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. 2018 Jan 22;19(1):57.
doi: 10.1186/s13063-017-2425-2.

MOVING: Motivation-Oriented interVention study for the elderly IN Greifswald: study protocol for a randomized controlled trial

Fabian Kleinke  1   2 , Thea Schwaneberg  3   4 , Franziska Weymar  3   4   5 , Peter Penndorf  3   4 , Sabina Ulbricht  4   5 , Kristin Lehnert  4   6 , Marcus Dörr  4   6 , Wolfgang Hoffmann  3   4 , Neeltje van den Berg  3   4
Affiliations

MOVING: Motivation-Oriented interVention study for the elderly IN Greifswald: study protocol for a randomized controlled trial

Fabian Kleinke et al. Trials. .

Abstract

Background: Cardiovascular diseases (CVD) are the leading cause of mortality. In 2014, they were responsible for 38.9% of all causes of death in Germany. One major risk factor for CVD is a lack of physical activity (PA). A health-promoting lifestyle including regular PA and minimizing sitting time (ST) in daily life is a central preventive measure. Previous studies have shown that PA decreases in older age; 2.4-29% of the people aged over 60 years achieve the World Health Organization recommendations. This age group spends on average 9.4 h per day in sedentary activities. To increase PA and decrease ST, a low-threshold intervention, consisting of individualized feedback letters based on objectively measured data of PA and ST, was developed. The research question is: Do individual feedback letters, based on accelerometer data, have a positive effect on PA and ST?

Methods/design: MOVING is a two-arm, randomized controlled trial. Inclusion criteria are age ≥ 65 years and the ability to be physically active. Exclusion criteria are the permanent use of a wheelchair and simultaneous participation in another study on PA. At baseline participants who give informed consent will receive general information and recommendations about the positive effects of regular PA and less ST. Participants of both groups will receive an accelerometer device, which records PA and ST over a period of seven consecutive days following by a randomization. Participants in the intervention group will receive automatically generated, individualized feedback letters by mail based on their PA and ST at baseline and at 3-month follow-up. Further follow-up examinations will be carried out at 6 and 12 months. The primary outcome is the increase of PA and the reduction of ST after 6 months in the intervention group compared to the control group.

Discussion: The goal of the study is to examine the effects of a simple feedback intervention on PA and ST in elderly people. We aim to achieve an effect of 20% increase in moderate-to-vigorous physical activity (MVPA). The intervention may have the potential to decrease crucial cardiovascular risk factors and, therefore, contribute to prevention of CVD.

Trial registration: German Clinical Trials Register, ID: DRKS00010410 . Registered on 17 May 2017.

Keywords: Accelerometry; Behavior change; Elderly individuals (people); Intervention; Physical activity; RCT; Sedentary behavior; motivation.

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Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the Ethics Committee of the University Medicine Greifswald (ethic approval BB071/16).

All participants have to provide their written informed consent before they can participate in the study. The original declaration remains in the examination center, participants will receive a copy. Study participants can withdraw their consent any time without negative consequences for them.

Consent for publication

Not applicable

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Flow chart of the study
Fig. 2
Fig. 2
Schedule of enrollment, interventions, and assessments
Fig. 3
Fig. 3
Graph of steps taken per day
Fig. 4
Fig. 4
Graph intensity of physical activity (PA) per day
Fig. 5
Fig. 5
Graph of specific physical activity (PA) and sitting time (ST)
See this image and copyright information in PMC

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