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A pilot randomised clinical trial of a novel approach to reduce sedentary behaviour in care home residents: reasibility and preliminary effects of the GET READY Study

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dc.contributor.authorGiné Garriga, M.
dc.contributor.authorDall, P.M.
dc.contributor.authorSandlund, M.
dc.contributor.authorJerez Roig, J.
dc.contributor.authorChastin, S.F.M.
dc.contributor.authorSkelton, D.A.
dc.date.issued2020
dc.description.abstractCare-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-toone 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.
dc.identifier.citationInternational Journal of Environmental Research and Public Health, 2020; 17(8, article no. 2866):1-18
dc.identifier.doi10.3390/ijerph17082866
dc.identifier.issn1661-7827
dc.identifier.issn1660-4601
dc.identifier.urihttps://hdl.handle.net/11541.2/37879
dc.language.isoen
dc.publisherMDPI AG
dc.relation.fundingH2020 747490
dc.relation.fundingMECD
dc.rightsCopyright 2020 The Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution(CC BY) license. (http://creativecommons.org/licenses/by/4.0/)
dc.source.urihttps://doi.org/10.3390/ijerph17082866
dc.subjectcare home residents
dc.subjectsedentary behaviour
dc.subjectco-creation
dc.subjectfeasibility
dc.subjectacceptability
dc.titleA pilot randomised clinical trial of a novel approach to reduce sedentary behaviour in care home residents: reasibility and preliminary effects of the GET READY Study
dc.typeJournal article
pubs.publication-statusPublished
ror.fileinfo12282470020001831 13305828000001831 9916716717701831
ror.mmsid9916716717701831

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