The effects of an e-health brisk walking intervention in increasing moderate-to-vigorous physical activity in physically inactive older people with cognitive frailty: study protocol for a randomized controlled trial
The effects of an e-health brisk walking intervention in increasing moderate-to-vigorous physical activity in physically inactive older people with cognitive frailty: study protocol for a randomized controlled trial
Background: cognitive frailty is a risk for many adverse health outcomes that are commonly observed in older people. Physical activity is known to be effective to reserve cognitive frailty but the prevalence of physical inactivity is still high in older people. E-health enhances behavioural change effects through an innovative way to deliver behavioural change methods that can enhance the behavioural change effects. However, its effects on older people with cognitive frailty, its effects compared with conventional behavioural change methods, and the sustainability of the effects are unclear.
Methods: this study employs a single-blinded, two-parallel-group, non-inferiority, randomized controlled trial design with a 1:1 group allocation ratio. Eligible participants are aged 60 years or above, have cognitive frailty and physical inactivity, and possess a smartphone for more than six months. The study will be conducted in community settings. In the intervention group, participants will receive a 2-week brisk-walking training followed by a 12-week e-health intervention. In the control group, participants will receive a 2-week brisk-walking training followed by a 12-week conventional behavioural change intervention. The primary outcome is minutes of moderate-to-vigorous physical activity (MVPA). This study aims to recruit a total of 184 participants. Generalized estimating equations (GEE) will be used to examine the effects of the intervention.
Ethics and dissemination: the trial has been registered at ClinicalTrials.gov (Identifier: NCT05758740) on 7th March 2023, https://clinicaltrials.gov/ct2/show/NCT05758740 , and all items come from the World Health Organization Trial Registration Data Set. It has been approved by the Research Ethics Committee of Tung Wah College, Hong Kong (reference number: REC2022136). The findings will be disseminated in peer-reviewed journals and presented at international conferences relevant to the subject fields.
Trial registration: the trial has been registered at ClinicalTrials.gov (Identifier: NCT05758740) and all items come from the World Health Organization Trial Registration Data Set. The latest version of the protocol was published online on 7th March 2023.
Brisk walking, Cognitive frailty, E-health, Moderate-to-vigorous physical activity (MVPA)
Kwan, Rick Yiu Cho
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Liu, Justina Yat Wa
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Lee, Paul Hong
02620eab-ae7f-4a1c-bad1-8a50e7e48951
Sin, Olive Suk Kan
95c5aa7b-8fe8-4d50-ade9-a16c0e1c2ebf
Wong, Julia Sze Wing
3824c729-c7e3-4fc8-b1ff-42960a76c0dd
Fu, Mei Rosemary
e3ab2703-832d-409a-ace7-efc99f9b47a7
Suen, Lorna Kwai Ping
3927a819-69fb-4681-8d9b-0aad1be7faff
17 May 2023
Kwan, Rick Yiu Cho
4ad03790-4557-41c1-8584-3313a4235e51
Liu, Justina Yat Wa
6274f844-c636-44ad-aa6e-4d83a3225c7a
Lee, Paul Hong
02620eab-ae7f-4a1c-bad1-8a50e7e48951
Sin, Olive Suk Kan
95c5aa7b-8fe8-4d50-ade9-a16c0e1c2ebf
Wong, Julia Sze Wing
3824c729-c7e3-4fc8-b1ff-42960a76c0dd
Fu, Mei Rosemary
e3ab2703-832d-409a-ace7-efc99f9b47a7
Suen, Lorna Kwai Ping
3927a819-69fb-4681-8d9b-0aad1be7faff
Kwan, Rick Yiu Cho, Liu, Justina Yat Wa, Lee, Paul Hong, Sin, Olive Suk Kan, Wong, Julia Sze Wing, Fu, Mei Rosemary and Suen, Lorna Kwai Ping
(2023)
The effects of an e-health brisk walking intervention in increasing moderate-to-vigorous physical activity in physically inactive older people with cognitive frailty: study protocol for a randomized controlled trial.
Trials, 24 (1), [339].
(doi:10.1186/s13063-023-07335-8).
Abstract
Background: cognitive frailty is a risk for many adverse health outcomes that are commonly observed in older people. Physical activity is known to be effective to reserve cognitive frailty but the prevalence of physical inactivity is still high in older people. E-health enhances behavioural change effects through an innovative way to deliver behavioural change methods that can enhance the behavioural change effects. However, its effects on older people with cognitive frailty, its effects compared with conventional behavioural change methods, and the sustainability of the effects are unclear.
Methods: this study employs a single-blinded, two-parallel-group, non-inferiority, randomized controlled trial design with a 1:1 group allocation ratio. Eligible participants are aged 60 years or above, have cognitive frailty and physical inactivity, and possess a smartphone for more than six months. The study will be conducted in community settings. In the intervention group, participants will receive a 2-week brisk-walking training followed by a 12-week e-health intervention. In the control group, participants will receive a 2-week brisk-walking training followed by a 12-week conventional behavioural change intervention. The primary outcome is minutes of moderate-to-vigorous physical activity (MVPA). This study aims to recruit a total of 184 participants. Generalized estimating equations (GEE) will be used to examine the effects of the intervention.
Ethics and dissemination: the trial has been registered at ClinicalTrials.gov (Identifier: NCT05758740) on 7th March 2023, https://clinicaltrials.gov/ct2/show/NCT05758740 , and all items come from the World Health Organization Trial Registration Data Set. It has been approved by the Research Ethics Committee of Tung Wah College, Hong Kong (reference number: REC2022136). The findings will be disseminated in peer-reviewed journals and presented at international conferences relevant to the subject fields.
Trial registration: the trial has been registered at ClinicalTrials.gov (Identifier: NCT05758740) and all items come from the World Health Organization Trial Registration Data Set. The latest version of the protocol was published online on 7th March 2023.
Text
s13063-023-07335-8
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More information
Accepted/In Press date: 29 April 2023
e-pub ahead of print date: 17 May 2023
Published date: 17 May 2023
Additional Information:
Funding Information:
This project is funded by the Research Grants Council for the Competitive Research Funding Schemes for the Local Self-financing Degree sector under the Faculty Development Scheme [Reference number: UGC/FDS17/H04/22]. The funder provided financial support for the purchase of study materials and supporting the salary of the research staff. The role of the funder is to monitor adherence to the study procedures according to the details written in the research protocol. The funder is not involved in the implementation of the study procedures.
Publisher Copyright:
© 2023, The Author(s).
Keywords:
Brisk walking, Cognitive frailty, E-health, Moderate-to-vigorous physical activity (MVPA)
Identifiers
Local EPrints ID: 479908
URI: http://eprints.soton.ac.uk/id/eprint/479908
ISSN: 1745-6215
PURE UUID: a2799624-d506-44f0-9587-f06aa59ff982
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Date deposited: 28 Jul 2023 16:48
Last modified: 17 Mar 2024 04:16
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Contributors
Author:
Rick Yiu Cho Kwan
Author:
Justina Yat Wa Liu
Author:
Paul Hong Lee
Author:
Olive Suk Kan Sin
Author:
Julia Sze Wing Wong
Author:
Mei Rosemary Fu
Author:
Lorna Kwai Ping Suen
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