Health coaching and pedometers to enhance physical activity and prevent falls in community-dwelling people aged 60 years and over: study protocol for the Coaching for Healthy AGEing (CHAnGE) cluster randomised controlled trial

Anne Tiedemann; Chris Rissel; Kirsten Howard; Allison Tong; Dafna Merom; Stuart T Smith; James Wickman; Adrian Bauman; Stephen R Lord; Constance Vogler; Richard I Lindley; Judy M Simpson; Margaret Allman-Farinelli; Catherine Sherrington

doi:10.1136/bmjopen-2016-012277

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Health coaching and pedometers to enhance physical activity and prevent falls in community-dwelling people aged 60 years and over: study protocol for the Coaching for Healthy AGEing (CHAnGE) cluster randomised controlled trial

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Health coaching and pedometers to enhance physical activity and prevent falls in community-dwelling people aged 60 years and over: study protocol for the Coaching for Healthy AGEing (CHAnGE) cluster randomised controlled trial

Anne Tiedemann, Chris Rissel, Kirsten Howard, Allison Tong, Dafna Merom, Stuart T Smith, James Wickman, Adrian Bauman, Stephen R Lord, Constance Vogler, …

BMJ Open, Vol.6(5), e012277

2016

DOI: https://doi.org/10.1136/bmjopen-2016-012277

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Abstract

Introduction Prevention of falls and promotion of physical activity are essential for maximising well-being in older age. However, there is evidence that promoting physical activity among older people without providing fall prevention advice may increase fall rates. This trial aims to establish the impact of a physical activity and fall prevention programme compared with a healthy eating programme on physical activity and falls among people aged 60+ years. Methods and analysis This cluster randomised controlled trial will involve 60 groups of community-dwelling people aged 60+ years. Participating groups will be randomised to: (1) a physical activity and fall prevention intervention (30 groups), involving written information, fall risk assessment and prevention advice, a pedometer-based physical activity tracker and telephone-based health coaching; or (2) a healthy eating intervention (30 groups) involving written information and telephone-based dietary coaching. Primary outcomes will be objectively measured physical activity at 12 months post-randomisation and self-reported falls throughout the 12-month trial period. Secondary outcomes include: the proportion of fallers, the proportion of people meeting the Australian physical activity guidelines, body mass index, eating habits, mobility goal attainment, mobility-related confidence, quality of life, fear of falling, risk-taking behaviour, mood, well-being, self-reported physical activity, disability, and health and community service use. The between-group difference in the number of falls per person-year will be analysed using negative binomial regression models. For the continuously scored primary and secondary outcome measures, linear regression adjusted for corresponding baseline scores will assess the effect of group allocation. Analyses will be preplanned, conducted while masked to group allocation, will take into account cluster randomisation, and will use an intention-to-treat approach. Ethics and dissemination Protocol has been approved by the Human Research Ethics Committee at The University of Sydney, Australia (number 2015/517). Results will be disseminated via peer-reviewed journal articles, international conference presentations and participants' newsletters. Trial registration number ACTRN12615001190594.

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Title: Health coaching and pedometers to enhance physical activity and prevent falls in community-dwelling people aged 60 years and over: study protocol for the Coaching for Healthy AGEing (CHAnGE) cluster randomised controlled trial
Authors: Anne Tiedemann (Author) - University of Sydney
Chris Rissel (Author) - University of Sydney
Kirsten Howard (Author) - University of Sydney
Allison Tong (Author) - University of Sydney
Dafna Merom (Author) - Western Sydney University
Stuart T Smith (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
James Wickman (Author) - Charles Sturt University
Adrian Bauman (Author) - University of Sydney
Stephen R Lord (Author) - University of New South Wales
Constance Vogler (Author) - University of Sydney
Richard I Lindley (Author) - University of Sydney
Judy M Simpson (Author) - University of Sydney
Margaret Allman-Farinelli (Author) - University of Sydney
Catherine Sherrington (Author) - University of Sydney
Publication details: BMJ Open, Vol.6(5), e012277; 9
Publisher: B M J Group
Date published: 2016
DOI: 10.1136/bmjopen-2016-012277
ISSN: 2044-6055
Copyright note: Copyright © 2016 The Author. 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 noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http:// creativecommons.org/licenses/by-nc/4.0/
Organisation Unit: University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99449713002621
Output Type: Journal article

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