Article Text

Download PDFPDF

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
  1. Nancy M Salbach1,2,
  2. Ruth Barclay3,
  3. Sandra C Webber3,
  4. C A Jones4,
  5. Nancy E Mayo5,
  6. Lisa M Lix6,
  7. Jacquie Ripat7,
  8. Theresa Grant8,
  9. Cornelia van Ineveld9,
  10. Philip D Chilibeck10
  1. 1Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada
  2. 2Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada
  3. 3Department of Physical Therapy, University of Manitoba, Winnipeg, Manitoba, Canada
  4. 4Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada
  5. 5School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada
  6. 6Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
  7. 7Department of Occupational Therapy, University of Manitoba, Winnipeg, Manitoba, Canada
  8. 8Bruyere Research Institute, Ottawa, Ontario, Canada
  9. 9Section of Geriatric Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
  10. 10College of Kinesiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
  1. Correspondence to Dr Nancy M Salbach; nancy.salbach{at}utoronto.ca

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).

  • older
  • adults
  • outdoor
  • walking
  • physical activity
  • randomized trial protocol
  • task-oriented training
  • community exercise program

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 non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

Statistics from Altmetric.com

Footnotes

  • Contributors NMS co-led the conceptualisation, design and implementation of this research protocol. She was the primary author for this manuscript. RB co-led the conceptualisation, design and implementation of this research protocol. She is a contributing author for this manuscript. SCW led the development of the data collection and analysis plan for the primary outcome measure and contributed to the conceptualisation and design of this research protocol. She is a contributing author for this manuscript. CAJ contributed to the design and implementation of this research protocol. She is a contributing author for this manuscript. NEM contributed to the conceptualisation, design and implementation of this research protocol. She is a contributing author for this manuscript. LML led the development of the statistical analysis plan and contributed to the design of this research protocol. She is a contributing author for this manuscript. JR led the development of the qualitative data analysis plan and contributed to the design of this research protocol. She is a contributing author for this manuscript. TG contributed to the design of this research protocol. She is a contributing author for this manuscript. CvI led the development of the falls risk screening plan and contributed to the design of this research protocol. She is a contributing author for this manuscript. PDC represents the study sponsor, the Canadian Society for Exercise Physiology (www.csep.ca). He contributed to the design of this research protocol and led development of the dissemination plan. He is a contributing author for this manuscript.

  • Funding This work is supported by the Canadian Institutes of Health Research, grant number 376439. NMS is supported by a Heart and Stroke Foundation Mid-Career Investigator Award.

  • Competing interests None declared.

  • Ethics approval Research ethics boards at the University of Toronto, University of Manitoba, University of Alberta and McGill University have approved the study protocol.

  • Provenance and peer review Not commissioned; peer reviewed for ethical and funding approval prior to submission.

  • Patient consent for publication Not required.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.