MOVING: Motivation-Oriented interVention study for the elderly IN Greifswald: study protocol for a randomized controlled trial

TY - JOUR

T1 - MOVING: Motivation-Oriented interVention study for the elderly IN Greifswald: study protocol for a randomized controlled trial

AU - Kleinke, Fabian

AU - Schwaneberg, Thea

AU - Weymar, Franziska

AU - Penndorf, Peter

AU - Ulbricht, Sabina

AU - Lehnert, Kristin

AU - Dörr, Marcus

AU - Hoffmann, Wolfgang

AU - van den Berg, Neeltje

PY - 2018/1/22

Y1 - 2018/1/22

N2 - BACKGROUND: Cardiovascular diseases (CVD) are the leading cause of mortality. In 2014, they were responsible for 38.9% of all causes of death in Germany. One major risk factor for CVD is a lack of physical activity (PA). A health-promoting lifestyle including regular PA and minimizing sitting time (ST) in daily life is a central preventive measure. Previous studies have shown that PA decreases in older age; 2.4-29% of the people aged over 60 years achieve the World Health Organization recommendations. This age group spends on average 9.4 h per day in sedentary activities. To increase PA and decrease ST, a low-threshold intervention, consisting of individualized feedback letters based on objectively measured data of PA and ST, was developed. The research question is: Do individual feedback letters, based on accelerometer data, have a positive effect on PA and ST?METHODS/DESIGN: MOVING is a two-arm, randomized controlled trial. Inclusion criteria are age ≥ 65 years and the ability to be physically active. Exclusion criteria are the permanent use of a wheelchair and simultaneous participation in another study on PA. At baseline participants who give informed consent will receive general information and recommendations about the positive effects of regular PA and less ST. Participants of both groups will receive an accelerometer device, which records PA and ST over a period of seven consecutive days following by a randomization. Participants in the intervention group will receive automatically generated, individualized feedback letters by mail based on their PA and ST at baseline and at 3-month follow-up. Further follow-up examinations will be carried out at 6 and 12 months. The primary outcome is the increase of PA and the reduction of ST after 6 months in the intervention group compared to the control group.DISCUSSION: The goal of the study is to examine the effects of a simple feedback intervention on PA and ST in elderly people. We aim to achieve an effect of 20% increase in moderate-to-vigorous physical activity (MVPA). The intervention may have the potential to decrease crucial cardiovascular risk factors and, therefore, contribute to prevention of CVD.TRIAL REGISTRATION: German Clinical Trials Register, ID: DRKS00010410 . Registered on 17 May 2017.

AB - BACKGROUND: Cardiovascular diseases (CVD) are the leading cause of mortality. In 2014, they were responsible for 38.9% of all causes of death in Germany. One major risk factor for CVD is a lack of physical activity (PA). A health-promoting lifestyle including regular PA and minimizing sitting time (ST) in daily life is a central preventive measure. Previous studies have shown that PA decreases in older age; 2.4-29% of the people aged over 60 years achieve the World Health Organization recommendations. This age group spends on average 9.4 h per day in sedentary activities. To increase PA and decrease ST, a low-threshold intervention, consisting of individualized feedback letters based on objectively measured data of PA and ST, was developed. The research question is: Do individual feedback letters, based on accelerometer data, have a positive effect on PA and ST?METHODS/DESIGN: MOVING is a two-arm, randomized controlled trial. Inclusion criteria are age ≥ 65 years and the ability to be physically active. Exclusion criteria are the permanent use of a wheelchair and simultaneous participation in another study on PA. At baseline participants who give informed consent will receive general information and recommendations about the positive effects of regular PA and less ST. Participants of both groups will receive an accelerometer device, which records PA and ST over a period of seven consecutive days following by a randomization. Participants in the intervention group will receive automatically generated, individualized feedback letters by mail based on their PA and ST at baseline and at 3-month follow-up. Further follow-up examinations will be carried out at 6 and 12 months. The primary outcome is the increase of PA and the reduction of ST after 6 months in the intervention group compared to the control group.DISCUSSION: The goal of the study is to examine the effects of a simple feedback intervention on PA and ST in elderly people. We aim to achieve an effect of 20% increase in moderate-to-vigorous physical activity (MVPA). The intervention may have the potential to decrease crucial cardiovascular risk factors and, therefore, contribute to prevention of CVD.TRIAL REGISTRATION: German Clinical Trials Register, ID: DRKS00010410 . Registered on 17 May 2017.

KW - Actigraphy/instrumentation

KW - Age Factors

KW - Aged

KW - Cardiovascular Diseases/etiology

KW - Correspondence as Topic

KW - Exercise

KW - Female

KW - Fitness Trackers

KW - Geriatric Assessment

KW - Germany

KW - Health Behavior

KW - Health Knowledge, Attitudes, Practice

KW - Healthy Aging/psychology

KW - Humans

KW - Male

KW - Motivation

KW - Protective Factors

KW - Randomized Controlled Trials as Topic

KW - Reminder Systems

KW - Risk Factors

KW - Sedentary Behavior

KW - Sitting Position

KW - Time Factors

U2 - 10.1186/s13063-017-2425-2

DO - 10.1186/s13063-017-2425-2

M3 - SCORING: Journal article

C2 - 29357943

VL - 19

SP - 57

JO - TRIALS

JF - TRIALS

SN - 1745-6215

IS - 1

ER -