BIROn - Birkbeck Institutional Research Online

    On your feet to earn your seat: pilot RCT of a theory-based sedentary behaviour reduction intervention for older adults

    White, I. and Smith, L. and Aggio, D. and Shankar, S. and Begum, S. and Matei, Raluca and Fox, K. and Hamer, M. and Iliffe, S. and Jefferis, B. and Tyler, N. and Gardner, B. (2017) On your feet to earn your seat: pilot RCT of a theory-based sedentary behaviour reduction intervention for older adults. BMC Pilot and Feasibility Studies 3 , p. 23. ISSN 2055-5784.

    [img]
    Preview
    Text
    30974.pdf - Published Version of Record
    Available under License Creative Commons Attribution.

    Download (752kB) | Preview

    Abstract

    Background: Of all age groups, older adults spend most of the time sitting and are least physically active. This sequential, mixed-methods feasibility study used a randomised controlled trial design to assess methods for trialling a habit-based intervention to displace older adults’ sedentary behaviour with light activity and explore impact on behavioural outcomes. Methods: Eligibility criteria were age 60–74 years, retired, and ≥6 h/day leisure sitting. Data were collected across four sites in England. The intervention comprised a booklet outlining 15 ‘tips’ for disrupting sedentary habits and integrating activity habits into normally inactive settings, and eight weekly self-monitoring sheets. The control was a non-habit-based factsheet promoting activity and sedentary reduction. A computer-generated 1:1 block-randomisation schedule was used, with participants blinded to allocation. Participants self-reported sedentary behaviour (two indices), sedentary habit, physical activity (walking, moderate, vigorous activity) and activity habit, at pre-treatment baseline, 8- and 12-week follow-ups and were interviewed at 12 weeks. Primary feasibility outcomes were attrition, adverse events and intervention adherence. The secondary outcome was behavioural change. Results; Of 104 participants consented, 103 were randomised (intervention N = 52, control N = 51). Of 98 receiving allocated treatment, 91 (93%; intervention N = 45; control N = 46) completed the trial. One related adverse event was reported in the intervention group. Mean per-tip adherence across 7 weeks was ≥50% for 9/15 tips. Qualitative data suggested acceptability of procedures, and, particularly among intervention recipients, the allocated treatment. Both groups appeared to reduce sedentary behaviour and increase their physical activity, but there were no apparent differences between groups in the extent of change. Conclusions: Trial methods were acceptable and feasible, but the intervention conferred no apparent advantage over control, though it was not trialled among the most sedentary and inactive population for whom it was developed. Further development of the intervention may be necessary prior to a large-scale definitive trial. One possible refinement would combine elements of the intervention with an informational approach to enhance effectiveness.

    Metadata

    Item Type: Article
    Keyword(s) / Subject(s): Older adults, Sedentary behaviour, Sitting, Physical activity, Intervention, Habit, Behaviour change
    School: Birkbeck Schools and Departments > School of Business, Economics & Informatics > Management
    Divisions > Birkbeck Schools and Departments > School of Business, Economics & Informatics > Management
    Research Centres and Institutes: Sustainable Working Life, Centre for
    Depositing User: Raluca Matei
    Date Deposited: 04 Mar 2020 14:37
    Last Modified: 29 Jun 2020 21:50
    URI: http://eprints.bbk.ac.uk/id/eprint/30974

    Statistics

    Downloads
    Activity Overview
    26Downloads
    21Hits

    Additional statistics are available via IRStats2.

    Archive Staff Only (login required)

    Edit/View Item Edit/View Item