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FOCUS Guidelines and Adherence to Physical Activity in Ageing Women.

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. Identifier: NCT03981965
Recruitment Status : Completed
First Posted : June 11, 2019
Last Update Posted : June 12, 2019
Fundación para la Investigación del Hospital Clínico de Valencia
Information provided by (Responsible Party):
Antonio Cano Sanchez, University of Valencia

Brief Summary:
The study aimed at assessing whether the guidelines from the European project FOCUS had an effect on adherence to a physical activity program in older women. The program consisted of two 12-week periods, in which women followed a set of pre-specified exercises (1 hour, twice per week). The first period was supervised by a monitor while the second was autonomous. Support groups, in which the contact between participants was established through information and communication technologies (social-network through the mobile phone), were set up to maintain engagement between participants. Women were randomized to three arms consisting of 2 intervention groups, with and without the FOCUS guidelines, and a sedentary control. Secondary outcomes included a battery of dimensions affecting physical performance, psychological status, and quality of life.

Condition or disease Intervention/treatment Phase
Frail Elderly Syndrome Mood Quality of Life Cognitive Decline Social Interaction Adherence, Patient Other: Physical activity Not Applicable

Detailed Description:

The objectives of the study consisted of assessing i) whether the use of the Guidelines derived from the European project FOCUS had an effect on the adherence to a physical activity (PA) program (primary objective), and ii) the effect of the program, which included 2 h/week of PA, on a group of dimensions related with general health, frailty, psycho-cognitive parameters, and quality of life (QoL) (secondary objectives).

The study comprised 24 weeks in which a group of 90 postmenopausal women were randomised to three arms, two in which participants were performing PA, and one control (no intervention).

The first PA group followed the FOCUS guidelines, in which women received monthly health talks and had an internet mailbox to facilitate contact with health professionals.

The PA program consisted of a twice per week 1-hour session along 24 weeks. This period was divided into two parts, a first supervised phase in which women followed group sessions under direct supervision of a monitor, and a second period in which the groups of women followed the same exercise pattern, but autonomously. A mobile phone support system (social network whatsapp) was used for inter-connection and mutual support during the autonomous period. Assessments were performed at baseline and then at 12 weeks and 24 weeks, representing the completion of the supervised and the autonomous periods, respectively.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 90 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Three groups were designed for a 24 week duration of the study. Two groups performed physical activity in two 12-week periods. A health professional acted as a supervisor during the first period. The second period was autonomous, with women providing mutual support through whatsapp, a mobile phone based social network. The first group followed the guidelines emanated from the FOCUS European project. The third group was an inactive control.
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Impact of FOCUS Guidelines on Adherence to Physical Activity in Ageing Women.
Actual Study Start Date : April 1, 2017
Actual Primary Completion Date : September 1, 2017
Actual Study Completion Date : March 30, 2018

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Focus guidelines

Participants enrolled in a 2-phase physical activity program divided in 2 phases as described above. Briefly, The activity consisted in a 1-h set of exercises twice per week. The first 12-week phase was performed in group under the direct supervision of a health monitor. The second 12-week phase was autonomous, and consisted of the same physical performance while maintaining virtual link through a social network based on the mobile phone.

The FOCUS guidelines provided 2 features, the participation in monthly health talks provided by the principal investigator and the availability of a virtual mailbox to transmit any comment or suggestion.

Other: Physical activity
Physical activity as described previously.

Active Comparator: Active group
Participants enrolled in a 2-phase physical activity program divided into 2 phases as described above. This group lacked the monthly talks and did not have access to the virtual mailbox.
Other: Physical activity
Physical activity as described previously.

No Intervention: Inactive
Women of similar clinical characteristic who did not participate in the PA program.

Primary Outcome Measures :
  1. Adherence: Level of adherence to the program as assessed by attendance to the physical activity sessions. [ Time Frame: 6 months ]
    Attendance will be measured as a percentage of the total number of sessions.

Secondary Outcome Measures :
  1. Frailty: changes in frailty as assessed by the Fried index [ Time Frame: 6 months ]
    Changes in frailty as assessed by the Fried index, which has 5 dimensions and describes a robust state (negative for all the three criteria) in addition to the pre-frail (positive for 1 or 2 criteria) and frail (positive at least in 3 criteria) status.

  2. Cognitive function [ Time Frame: 6 months ]
    Measures as per ACE-III questionnaire

  3. Mood status [ Time Frame: 6 months ]
    Measures as per HAD questionnaire

  4. Social activities [ Time Frame: 6 months ]
    Measures as per Saint Louis questionnaire

  5. Psychological well-being as measured by the 52-item Ryff scale [ Time Frame: 6 months ]
    The Ryff scale includes 52 items designed to measure six constructs of psychological well-being: autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. Higher total scores indicate higher psychological well-being. Respondents rate statements on a scale of 1 to 6, where 1 indicates strong disagreement and 6 indicates strong agreement.

  6. Sleep quality, measured as per Athens Insomnia scale [ Time Frame: 6 months ]
    The Athens scale aims at assessing the insomnia symptoms in individuals with sleep disorders. The scale measures 8 factors, which are intended to measure nocturnal sleep (5 factors) and daytime sleep-related disorders. Factors are rated from 0 till 3 and the cumulative score gives the final outcome. A cut-off score of 6 or higher is considered equivalent to the diagnosis of insomnia.

Information from the National Library of Medicine

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Ages Eligible for Study:   50 Years to 85 Years   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

Community living postmenopausal women capable of performing the physical activity program and with ability to sign the informed consent.

Exclusion Criteria:

Physical or psychological deficiencies incapacitating subjects to participate in the established physical program.

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 identifier (NCT number): NCT03981965

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Hosp Clinico Universitario-INCLIVA
Valencia, Spain, 46010
Sponsors and Collaborators
University of Valencia
Fundación para la Investigación del Hospital Clínico de Valencia
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Principal Investigator: Antonio Cano Sánchez, MD University of Valencia

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Responsible Party: Antonio Cano Sanchez, Full Professor Obstetrics and Gynecology, University of Valencia Identifier: NCT03981965     History of Changes
Other Study ID Numbers: FOCUS_Valencia
First Posted: June 11, 2019    Key Record Dates
Last Update Posted: June 12, 2019
Last Verified: June 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Antonio Cano Sanchez, University of Valencia:
physical activity
Quality of life

Additional relevant MeSH terms:
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Cognitive Dysfunction
Cognition Disorders
Neurocognitive Disorders
Mental Disorders