Multilevel Intervention for Physical Activity in Retirement Communities
| Status: | Completed |
|---|---|
| Conditions: | High Blood Pressure (Hypertension) |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 65 - Any |
| Updated: | 4/21/2016 |
| Start Date: | January 2011 |
| End Date: | July 2014 |
MIPARC - Multilevel Intervention for Physical Activity in Retirement Communities
The purpose of this study is to assess whether a 6-month multilevel physical activity
intervention can significantly increase physical activity levels in sedentary adults, 65 and
older, living in Continuing Care Retirement Communities (CCRCs).
Sedentary residents (N=320)in 16 CCRCs will receive the multilevel MIPARC intervention or a
control health education program for 6 months. A group randomized control design will be
employed with site as the unit of randomization. The intervention is delivered through group
sessions, phone calls, printed materials, tailored signage and mapping and targeted peer led
advocacy efforts.
intervention can significantly increase physical activity levels in sedentary adults, 65 and
older, living in Continuing Care Retirement Communities (CCRCs).
Sedentary residents (N=320)in 16 CCRCs will receive the multilevel MIPARC intervention or a
control health education program for 6 months. A group randomized control design will be
employed with site as the unit of randomization. The intervention is delivered through group
sessions, phone calls, printed materials, tailored signage and mapping and targeted peer led
advocacy efforts.
Objective monitoring of physical activity suggests that fewer than 3% of adults over age 60
meet current physical activity guidelines. Ecological models posit that behavioral
interventions are most effective when they operate on multiple levels. The MIPARC study
intervenes on four levels: individual (pedometer-based self monitoring, educational
materials and monthly counseling calls), interpersonal (monthly group sessions and peer
mentoring), environment (walking signage prompts, tailored walking maps, step counts)and
policies (review of on-site activity opportunities and walkability, recommendations for
change and peer led advocacy)to increase the activity levels of residents. The study
promotes walking as the primary means to increase light to moderate PA, with a secondary
focus on strength and flexibility and decreased sedentary behavior.
As most Continuing Care Retirement Communities have management structures that provide the
opportunity to improve the social and built environments for physical activity and walking,
this study also aims to train participants on how to advocate for improvements in the
environment that would improve walkability.
meet current physical activity guidelines. Ecological models posit that behavioral
interventions are most effective when they operate on multiple levels. The MIPARC study
intervenes on four levels: individual (pedometer-based self monitoring, educational
materials and monthly counseling calls), interpersonal (monthly group sessions and peer
mentoring), environment (walking signage prompts, tailored walking maps, step counts)and
policies (review of on-site activity opportunities and walkability, recommendations for
change and peer led advocacy)to increase the activity levels of residents. The study
promotes walking as the primary means to increase light to moderate PA, with a secondary
focus on strength and flexibility and decreased sedentary behavior.
As most Continuing Care Retirement Communities have management structures that provide the
opportunity to improve the social and built environments for physical activity and walking,
this study also aims to train participants on how to advocate for improvements in the
environment that would improve walkability.
Inclusion Criteria:
- Over the age of 65
- Able to walk
- Able to speak and write in English
- No cognitive, vision or hearing impairments that would prevent provision of informed
consent, comprehension of instructions, completion of surveys and participation in
phone conversations
- Able to complete the Timed Up and Go Test to assess falls risk within 14 seconds
- Live within the selected retirement community (facility-dwelling)
- Will be in San Diego for the duration of the study
- Provision of consent to participate
- Willing to wear a pedometer and GPS device
- Willing to complete all surveys and attend weekly meetings
- Currently walking between 1000-5000 steps
- No history of falls in previous 3 months
- Physician clearance to participate
Exclusion Criteria:
- Inability to give informed, voluntary consent
- Inability to complete assessments
- Lack of written physician consent to participate in unsupervised light-to-moderate
intensity walking
- Daily physical activity of >1000 steps per day or <5000 steps per day during seven
days
- Inability to speak and read English
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