Hospitalization creates opportunities for older adults to accumulate prolonged periods of sitting and lying (defined as sedentary behavior) which can result in mobility loss. We propose a Type 1 Hybrid Effectiveness-Implementation Trial with 1:1 randomization to test the effect of a caregiver intervention on older patients' physical activity at 3 months (home). We will recruit 61 patients and family caregivers from hospital units and follow them for 3 months; the primary outcome is patients' daily step count at 3 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Patient and caregiver dyads from both groups will receive usual care during hospitalization and following discharge. This will include a handout on strategies for safely remaining active. Caregiver participants in the intervention group will receive up to six telephone or video calls with the research assistant or Clinical Resource Therapist. Sessions will review the knowledge translation (KT) product with family members (\~15 minutes), art goals, brainstorm strategies, and discuss setbacks. The calls with the caregiver may occur 1 to 2 times in the hospital, within one week of going home, and then in Months 2 and 3.
Patient and caregiver dyads from both groups will receive usual care during hospitalization and following discharge. This will include a handout on strategies for safely remaining active.
The University of British Columbia
Vancouver, British Columbia, Canada
Veterans Rand-12 Quality of Life
12 item quality of life survey
Time frame: baseline and 3 months
Daily minutes sedentary behavior
daily minutes of sedentary behavior measured with an activity monitor
Time frame: baseline to 3 months
Daily minutes of physical activity
daily minutes of physical activity measured with an activity monitor
Time frame: baseline to 3 months
Patient Assessment with Chronic Illness Care Survey
20-item survey with questions related to experience with hospitalization.
Time frame: 3 months
Brief Action Planning (BAP)
Goal setting
Time frame: baseline and 3 months
Action Plans behaviors
self-reported health behavior questions
Time frame: baseline and 3 months
Coping Plans
self-reported health behavior questions
Time frame: baseline and 3 months
Physical Activity Intentions
self-reported health behavior questions
Time frame: baseline and 3 months
Physical Activity Self-efficacy
self-reported health behavior questions
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Time frame: baseline and 3 months
Physical Activity Risk Perceptions
self-reported health behavior questions
Time frame: baseline and 3 months
Physical Activity Outcome Expectancies
self-reported health behavior questions
Time frame: baseline and 3 months
Self-reported Habit Index
self-reported health behavior questions
Time frame: baseline and 3 months
Program implementation
Semi-structured interviews or focus groups with patients, caregivers, and heath providers to understand factors related program implementation.
Time frame: baseline and 3 months