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    References listed on IDEAS

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    1. Natasha Reid & Elizabeth Eakin & Timothy Henwood & Justin W. L. Keogh & Hugh E. Senior & Paul A. Gardiner & Elisabeth Winkler & Genevieve N. Healy, 2013. "Objectively Measured Activity Patterns among Adults in Residential Aged Care," IJERPH, MDPI, vol. 10(12), pages 1-16, December.
    2. Maria Giné-Garriga & Marlene Sandlund & Philippa M. Dall & Sebastien F. M. Chastin & Susana Pérez & Dawn A. Skelton, 2019. "A Novel Approach to Reduce Sedentary Behaviour in Care Home Residents: The GET READY Study Utilising Service-Learning and Co-Creation," IJERPH, MDPI, vol. 16(3), pages 1-14, February.
    3. Oriol Sansano-Nadal & Maria Giné-Garriga & Jennifer S. Brach & David M. Wert & Javier Jerez-Roig & Myriam Guerra-Balic & Guillermo Oviedo & Jesús Fortuño & Natàlia Gómara-Toldrà & Luis Soto-Bagaria & , 2019. "Exercise-Based Interventions to Enhance Long-Term Sustainability of Physical Activity in Older Adults: A Systematic Review and Meta-Analysis of Randomized Clinical Trials," IJERPH, MDPI, vol. 16(14), pages 1-15, July.
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    Cited by:

    1. Kin-Chung Wilson Leung & Kim-Wai Raymond Sum & Yi-Jian Yang, 2021. "Patterns of Sedentary Behavior among Older Adults in Care Facilities: A Scoping Review," IJERPH, MDPI, vol. 18(5), pages 1-17, March.
    2. Mary P. Kotlarczyk & Andrea L. Hergenroeder & Bethany Barone Gibbs & Flor de Abril Cameron & Megan E. Hamm & Jennifer S. Brach, 2020. "Personal and Environmental Contributors to Sedentary Behavior of Older Adults in Independent and Assisted Living Facilities," IJERPH, MDPI, vol. 17(17), pages 1-14, September.
    3. Anne Seneca Terkelsen & Christian Tolstrup Wester & Gabriel Gulis & Jørgen Jespersen & Pernille Tanggaard Andersen, 2022. "Co-Creation and Co-Production of Health Promoting Activities Addressing Older People—A Scoping Review," IJERPH, MDPI, vol. 19(20), pages 1-20, October.

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