Exercise referral schemes enhanced by self-management strategies to reduce sedentary behaviour and increase physical activity among community-dwelling older adults from four European countries: protocol for the process evaluation of the SITLESS randomised controlled trial
Por:
Coll-Planas, L, Alias, SB, Tully, M, Caserotti, P, Gine-Garriga, M, Blackburn, N, Skjodt, M, Wirth, K, Deidda, M, McIntosh, E, Rothenbacher, D, Rodriguez, RG, Jerez-Roig, J, Sansano-Nadal, O, Santiago, M, Wilson, J, Guerra-Balic, M, Martin-Borras, C, Gonzalez, D, Lefebvre, G, Denkinger, M, Kee, F, Casanovas, AS, Figuls, MRI
Publicada:
1 jun 2019
Resumen:
Introduction SITLESS is a randomised controlled trial determining whether exercise referral schemes can be enhanced by self-management strategies to reduce sedentary behaviour and increase physical activity in the long term, in community-dwelling older citizens. The intervention is complex and requires a process evaluation to understand how implementation, causal mechanisms and context shape outcomes. The specific aims are to assess fidelity and reach of the implementation, understand the contextual aspects of each intervention site, evaluate the mechanisms of impact, and explore perceived effects.
Methods and analysis Following the Medical Research Council guidance on complex interventions, a combination of qualitative and quantitative procedures is applied, including observational checklists and attendance registries, standardised scales (ie, Marcus's Self-Efficacy Questionnaire, Physical Activity Self-Regulation Scale and the Lubben Social Network Scale) at baseline, postintervention and follow-up assessments, semistructured questionnaires gathering contextual characteristics, and participant observations of the sessions. Semistructured interviews and focus groups with the participants and trainers are conducted at postintervention and during the follow-up to explore their experiences. Outcomes from the standardised scales are analysed as moderators within the impact evaluation. Descriptive results on context and perceived effects complement results on impact. The qualitative and quantitative findings will help to refine the logic model to finally support the interpretation of the results on the effectiveness of the intervention.
Ethics and dissemination The study design was approved by the respective Ethical Committee of Ramon Llull University, Southern Denmark, Northern Ireland and Ulm University. Participation is voluntary, and all participants are asked to sign informed consent before starting the study. A dissemination plan operationalises how to achieve a social impact by reaching academic and non-academic stakeholders. A data management plan describes the specific data sets and regulates its deposition and curation. All publications will be open access.
Filiaciones:
Coll-Planas, L:
Univ Autonoma Barcelona, Fdn Hlth & Ageing, UAB, Barcelona, Spain
Inst Biomed Res IIB St Pau, Barcelona, Spain
Alias, SB:
Univ Autonoma Barcelona, Fdn Hlth & Ageing, UAB, Barcelona, Spain
Inst Biomed Res IIB St Pau, Barcelona, Spain
Tully, M:
Ulster Univ, Sch Hlth Sci, Inst Mental Hlth Sci, Newtownabbey, North Ireland
