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An intervention to increase physical activity in care home residents : results of a cluster-randomised, controlled feasibility trial (the REACH trial)
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Forster, Anne, Airlie, Jennifer, Ellwood, Alison, Godfrey, Mary, Green, John, Cundill, Bonnie, Dawkins, Bryony, McMaster, Nicola, Hulme, Claire, Cicero, Robert, McLellan, Vicki, Graham, Liz, Gallagher, Bev, Ellard, David R., Firth, Joan and Farrin, Amanda (2021) An intervention to increase physical activity in care home residents : results of a cluster-randomised, controlled feasibility trial (the REACH trial). Age and Ageing, 50 (6). pp. 2063-2078. doi:10.1093/ageing/afab130
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WRAP-intervention-increase-physical-activity-care-home-residents-Ellard-2021.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons: Attribution-Noncommercial 4.0. Download (874Kb) | Preview |
Official URL: https://doi.org/10.1093/ageing/afab130
Abstract
Abstract Background Care home (CH) residents are mainly inactive, leading to increased dependency and low mood. Strategies to improve activity are required. Design and setting Cluster randomised controlled feasibility trial with embedded process and health economic evaluations. Twelve residential CHs in Yorkshire, United Kingdom, were randomised to the MoveMore intervention plus usual care (UC) (n = 5) or UC only (n = 7). Participants Permanent residents aged ≥65 years. Intervention MoveMore: a whole home intervention involving all CH staff designed to encourage and support increase in movement of residents. Objectives and measurements Feasibility objectives relating to recruitment, intervention delivery, data collection and follow-up and safety concerns informed the feasibility of progression to a definitive trial. Data collection at baseline, 3, 6 and 9 months included: participants’ physical function and mobility, perceived health, mood, quality of life, cognitive impairment questionnaires; accelerometry; safety data; intervention implementation. Results 300 residents were screened; 153 were registered (62 MoveMore; 91 UC). Average cluster size: MoveMore: 12.4 CHs; UC: 13.0 CHs. There were no CH/resident withdrawals. Forty (26.1%) participants were unavailable for follow-up: 28 died (12 MoveMore; 16 UC); 12 moved from the CH. Staff informant/proxy data collection for participants was >80%; data collection from participants was <75%; at 9 months, 65.6% of residents provided valid accelerometer data; two CHs fully, two partially and one failed to implement the intervention. There were no safety concerns. Conclusions Recruiting CHs and residents was feasible. Intervention implementation and data collection methods need refinement before a definitive trial. There were no safety concerns.
| Item Type: | Journal Article | ||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | ||||||
| Library of Congress Subject Headings (LCSH): | Exercise therapy for older people, Aging -- Psychological aspects, Older people -- Mental health , Exercise -- Psychological aspects, Older people -- Health and hygiene, Well-being -- Age factors, Long-term care facilities, Depression in old age, Caregivers -- Training of, Older people -- Psychology | ||||||
| Journal or Publication Title: | Age and Ageing | ||||||
| Publisher: | Oxford University Press | ||||||
| ISSN: | 0002-0729 | ||||||
| Official Date: | November 2021 | ||||||
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| Volume: | 50 | ||||||
| Number: | 6 | ||||||
| Page Range: | pp. 2063-2078 | ||||||
| DOI: | 10.1093/ageing/afab130 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access | ||||||
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