The aim of this study is to develop, evaluate and implement an intergenerational physical activity program for grandchildren and their grandparents using co-creation focusing on the promotion of (co-)physical activity as a primary outcome and cognitive functioning, psychosocial well-being, the family relationship, expectations regarding aging and motor competence in grandparents and grandchildren as secondary outcomes.
In recent years, increased attention has been devoted to intergenerational physical activity (PA) programs because they may have several benefits for children and older adults (e.g., learning skills from each other, reduction of ageism). An intergenerational PA program focusing on grandchildren and -parents in a 'standard' family setting and the combination of PA and cognitive functions is innovative and may hold potential to promote PA and improve cognitive functions in both grandchildren and their grandparents. The aim of this study is to describe the protocol of the GRANDPACT (GRANDparents and GRANDchildren improve their Physical Activity and Cognitive functions using co-creaTion) project, focusing on the development of an intergenerational PA program for grandchildren and -parents using the theoretical framework "Behaviour Change Wheel" in combination with a co-creation approach. One co-creation trajectory will be organized to develop the program, followed by an efficacy trial to refine and evaluate the program with measurements pre (at baseline), post (after 24 weeks) and follow-up (after 36 weeks) to measure the outcomes of (co-)PA, cognitive functions, psychosocial well-being, the quality of the family relationship, expectations regarding aging and motor competence in grandchildren and -parents. The outcomes will be measured using accelerometery for PA, Cambridge Neuropsychological Test Automated Battery (CANTAB) testing for cognitive functions and questionnaires for psychosocial well-being, quality of the family relationship and expectations regarding aging. Motor competence will be tested with different field tests in grandparents and grandchildren. Co-development with end-users and stakeholders during the co-creation trajectory is expected to result in an effective, attractive and feasible program. Co-PA is expected to improve PA, cognitive functions, psychosocial well-being, quality of the family relationship, motor competence and motivation to be physically active in grandchildren and -parents. Both will also have better expectations regarding aging.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
18
To investigate whether grandparents and grandchildren are more co-physically active, have a better cognitive and physical function, psychosocial well-being, quality of the family relationship due to the intervention, we compare the intervention phase (B) with a pre phase (A), a in between period (A) and another intervention period (B)
Ghent University
Ghent, Belgium
Change in co-PA in grandchildren and grandparents
The primary outcome of the intervention is co-PA. To objectively measure co-PA, participants will be asked to wear an accelerometer (Axivity AX3) during three consecutive months. The purpose of wearing an accelerometer is to investigate whether grandchildren and their grandparents are more (co-)physically active when the intervention is adopted
Time frame: 3 months (A: 2 weeks, B: 6 weeks, A: 2 weeks, B: 2 weeks)
Change in intensity of PA in grandchildren and grandparents
In addition to the primary outcome of the intervention, which is co-PA, we would like to measure the intensity of PA during each movement session with an accelerometer (Axivity AX3)
Time frame: 3 months (A: 2 weeks, B: 6 weeks, A: 2 weeks, B: 2 weeks)
Change in general well-being in children
PedsQL 8-12 General Well-Being Scale Parent report
Time frame: During 3 months, every 2 weeks
Change in quality of the family relationship in children
Interview with parents before, during and after the intervention period
Time frame: 3 months, pre, between, post intervention
Change in general well-being in grandparents
Warwick-Edinburgh Mental Wellbeing Scale (WEMWS) - 14 items - 5-point likert scale (never, seldom, sometimes, often, always), with higher scores resulting in a higher wellbeing.
Time frame: During 3 months, every 2 weeks
Change in quality of the family relationship in grandparents
Interview with grandparents pre, during and after the intervention
Time frame: 3 months, pre, between, post intervention
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Change in cognitive functioning in grandchildren
Parents will fill in the short forms of the PROMIS cognitive functioning. Grandchildren: 7-items on a 5-point likert scale (never, seldom, sometimes, often, always), with higher scores resulting in a better cognitive functioning
Time frame: During 3 months, every 2 weeks
Change in cognitive functioning in grandparents
Grandparents will fill in the short forms of the PROMIS cognitive functioning. Grandparents: 8-items on a 5-point likert scale (never, seldom, sometimes, often, always), with higher scores resulting in a better cognitive functioning
Time frame: During 3 months, every 2 weeks
Change in physical functioning in grandparents
Grandparents will fill in the short forms of the PROMIS physical functioning. Grandparents: 10-items on a 5-point likert scale (Without any effort, With a little effort, With some effort, With a lot of effort, Unable to do), with higher scores resulting in a better physical functioning
Time frame: During 3 months, every 2 weeks
Change in physical functioning in grandchildren
Parents will fill in the short forms of the PROMIS physical functioning. Grandchildren: 7-items on a 5-point likert scale (Without any effort, With a little effort, With some effort, With a lot of effort, Unable to do), with higher scores resulting in a better physical functioning
Time frame: During 3 months, every 2 weeks
Increasing WHO themes in grandparents
We ask grandparents if they did exercises focusing on condition, coordination, strength, balance and flexibility
Time frame: During 3 months, every 2 weeks