The Theory of Planned Behavior has been successfully used in several programs to improve physical activity behavior. In this project, it is aimed to assess the effectiveness of Theory of Planned Behavior based physical activity intervention applied to 55-74 years old people living in nursing home in Turkey.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
44
Health education: The first component of intervention consisted of one session 30 minutes educational lesson relation to physical activity. Group walking: The format of the 15-minute group walking session included 5 minutes of warm-up, 5 minute moderate intensity walking, 5 minute cool-down. Counseling (individually tailored): The nurse received training about motivational interview technique for use in their physical activity counseling with participants. Using pedometers and step diary to set goals and monitor progress. Pedometer: pedometer will be used objective physical activity assessment. Measurement of physical activity levels, wearing a pedometer (Omron HJ321E) on a belt over one hip, all day for 7 days, removing for bathing and sleeping. A diary is also provided to record step count. The pedometer will be used for baseline and outcome measurement of step-counts for the trial.
Change in average daily steps
The number of steps weekly by the pedometer. The number of steps will be evaluated for the first time in the 3rd week of the intervention and each week until the end of the intervention (week 3-8).
Time frame: Average daily steps will be assessed intervention period at week 3-8 and 1 , 2 and 3 months follow-up visits.
Changes in Blood Pressure
Blood pressure will be assessed between baseline, before and after group walking and 1, 2, 3 months after the intervention using the upper arm blood pressure monitors (Omron M3 Comfort®, HEM-7134-E)
Time frame: Blood pressure will be assessed baseline, before and after group walking and 1, 2 and 3 months follow-up visits
Changes in heart rate
Heart rate will be assessed between baseline, before and after group walking and 1, 2, 3 months after the intervention using blood pressure monitors (Omron M3 Comfort®, HEM-7134-E)
Time frame: Heart rate will be assessed baseline, before and after group walking and 1 , 2 and 3 months follow-up visits
Change in theory of planned behavior component
Theory of planned behavior components are including attitude, subjective norm, perceived behavior control, intention and behavior. The response used likert 1-7 format.
Time frame: Baseline,3-month follow up.
Change in The Problem Rating Scale
The Omaha System include three components which are the Problem Classification Scheme, the Intervention Scheme, and the Problem Rating Scale for Outcomes. In this study, the Problem Rating Scale is used that evaluates the level of the problem and the results of the intervention. Change in physical activity measured with Omaha System Problem Rating Scale for Outcomes in which knowledge, behavior, status are rated on five-point Likert-type scales (1 = lowest / worse score, 5 = highest /best score). For example, a nurse may document a client's physical activity Knowledge as 1 (no knowledge), Behavior as 4 (Usually appropriate behavior), and Status as 2 (Severe signs/ symptoms).
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Time frame: Change in physical activity will be assessed baseline, the week right after the intervention and 1 , 2 and 3 months follow-up visits
Changes in health-related quality of life
EQ-5D three-level version (EQ-5D-3L) descriptive systems is a five-dimensions questionnaire about the topics "mobility", "self-care", "usual-activities", "pain/discomfort" and "anxiety/depression".
Time frame: Health-related quality of life will be assessed baseline, the week right after the intervention and 1, 2 and 3 months follow-up visits
Changes in EQ-VAS
Visual analogue scale (VAS) of EQ-5D Questionnaire scaled from 0-100, corresponding to the worse and the best health imagined
Time frame: Visual analogue scale (VAS) of EQ-5D Questionnaire will be assessed baseline, the week right after the intervention and 1, 2 and 3 months follow-up visits
Change in Body Mass Index (BKI)
Weight (kg) will be measured using a balance scale with the measurement taken to the nearest 0.1 kg. Height (cm) will be measured using a stadiometer with the measurement taken to the nearest 0,5 cm. Weight and Height measurements will be then used to calculate the body mass index \[BMI: Weight (kg) / (Height) 2 (m2)\].
Time frame: BKI will be assessed baseline, the week right after the intervention and 3 months follow-up visit
Change in waist hip ratio
Waist circumference was measured at the level of the umbilicus to the nearest 0.1 cm. Hip circumference was measured at the level of the trochanter major. The waist / hip ratio was calculated as waist circumference (cm)/ hip circumference (cm).
Time frame: Waist / hip ratio will be assessed baseline, the week right after the intervention and 3 months follow-up visit