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Physical activity coaching for adults with mobility limitations: protocol for the ComeBACK pragmatic hybrid effectiveness-implementation type 1 randomised controlled trial

INTRODUCTION: Mobility limitation is common and often results from neurological and musculoskeletal health conditions, ageing and/or physical inactivity. In consultation with consumers, clinicians and policymakers, we have developed two affordable and scalable intervention packages designed to enhan...

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Autores principales: Hassett, Leanne, Tiedemann, Anne, Hinman, Rana S, Crotty, Maria, Hoffmann, Tammy, Harvey, Lisa, Taylor, Nicholas F, Greaves, Colin, Treacy, Daniel, Jennings, Matthew, Milat, Andrew, Bennell, Kim L, Howard, Kirsten, van den Berg, Maayken, Pinheiro, Marina, Wong, Siobhan, Kirkham, Catherine, Ramsay, Elizabeth, O'Rourke, Sandra, Sherrington, Catherine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7640503/
https://www.ncbi.nlm.nih.gov/pubmed/33148720
http://dx.doi.org/10.1136/bmjopen-2019-034696
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author Hassett, Leanne
Tiedemann, Anne
Hinman, Rana S
Crotty, Maria
Hoffmann, Tammy
Harvey, Lisa
Taylor, Nicholas F
Greaves, Colin
Treacy, Daniel
Jennings, Matthew
Milat, Andrew
Bennell, Kim L
Howard, Kirsten
van den Berg, Maayken
Pinheiro, Marina
Wong, Siobhan
Kirkham, Catherine
Ramsay, Elizabeth
O'Rourke, Sandra
Sherrington, Catherine
author_facet Hassett, Leanne
Tiedemann, Anne
Hinman, Rana S
Crotty, Maria
Hoffmann, Tammy
Harvey, Lisa
Taylor, Nicholas F
Greaves, Colin
Treacy, Daniel
Jennings, Matthew
Milat, Andrew
Bennell, Kim L
Howard, Kirsten
van den Berg, Maayken
Pinheiro, Marina
Wong, Siobhan
Kirkham, Catherine
Ramsay, Elizabeth
O'Rourke, Sandra
Sherrington, Catherine
author_sort Hassett, Leanne
collection PubMed
description INTRODUCTION: Mobility limitation is common and often results from neurological and musculoskeletal health conditions, ageing and/or physical inactivity. In consultation with consumers, clinicians and policymakers, we have developed two affordable and scalable intervention packages designed to enhance physical activity for adults with self-reported mobility limitations. Both are based on behaviour change theories and involve tailored advice from physiotherapists. METHODS AND ANALYSIS: This pragmatic hybrid effectiveness-implementation type 1 randomised control trial (n=600) will be undertaken among adults with self-reported mobility limitations. It aims to estimate the effects on physical activity of: (1) an enhanced 6-month intervention package (one face-to-face physiotherapy assessment, tailored physical activity plan, physical activity phone coaching from a physiotherapist, informational/motivational resources and activity monitors) compared with a less intensive 6-month intervention package (single session of tailored phone advice from a physiotherapist, tailored physical activity plan, unidirectional text messages, informational/motivational resources); (2) the enhanced intervention package compared with no intervention (6-month waiting list control group); and (3) the less intensive intervention package compared with no intervention (waiting list control group). The primary outcome will be average steps per day, measured with the StepWatch Activity Monitor over a 1-week period, 6 months after randomisation. Secondary outcomes include other physical activity measures, measures of health and functioning, individualised mobility goal attainment, mental well-being, quality of life, rate of falls, health utilisation and intervention evaluation. The hybrid effectiveness-implementation design (type 1) will be used to enable the collection of secondary implementation outcomes at the same time as the primary effectiveness outcome. An economic analysis will estimate the cost-effectiveness and cost-utility of the interventions compared with no intervention and to each other. ETHICS AND DISSEMINATION: Ethical approval has been obtained by Sydney Local Health District, Royal Prince Alfred Zone. Dissemination will be via publications, conferences, newsletters, talks and meetings with health managers. TRIAL REGISTRATION NUMBER: ACTRN12618001983291.
