Helping older adults with early frailty use 24-hour activity and sleep guidance

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Physiotherapists in the Greater Vancouver Area will be trained and randomized to deliver either a 24-hour Movement Guidelines counselling approach or a usual goal-oriented counselling approach that focuses on achieving 150 minutes/week of moderate-to-vigorous activity. Community-dwelling adults over 65 with early frailty and at least one chronic condition who can walk short distances and consent to participation will receive the assigned counselling through routine physiotherapy sessions. The project is a pilot implementation evaluation that will measure feasibility, implementation context, and preliminary effects on activity and related outcomes, and will include interviews and focus groups to refine the approach. Outcomes and experiences from both patients and PTs will inform whether the 24-hour approach is practical and promising for a larger trial.

Why it matters

Who can join: the full rules

Physiotherapists:

Inclusion Criteria:

* Eligible PTs are those who self-report at least 40% of their caseload is working with older adults and practice in the in the Greater Vancouver Area. In addition, they are willing to:

  1. participate in online training for the assigned physical activity counselling strategy
  2. be randomised to one of the counselling groups.

Exclusion Criteria:

* Those who do not meet the Inclusion Criteria

Older adults:

Inclusion Criteria:

1. are age \> 65 years
2. live in the community
3. have 1 or 2 of the deficits in the CHS index
4. have \> 1 chronic conditions
5. are able to walk 3 metres with or without an assistive device
6. have a Mini-Mental State Examination score \> 24/30
7. do not have a diagnosed psychiatric condition (e.g., depression)
8. understand, speak and read English proficiently
9. are willing to have their physiotherapy sessions audio-recorded
10. are able to provide written informed consent.

Exclusion Criteria:

* Those who do not meet the Inclusion Criteria

Where it's running

• Arthritis Research Canada
  Vancouver, British Columbia, Canada Recruiting

Study contacts

• Principal investigator: Linda Li, PhD — University of British Columbia
• Study coordinator: Linda Li, PhD
• Email: lli@arthritisresearch.ca
• Phone: 604-207-4020

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.