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A theory-based, task-oriented, outdoor walking programme for older adults with difficulty walking outdoors: protocol for the Getting Older Adults Outdoors (GO-OUT) randomised controlled trial.

BMJ open
January 1, 1970
Nancy M Salbach et al. (10 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine if a community walking program (GO-OUT) increased outdoor walking activity more effectively than a workshop with weekly reminders in older adults with difficulty walking outdoors.

Results Summary

The study is designed to measure changes in outdoor walking time and secondary outcomes like physical activity, mobility, and quality of life, but results are not yet available (Pre-results).

Population

Older adults with difficulty walking outdoors in four urban Canadian communities.

Effective Dosage

10-week group outdoor walking program (two 1-hour sessions/week).

Duration

10 weeks (with follow-ups at 5.5 and 12 months).

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
theory-based, task-oriented, community walking programme
increase
outdoor walking activity
older adults
-
can increase
#1
Getting Older Adults Outdoors (GO-OUT) (1-day interactive workshop and outdoor walking programme)
neutral
outdoor walking activity
older adults with difficulty walking outdoors
-
difference in the change
#2
GO-OUT intervention (1-day workshop and 10-week group outdoor walking programme)
neutral
-
-
0.4
powered to detect an effect size of
#3
Abstract

INTRODUCTION: A theory-based, task-oriented, community walking programme can increase outdoor walking activity among older adults to optimise functional independence, social participation and well-being. The study objective is to determine if there is a difference in the change in outdoor walking activity from baseline to 10 weeks, 5.5 months and 12 months after receiving a 1-day interactive workshop and outdoor walking programme (Getting Older Adults Outdoors (GO-OUT)) compared with the workshop and weekly reminders (WR) in older adults with difficulty walking outdoors. METHODS AND ANALYSIS: A randomised controlled trial is being conducted in four urban Canadian communities. We will stratify 240 individuals by site and participant type (ie, individual vs spousal/friend pair) and randomise to either the GO-OUT or WR intervention. The GO-OUT intervention involves a 1-day workshop, where participants complete eight interactive stations to build knowledge and skills to walk outside, followed by a 10-week group outdoor walking programme (two 1-hour sessions/week) led by a physiotherapist or kinesiologist in parks. The WR intervention consists of the same workshop and 10 weekly telephone reminders to facilitate outdoor walking. The primary outcome measure is mean outdoor walking time in minutes/week derived from accelerometry and global positioning system data. GO-OUT is powered to detect an effect size of 0.4, given α=0.05, β=0.20, equal number of participants/group and a 20% attrition rate. Secondary outcomes include physical activity, lifespace mobility, participation, health-related quality of life, balance, leg strength, walking self-efficacy, walking speed, walking distance/endurance and mood. ETHICS AND DISSEMINATION: GO-OUT has received ethics approval at all sites. A Data Safety Monitoring Board will monitor adverse events. We will disseminate findings through lay summaries, conference presentations and journal articles. TRIAL REGISTRATION NUMBER: NCT03292510 (Pre-results).

Medical Subject Headings (MeSH)
AgedAged, 80 and overExercise TherapyFemaleHumansMaleMobility LimitationMovement DisordersQuality of LifeSocial ParticipationWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations19
Citations/Year3.2
Relative Citation Ratio1.69
NIH Percentile69.3%
Research Impact Scores
APT Score0.75
Weight Score1.80
Normalized Score0.67
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