An intervention to increase physical activity in care home residents: results of a cluster-randomised, controlled feasibility trial (the REACH trial)

Abstract Background Care home (CH) residents are mainly inactive, leading to increased dependency and low mood. Strategies to improve activity are required. Design and setting Cluster randomised controlled feasibility trial with embedded process and health economic evaluations. Twelve residential CH...

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Bibliographic Details
Published in:Age and ageing 2021-11, Vol.50 (6), p.2063-2078
Main Authors: Forster, Anne, Airlie, Jennifer, Ellwood, Alison, Godfrey, Mary, Green, John, Cundill, Bonnie, Dawkins, Bryony, McMaster, Nicola, Hulme, Claire, Cicero, Robert, McLellan, Vicki, Graham, Liz, Gallagher, Bev, Ellard, David R, Firth, Joan, Farrin, Amanda
Format: Article
Language:English
Subjects:
Cognitive ability
Cognitive impairment
Data collection
Dependency
Exercise
Feasibility
Inactive
Intervention
Mobility
Mood
Personal safety
Physical ability
Physical activity
Quality of life
Recruitment
Research Paper
Residential care
Safety
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Summary:Abstract Background Care home (CH) residents are mainly inactive, leading to increased dependency and low mood. Strategies to improve activity are required. Design and setting Cluster randomised controlled feasibility trial with embedded process and health economic evaluations. Twelve residential CHs in Yorkshire, United Kingdom, were randomised to the MoveMore intervention plus usual care (UC) (n = 5) or UC only (n = 7). Participants Permanent residents aged ≥65 years. Intervention MoveMore: a whole home intervention involving all CH staff designed to encourage and support increase in movement of residents. Objectives and measurements Feasibility objectives relating to recruitment, intervention delivery, data collection and follow-up and safety concerns informed the feasibility of progression to a definitive trial. Data collection at baseline, 3, 6 and 9 months included: participants’ physical function and mobility, perceived health, mood, quality of life, cognitive impairment questionnaires; accelerometry; safety data; intervention implementation. Results 300 residents were screened; 153 were registered (62 MoveMore; 91 UC). Average cluster size: MoveMore: 12.4 CHs; UC: 13.0 CHs. There were no CH/resident withdrawals. Forty (26.1%) participants were unavailable for follow-up: 28 died (12 MoveMore; 16 UC); 12 moved from the CH. Staff informant/proxy data collection for participants was >80%; data collection from participants was
ISSN:0002-0729
1468-2834
DOI:10.1093/ageing/afab130