Limits...
Multi-centre cluster randomised trial comparing a community group exercise programme with home based exercise with usual care for people aged 65 and over in primary care: protocol of the ProAct 65+ trial.

Iliffe S, Kendrick D, Morris R, Skelton D, Gage H, Dinan S, Stevens Z, Pearl M, Masud T - Trials (2010)

Bottom Line: Regular physical activity reduces the risk of mortality from all causes, with a powerful beneficial effect on risk of falls and hip fractures.However, physical activity levels are low in the older population and previous studies have demonstrated only modest, short-term improvements in activity levels with intervention.Secondary outcomes include functional assessments, predictors of exercise adherence, the incidence of falls, fear of falling, quality of life and continuation of physical activity after intervention, over a two-year follow up.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Primary Care & Population Health, University College London, Rowland Hill St, London NW3 2PF, UK. s.iliffe@pcps.ucl.ac.uk

ABSTRACT

Background: Regular physical activity reduces the risk of mortality from all causes, with a powerful beneficial effect on risk of falls and hip fractures. However, physical activity levels are low in the older population and previous studies have demonstrated only modest, short-term improvements in activity levels with intervention.

Design/methods: Pragmatic 3 arm parallel design cluster controlled trial of class-based exercise (FAME), home-based exercise (OEP) and usual care amongst older people (aged 65 years and over) in primary care. The primary outcome is the achievement of recommended physical activity targets 12 months after cessation of intervention. Secondary outcomes include functional assessments, predictors of exercise adherence, the incidence of falls, fear of falling, quality of life and continuation of physical activity after intervention, over a two-year follow up. An economic evaluation including participant and NHS costs will be embedded in the clinical trial.

Discussion: The ProAct65 trial will explore and evaluate the potential for increasing physical activity among older people recruited through general practice. The trial will be conducted in a relatively unselected population, and will address problems of selective recruitment, potentially low retention rates, variable quality of interventions and falls risk.

Trial registration: Trial Registration: ISRCTN43453770.

Show MeSH

Related in: MedlinePlus

Consort flowchart for cluster randomised trials; potential flow of participants.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2821309&req=5

Figure 1: Consort flowchart for cluster randomised trials; potential flow of participants.

Mentions: A 3 arm parallel design cluster controlled trial using minimisation for allocation at the level of general practice in two centres (London and Nottingham/Derby), comparing community-centre based group exercise programme (FaME), with a home based exercise programme and walking plan (OEP) and with usual care. There will be two years' follow-up to determine the impact, acceptability and adherence to the programme, longer term continuation of exercise and cost-effectiveness. The CONSORT diagram [35] summarises the design (Fig 1).


Multi-centre cluster randomised trial comparing a community group exercise programme with home based exercise with usual care for people aged 65 and over in primary care: protocol of the ProAct 65+ trial.

Iliffe S, Kendrick D, Morris R, Skelton D, Gage H, Dinan S, Stevens Z, Pearl M, Masud T - Trials (2010)

Consort flowchart for cluster randomised trials; potential flow of participants.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2821309&req=5

Figure 1: Consort flowchart for cluster randomised trials; potential flow of participants.
Mentions: A 3 arm parallel design cluster controlled trial using minimisation for allocation at the level of general practice in two centres (London and Nottingham/Derby), comparing community-centre based group exercise programme (FaME), with a home based exercise programme and walking plan (OEP) and with usual care. There will be two years' follow-up to determine the impact, acceptability and adherence to the programme, longer term continuation of exercise and cost-effectiveness. The CONSORT diagram [35] summarises the design (Fig 1).

Bottom Line: Regular physical activity reduces the risk of mortality from all causes, with a powerful beneficial effect on risk of falls and hip fractures.However, physical activity levels are low in the older population and previous studies have demonstrated only modest, short-term improvements in activity levels with intervention.Secondary outcomes include functional assessments, predictors of exercise adherence, the incidence of falls, fear of falling, quality of life and continuation of physical activity after intervention, over a two-year follow up.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Primary Care & Population Health, University College London, Rowland Hill St, London NW3 2PF, UK. s.iliffe@pcps.ucl.ac.uk

ABSTRACT

Background: Regular physical activity reduces the risk of mortality from all causes, with a powerful beneficial effect on risk of falls and hip fractures. However, physical activity levels are low in the older population and previous studies have demonstrated only modest, short-term improvements in activity levels with intervention.

Design/methods: Pragmatic 3 arm parallel design cluster controlled trial of class-based exercise (FAME), home-based exercise (OEP) and usual care amongst older people (aged 65 years and over) in primary care. The primary outcome is the achievement of recommended physical activity targets 12 months after cessation of intervention. Secondary outcomes include functional assessments, predictors of exercise adherence, the incidence of falls, fear of falling, quality of life and continuation of physical activity after intervention, over a two-year follow up. An economic evaluation including participant and NHS costs will be embedded in the clinical trial.

Discussion: The ProAct65 trial will explore and evaluate the potential for increasing physical activity among older people recruited through general practice. The trial will be conducted in a relatively unselected population, and will address problems of selective recruitment, potentially low retention rates, variable quality of interventions and falls risk.

Trial registration: Trial Registration: ISRCTN43453770.

Show MeSH
Related in: MedlinePlus