Queens Univ, Belfast Sch Med Dent & Biomed Sci, UKCRC Ctr Excellence Publ Hlth NI, Ctr Publ Hlth, Belfast, Antrim, North Ireland
Caserotti, P:
Univ So Denmark, Ctr Act & Hlth Ageing CAHA, Dept Sports Sci & Clin Biomech, Odense, Denmark
Gine-Garriga, M:
Glasgow Caledonian Univ, Sch Hlth & Life Sci, Glasgow, Lanark, Scotland
Ramon Llull Univ, Fac Psychol Educ & Sport Sci FPCEE Blanquerna, Dept Phys Act & Sport Sci, Barcelona, Spain
Blackburn, N:
Ulster Univ, Sch Hlth Sci, Inst Mental Hlth Sci, Newtownabbey, North Ireland
Queens Univ, Belfast Sch Med Dent & Biomed Sci, UKCRC Ctr Excellence Publ Hlth NI, Ctr Publ Hlth, Belfast, Antrim, North Ireland
Skjodt, M:
Univ So Denmark, Ctr Act & Hlth Ageing CAHA, Dept Sports Sci & Clin Biomech, Odense, Denmark
Wirth, K:
Univ Ulm, Inst Epidemiol & Med Biometry, Ulm, Germany
Ulm Univ, Agaples Bethesda Clin, Geriatr Res Unit, Ulm, Germany
Univ Ulm, Geriatr Ctr Ulm Alb Donau, Ulm, Germany
Deidda, M:
Univ Glasgow, Hlth Econ & Hlth Technol Assessment HEHTA, Inst Hlth & Wellbeing, Glasgow, Lanark, Scotland
McIntosh, E:
Univ Glasgow, Hlth Econ & Hlth Technol Assessment HEHTA, Inst Hlth & Wellbeing, Glasgow, Lanark, Scotland
Rothenbacher, D:
Univ Ulm, Inst Epidemiol & Med Biometry, Ulm, Germany
Rodriguez, RG:
Univ Catolica Santisima Concepcion, Dept Ciencias Deporte & Acondicionamiento Fis, CEADE, Concepcion, Chile
Jerez-Roig, J:
Ramon Llull Univ, Fac Psychol Educ & Sport Sci FPCEE Blanquerna, Dept Phys Act & Sport Sci, Barcelona, Spain
Univ Vic, Univ Cent Catalunya, Res Grp Methodol Methods Models & Outcomes Hlth &, Fac Hlth Sci & Welf,Ctr Hlth & Social Care Res Le, Catalunya, Spain
Sansano-Nadal, O:
Ramon Llull Univ, Fac Psychol Educ & Sport Sci FPCEE Blanquerna, Dept Phys Act & Sport Sci, Barcelona, Spain
Santiago, M:
Ramon Llull Univ, Fac Psychol Educ & Sport Sci FPCEE Blanquerna, Dept Phys Act & Sport Sci, Barcelona, Spain
Wilson, J:
Ulster Univ, Sch Hlth Sci, Inst Mental Hlth Sci, Newtownabbey, North Ireland
Queens Univ, Belfast Sch Med Dent & Biomed Sci, UKCRC Ctr Excellence Publ Hlth NI, Ctr Publ Hlth, Belfast, Antrim, North Ireland
Guerra-Balic, M:
Ramon Llull Univ, Fac Psychol Educ & Sport Sci FPCEE Blanquerna, Dept Phys Act & Sport Sci, Barcelona, Spain
Martin-Borras, C:
Ramon Llull Univ, Fac Psychol Educ & Sport Sci FPCEE Blanquerna, Dept Phys Act & Sport Sci, Barcelona, Spain
Ramon Llull Univ, Fac Hlth Sci FCS Blanquerna, Dept Phys Therapy, Barcelona, Spain
Gonzalez, D:
Sport Initiat & Loisir Bleu Assoc, Strasbourg, France
Lefebvre, G:
Sport Initiat & Loisir Bleu Assoc, Strasbourg, France
Denkinger, M:
Ulm Univ, Agaples Bethesda Clin, Geriatr Res Unit, Ulm, Germany
Univ Ulm, Geriatr Ctr Ulm Alb Donau, Ulm, Germany
Kee, F:
Queens Univ, Belfast Sch Med Dent & Biomed Sci, UKCRC Ctr Excellence Publ Hlth NI, Ctr Publ Hlth, Belfast, Antrim, North Ireland
Casanovas, AS:
Univ Autonoma Barcelona, Fdn Hlth & Ageing, UAB, Barcelona, Spain
Inst Biomed Res IIB St Pau, Barcelona, Spain
Figuls, MRI:
Univ Autonoma Barcelona, Fdn Hlth & Ageing, UAB, Barcelona, Spain
Inst Biomed Res IIB St Pau, Barcelona, Spain
Gold, Green Accepted, Green Published
|