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spelling pubmed-76405032020-11-10 Physical activity coaching for adults with mobility limitations: protocol for the ComeBACK pragmatic hybrid effectiveness-implementation type 1 randomised controlled trial Hassett, Leanne Tiedemann, Anne Hinman, Rana S Crotty, Maria Hoffmann, Tammy Harvey, Lisa Taylor, Nicholas F Greaves, Colin Treacy, Daniel Jennings, Matthew Milat, Andrew Bennell, Kim L Howard, Kirsten van den Berg, Maayken Pinheiro, Marina Wong, Siobhan Kirkham, Catherine Ramsay, Elizabeth O'Rourke, Sandra Sherrington, Catherine BMJ Open Public Health INTRODUCTION: Mobility limitation is common and often results from neurological and musculoskeletal health conditions, ageing and/or physical inactivity. In consultation with consumers, clinicians and policymakers, we have developed two affordable and scalable intervention packages designed to enhance physical activity for adults with self-reported mobility limitations. Both are based on behaviour change theories and involve tailored advice from physiotherapists. METHODS AND ANALYSIS: This pragmatic hybrid effectiveness-implementation type 1 randomised control trial (n=600) will be undertaken among adults with self-reported mobility limitations. It aims to estimate the effects on physical activity of: (1) an enhanced 6-month intervention package (one face-to-face physiotherapy assessment, tailored physical activity plan, physical activity phone coaching from a physiotherapist, informational/motivational resources and activity monitors) compared with a less intensive 6-month intervention package (single session of tailored phone advice from a physiotherapist, tailored physical activity plan, unidirectional text messages, informational/motivational resources); (2) the enhanced intervention package compared with no intervention (6-month waiting list control group); and (3) the less intensive intervention package compared with no intervention (waiting list control group). The primary outcome will be average steps per day, measured with the StepWatch Activity Monitor over a 1-week period, 6 months after randomisation. Secondary outcomes include other physical activity measures, measures of health and functioning, individualised mobility goal attainment, mental well-being, quality of life, rate of falls, health utilisation and intervention evaluation. The hybrid effectiveness-implementation design (type 1) will be used to enable the collection of secondary implementation outcomes at the same time as the primary effectiveness outcome. An economic analysis will estimate the cost-effectiveness and cost-utility of the interventions compared with no intervention and to each other. ETHICS AND DISSEMINATION: Ethical approval has been obtained by Sydney Local Health District, Royal Prince Alfred Zone. Dissemination will be via publications, conferences, newsletters, talks and meetings with health managers. TRIAL REGISTRATION NUMBER: ACTRN12618001983291. BMJ Publishing Group 2020-11-03 /pmc/articles/PMC7640503/ /pubmed/33148720 http://dx.doi.org/10.1136/bmjopen-2019-034696 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Public Health
Hassett, Leanne
Tiedemann, Anne
Hinman, Rana S
Crotty, Maria
Hoffmann, Tammy
Harvey, Lisa
Taylor, Nicholas F
Greaves, Colin
Treacy, Daniel
Jennings, Matthew
Milat, Andrew
Bennell, Kim L
Howard, Kirsten
van den Berg, Maayken
Pinheiro, Marina
Wong, Siobhan
Kirkham, Catherine
Ramsay, Elizabeth
O'Rourke, Sandra
Sherrington, Catherine
Physical activity coaching for adults with mobility limitations: protocol for the ComeBACK pragmatic hybrid effectiveness-implementation type 1 randomised controlled trial
title Physical activity coaching for adults with mobility limitations: protocol for the ComeBACK pragmatic hybrid effectiveness-implementation type 1 randomised controlled trial
title_full Physical activity coaching for adults with mobility limitations: protocol for the ComeBACK pragmatic hybrid effectiveness-implementation type 1 randomised controlled trial
title_fullStr Physical activity coaching for adults with mobility limitations: protocol for the ComeBACK pragmatic hybrid effectiveness-implementation type 1 randomised controlled trial
title_full_unstemmed Physical activity coaching for adults with mobility limitations: protocol for the ComeBACK pragmatic hybrid effectiveness-implementation type 1 randomised controlled trial
title_short Physical activity coaching for adults with mobility limitations: protocol for the ComeBACK pragmatic hybrid effectiveness-implementation type 1 randomised controlled trial
title_sort physical activity coaching for adults with mobility limitations: protocol for the comeback pragmatic hybrid effectiveness-implementation type 1 randomised controlled trial
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7640503/
https://www.ncbi.nlm.nih.gov/pubmed/33148720
http://dx.doi.org/10.1136/bmjopen-2019-034696
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