The main objective of this study is to research whether implementation of a focused personalized problem-oriented coaching intervention (coach2move strategy) is more effective to improve physical activity, mobility and health status in community-…
ID
Source
Brief title
Condition
- Muscle disorders
- Age related factors
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
In this study, each participant is measured four times. The first, being the
baseline measurement (T0) is prior to physiotherapeutic treatment, while the
second is directly after ending the treatment (T1). The following two are
respectively six- (T2) and twelve months (T3) after the moment the participant
started the treatment.
The primary outcome measures are the cost per quality-adjusted life year (QALY)
gained, mobility measured by the modified Timed up and Go (TUG) and the level
of moderate physical activity (LAPAQ).
Secondary outcome
Secondary outcomes include: quality of life (EQ-5D), the degree of frailty
(Evaluative Frailty Index for Physical activity), perceived effect (Global
Perceived Effect and Patient Specific Complaints) and health care utilization
costs.
In addition, qualitative data of experiences in implementation of Coach2Move
will be gathered from interviews with patients and focus groups with
physiotherapists.
The quantitative analysis will be based on quality indicators of medical
records of patients for each physiotherapist scored by the researcher. The
files in the control period are compared with those after implementation of
Coach2Move.
Background summary
Physical activity is beneficial to older adults to improve health conditions
and decrease risk on frailty. Coach2Move is a physiotherapeutic intervention
aimed at maintaining or improving mobility among older adults who visit
physiotherapists using a personalized tailored approach based on an in-depth
hypothesis oriented behavioural, physical and environmental diagnostic
exploration with a primary focus on a long-lasting increase of physical
activity in daily living and enhancing self-efficacy and self-management using
the social context combined with a physical training.
Our hypothesis is that implementing Coach2Move in physiotherapeutic practice
leads to better physical outcomes and lower costs than usual care.
Study objective
The main objective of this study is to research whether implementation of a
focused personalized problem-oriented coaching intervention (coach2move
strategy) is more effective to improve physical activity, mobility and health
status in community-dwelling older adults than usual care physiotherapy. In
addition, cost-effectiveness will be determined.
Study design
stepped wedge cluster randomised trial and mixed methods process analysis. Due
to the design, control- and intervention period range from 3 to 15 months. The
period of wash-out and implementation lasts 3 months.
Intervention
The Coach2Move approach is stepwise implemented in 16 physiotherapy practices.
On each site, at least one physiotherapist in geriatrics and one
physiotherapist will receive a two-day training in the Coach2Move approach,
which makes use of elements of the Hypothesis Oriented Approach for Clinicians
(HOAC-II) and the International Classification of Functioning and Health (ICF).
Participants receive physiotherapy according to the Coach2Move approach instead
of the usual care physiotherapy.
Study burden and risks
The physiotherapeutic process according to the Coach2Move strategy does not
have more risk compared to usual care physiotherapy. The additional load
related to the study participants are being exposed to consists of the three
measurement moments in which questionnaires are being conducted. These moments
each will take the patients approximately 60 minutes.
Since we believe that all older adults could benefit from the Coach2Move
approach, we have composed broad in- and exclusion criteria so we would include
a realistic sample of the Dutch older adults who are seeing a physiotherapist
for mobility problems. This includes older adults suffering from dementia,
since we hypothesize we could involve informal caregivers or other health
authorities in the treatment to help achieve the set goals.
Geert Grooteplein 21
Nijmegen 6500HB
NL
Geert Grooteplein 21
Nijmegen 6500HB
NL
Listed location countries
Age
Inclusion criteria
Older adults who are community-dwelling and have mobility related to activities of daily living and have a sedentary lifestyle or are at risk of losing an active lifestyle in the near future
Exclusion criteria
Patients who are not ambulatory after treatment and/or are in palliative phase.
Patients who are expected to become institutionalised in the near future.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| ClinicalTrials.gov | NCT03212859 |
| CCMO | NL60554.091.17 |