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MY PALS: A Community-Based Physical Activity Support Program for Older Adults

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00132288
First Posted: August 19, 2005
Last Update Posted: December 19, 2007
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
Centers for Disease Control and Prevention
Information provided by:
University of Washington
  Purpose

This is a study of whether physical activity of older adults can be improved by linking primary care clinics serving older adults to a community-based program that provides motivational support, including peer counselors, for engaging in and maintaining moderate levels of physical activity.

Health care providers at the participating study sites routinely assess and track diabetic patients' physical activity. In addition to this routine care, study volunteers are referred to a support program that has been modelled on the Active Choices Program. Changes in volunteers' levels of activity are measured at 3, 6, and 12 months.


Condition Intervention
Diabetes Mellitus Aging Behavioral: Motivational support Behavioral: PALS - Physical activity for lifetime success

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)
Official Title: A Randomized Controlled Trial Linking Clinical Quality Improvement Programs for Older Diabetics to a Community Based Activity Support Center

Resource links provided by NLM:


Further study details as provided by University of Washington:

Primary Outcome Measures:
  • Change in physical activity of those allocated to the intervention group compared to "wait-listed" controls as measured by the Seattle-Rapid Assessment of Physical Activity questionnaire [ Time Frame: 1 year ]

Secondary Outcome Measures:
  • Change in level of activity for those contacted by community support program [ Time Frame: 6 months ]
  • Change in activity level for those having a peer counselor [ Time Frame: 6 months ]
  • Change in Hemoglobin A1c levels [ Time Frame: 1 year ]
  • Determinants of choice in favor of study participation [ Time Frame: does not apply ]

Enrollment: 305
Study Start Date: May 2005
Study Completion Date: December 2006
Intervention Details:
    Behavioral: Motivational support
    Participants in the PALS program at SE Seattle Senior Center are assigned a volunteer phone buddy who uses motivational interviewing techniques during bi weekly or monthly phone calls to encourage the participant to become more physically active.
    Other Name: Based on Stanford's Active Choices model.
    Behavioral: PALS - Physical activity for lifetime success
    Referral by a primary care provider to a community based support program to enhance uptake or maintenance of physical activity by the participants.
Detailed Description:

The MY PALS project will focus on developing an organized approach to increasing physical activity for clients who have already decided they are willing to increase activity or who might be having difficulty maintaining activity.

The MY PALS study will enroll consenting patients at clinics in Southeast Seattle-initially at two Puget Sound Neighborhood Health Center community clinics. These clinics have existing programs to provide better care for diabetic patients by encouraging and tracking physical activity, but the existing programs do not include community-based motivational supports.

Goals and objectives: The primary aim of My PALS is to determine the effectiveness of a support program to improve levels of physical activity in older diabetic patients in a diverse group of patients of clinics in SE Seattle. Secondary aims include: 1) identifying barriers to increased physical activity despite the offer or use of enhanced supports, and examining what those barriers imply for future study; and 2) estimating non-costs of the intervention.

The program consists of phone support, in-person counseling if the volunteer chooses, and access to a mentor if the volunteer chooses.

At initial contact, participants will complete a baseline questionnaire, including a the Seattle Rapid Assessment of Physical Activity (Seattle-RAPA). Participants desiring to meet in person with a peer counselor will discuss further plans for action and followup. In addition, participants who desire extra support will be offered the option of an ongoing peer mentor.

Participants will receive follow-up calls at the agreed upon intervals—usually no more than weekly, nor less than monthly for the first 3 months. At 3, 6 and 12 months, volunteers will again be asked to complete followup questionnaires. Copies of the plans and follow up activity scores will be sent to the volunteers' health care providers.

The primary outcome measure will be change in Seattle-RAPA score at 12 months in the intervention participants compared to the wait-listed control patients. The latter will be offered the intervention in Year 2.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   50 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Adults age 65 years and older. Depending on number of volunteers, may also include younger adults.
  • English, Vietnamese, Tagalog, and Cambodian speakers.
  • If successful, program will extend to non-diabetics older than 64 years

Exclusion Criteria:

  • Cognitive impairment or mental illness precluding independent judgement
  • Physician assessment that program is not appropriate, e.g., marked frailty
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00132288


Locations
United States, Washington
Southeast Senior Center
Seattle, Washington, United States, 98118
Sponsors and Collaborators
University of Washington
Centers for Disease Control and Prevention
Investigators
Principal Investigator: James LoGerfo, MD University of Washington
  More Information

Responsible Party: James P. LoGerfo, MD, MPH, University of Washington Health Promotion Research Center
ClinicalTrials.gov Identifier: NCT00132288     History of Changes
Other Study ID Numbers: 04-4349-E/A01
First Submitted: August 17, 2005
First Posted: August 19, 2005
Last Update Posted: December 19, 2007
Last Verified: December 2007

Keywords provided by University of Washington:
Aging
Frailty
Sedentary
Falls
Physical Activity

Additional relevant MeSH terms:
Diabetes Mellitus
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases