Identifying and Treating Physical Function Impairment in Elders
| Status: | Completed |
|---|---|
| Healthy: | No |
| Age Range: | 65 - 85 |
| Updated: | 6/1/2018 |
| Start Date: | January 2014 |
| End Date: | September 2017 |
Sedentary older adults are more likely to develop physical function impairments than active
older adults. Physical function measured by slow usual gait speed predicts the risk of future
falls, disability, institutionalization and mortality. Behavioral physical activity
interventions have improved physical activity and physical function, but have not generally
been implemented where they may have the most impact -- primary care settings. In part, this
is due to the limited time and training for clinical staff to screen for physical function
impairment and to treat with physical activity counseling. The proposed scientific goal is to
overcome these barriers by adapting an evidence-based screening tool and telephone-based
physical activity intervention into primary care settings.
Aim1: Among older adults who screen positive for physical function impairment, to determine
the estimated intervention effect size of a 12-week behavioral intervention on physical
activity and physical function.
Hypothesis 1a: Physical activity levels will increase more in the intervention vs. usual care
group.
Hypothesis 1b: Physical function will increase more in the intervention vs. usual care group.
Aim 2: Among Aim 1 participants and clinical staff who deliver the functional screening and
Aim 1 intervention, to evaluate standard implementation science process metrics of reach,
acceptability, and implementation
older adults. Physical function measured by slow usual gait speed predicts the risk of future
falls, disability, institutionalization and mortality. Behavioral physical activity
interventions have improved physical activity and physical function, but have not generally
been implemented where they may have the most impact -- primary care settings. In part, this
is due to the limited time and training for clinical staff to screen for physical function
impairment and to treat with physical activity counseling. The proposed scientific goal is to
overcome these barriers by adapting an evidence-based screening tool and telephone-based
physical activity intervention into primary care settings.
Aim1: Among older adults who screen positive for physical function impairment, to determine
the estimated intervention effect size of a 12-week behavioral intervention on physical
activity and physical function.
Hypothesis 1a: Physical activity levels will increase more in the intervention vs. usual care
group.
Hypothesis 1b: Physical function will increase more in the intervention vs. usual care group.
Aim 2: Among Aim 1 participants and clinical staff who deliver the functional screening and
Aim 1 intervention, to evaluate standard implementation science process metrics of reach,
acceptability, and implementation
Inclusion Criteria:
- Sedentary patients aged 65-85 years who screen positive for physical function
impairment (Physical function impairment includes any of the following: time to
complete 4-meter walk ≥4.82 seconds (i.e., ≥0.83 meters/second); a reported fall in
the past 3 months; or a reported fear of falling)
Exclusion Criteria:
- Inability to walk ≥30 feet without human assistance7
- Dementia, as assessed by either a Folstein Mini-Mental Status Examination <24 or by
patient's primary care provider's assessment
- Severe vision loss (legally blind)
- Severe hearing loss
- Medical condition that precludes increasing physical activity per primary care
provider's assessment
- Terminal diagnosis per primary care provider's assessment
We found this trial at
1
site
13001 E 17th Pl
Aurora, Colorado 80045
Aurora, Colorado 80045
(303) 724-5000
University of Colorado Anschutz Medical Campus Located in the Denver metro area near the Rocky...
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