Community based intervention effects on older adults’ physical activity and falls (Ready Steady 3.0)

Abstract

Less than 14% of older adults perform physical activities recommended by the CDC and WHO, which include fall reducing exercises.The purpose of the Ready Steady 3.0 trial was to test the main and interaction effects of two types of behavior change change strategies within an 8-week physical activity intervention, on physical activity (PA) and falls. The two types of behavior change strategies interpersonally oriented (e.g., peer to peer learning and sharing of barriers and problem solving) or intrapersonally oriented (e.g., setting personal goals and creating action plans), based on theory and evidence. To test their effects, 309 adults ≥ 70 years old were randomized to 1 of 4 conditions in a 2 × 2 full factorial trial. All participants received two core intervention components: the Otago Exercise Program adapted for small groups and a PA monitor. All interventions were delivered during 8 weekly, small group, meetings in community settings. The primary outcome of PA, measured objectively, and secondary outcomes of falls and the quality of life were assessed at four time points: baseline and post-intervention: 1 week, 6 months, and 12 months. The data collected for Ready Steady 3.0 will be shared to enhance its understanding and to make it available for pooling of data with multiple trials to extend scientific findings beyond those available from a single study,