Intervention to Support Participation in Regular Exercise in the Elderly (INSPIRE)

Weill Medical College of Cornell University60 enrolled

Overview

The investigators will conduct a 1-year prospective and randomized study to evaluate the initial efficacy of positive affect vs. an educational control to motivate physical activity in older adults with high burdens of chronic disease.

Older adults with multiple chronic diseases are at high risk for both disability and adverse clinical events, outcomes that can be improved with physical activity, but there have been no trials to establish physical activity recommendations or clinical guidelines for this vulnerable population. A recent randomized controlled trial conducted by Dr. Peterson established the efficacy of inducing positive affect-a feeling of happiness and well-being-in motivating physical activity in older adults with cardiovascular disease. This new randomized controlled trial will pilot test the a new PAIRE (Positive Affect Induction for Regular Exercise) intervention that is specific to older adults with multiple high-risk chronic illnesses versus an educational control group. This work is innovative because it will translate the benefits of a proven intervention focused on positive affect to increase physical activity in older adults with multiple high-risk chronic illnesses, one that is tailored to the clinical and psychosocial challenges of this particularly vulnerable population. This work is significant because an effective intervention promoting physical activity will improve outcomes for older adults with multiple high-risk chronic diseases, and currently one does not exist.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

Conditions

Chronic Illnesses

Interventions

Physical activity plus positive affectBEHAVIORAL

Subjects will be randomized to a physical activity goal and will receive the positive affect component.

Physical activity plus educationBEHAVIORAL

Subjects will be randomized to a physical activity goal and will receive the educational component.

Eligibility

Sex: ALLMin age: 60 YearsMax age: 110 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Charlson Index greater or equal to 3 Exclusion Criteria: 1. Cognitive impairment 2. Inability to walk 3. \< 12 month anticipated survival 4. enrollment in other behavioral programs 5. lack of medical approval to participate 6. substance/alcohol dependence or participation in a substance abuse treatment program within 12 months 7. major psychiatric illness.

Locations (1)

Weill Cornell Medical College

New York, New York, United States

Outcomes

Primary Outcomes

Kilocalories/week assessed by Objective measure of activity with accelerometry

FitBit

Time frame: baseline to 12 months

Secondary Outcomes

Kilocalories/week assessed by Subjective measure of activity by self-report

Time frame: baseline to 12 months

Function/disability assessed by objective and subjective reports of functional ability

Time frame: baseline to 12 months

Data from ClinicalTrials.gov

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