TY - JOUR AU - Tiedemann A. AU - Lindley R. AU - Tong A. AU - Rissel C. AU - Merom D. AU - Allman-Farinelli M. AU - Bauman A. AU - Simpson J. AU - Lord S. AU - Howard K. AU - Vogler C. AU - Sherrington C. AU - Smith S. AU - Wickham J. AB -

INTRODUCTION: Prevention of falls and promotion of physical activity are essential for maximising well-being in older age. However, there is evidence that promoting physical activity among older people without providing fall prevention advice may increase fall rates. This trial aims to establish the impact of a physical activity and fall prevention programme compared with a healthy eating programme on physical activity and falls among people aged 60+ years. METHODS AND ANALYSIS: This cluster randomised controlled trial will involve 60 groups of community-dwelling people aged 60+ years. Participating groups will be randomised to: (1) a physical activity and fall prevention intervention (30 groups), involving written information, fall risk assessment and prevention advice, a pedometer-based physical activity tracker and telephone-based health coaching; or (2) a healthy eating intervention (30 groups) involving written information and telephone-based dietary coaching. Primary outcomes will be objectively measured physical activity at 12 months post-randomisation and self-reported falls throughout the 12-month trial period. Secondary outcomes include: the proportion of fallers, the proportion of people meeting the Australian physical activity guidelines, body mass index, eating habits, mobility goal attainment, mobility-related confidence, quality of life, fear of falling, risk-taking behaviour, mood, well-being, self-reported physical activity, disability, and health and community service use. The between-group difference in the number of falls per person-year will be analysed using negative binomial regression models. For the continuously scored primary and secondary outcome measures, linear regression adjusted for corresponding baseline scores will assess the effect of group allocation. Analyses will be preplanned, conducted while masked to group allocation, will take into account cluster randomisation, and will use an intention-to-treat approach. ETHICS AND DISSEMINATION: Protocol has been approved by the Human Research Ethics Committee at The University of Sydney, Australia (number 2015/517). Results will be disseminated via peer-reviewed journal articles, international conference presentations and participants' newsletters. TRIAL REGISTRATION NUMBER: ACTRN12615001190594.

AD - The George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Sydney School of Public Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
School of Science and Health, Western Sydney University, Sydney, New South Wales, Australia.
Faculty of Arts and Business, University of the Sunshine Coast, Sippy Downs, Queensland, Australia.
School of Biomedical Sciences, Charles Sturt University, Orange, New South Wales, Australia.
Neuroscience Research Australia, University of New South Wales, Randwick, New South Wales, Australia.
Northern Clinical School, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia Department of Aged Care, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia. AN - 27165652 BT - BMJ Open DP - NLM ET - 2016/05/12 LA - eng LB - AUS
MSK
PROF
FY16 M1 - 5 N1 - Tiedemann, Anne
Rissel, Chris
Howard, Kirsten
Tong, Allison
Merom, Dafna
Smith, Stuart
Wickham, James
Bauman, Adrian
Lord, Stephen R
Vogler, Constance
Lindley, Richard I
Simpson, Judy M
Allman-Farinelli, Margaret
Sherrington, Catherine
England
BMJ Open. 2016 May 10;6(5):e012277. doi: 10.1136/bmjopen-2016-012277. N2 -

INTRODUCTION: Prevention of falls and promotion of physical activity are essential for maximising well-being in older age. However, there is evidence that promoting physical activity among older people without providing fall prevention advice may increase fall rates. This trial aims to establish the impact of a physical activity and fall prevention programme compared with a healthy eating programme on physical activity and falls among people aged 60+ years. METHODS AND ANALYSIS: This cluster randomised controlled trial will involve 60 groups of community-dwelling people aged 60+ years. Participating groups will be randomised to: (1) a physical activity and fall prevention intervention (30 groups), involving written information, fall risk assessment and prevention advice, a pedometer-based physical activity tracker and telephone-based health coaching; or (2) a healthy eating intervention (30 groups) involving written information and telephone-based dietary coaching. Primary outcomes will be objectively measured physical activity at 12 months post-randomisation and self-reported falls throughout the 12-month trial period. Secondary outcomes include: the proportion of fallers, the proportion of people meeting the Australian physical activity guidelines, body mass index, eating habits, mobility goal attainment, mobility-related confidence, quality of life, fear of falling, risk-taking behaviour, mood, well-being, self-reported physical activity, disability, and health and community service use. The between-group difference in the number of falls per person-year will be analysed using negative binomial regression models. For the continuously scored primary and secondary outcome measures, linear regression adjusted for corresponding baseline scores will assess the effect of group allocation. Analyses will be preplanned, conducted while masked to group allocation, will take into account cluster randomisation, and will use an intention-to-treat approach. ETHICS AND DISSEMINATION: Protocol has been approved by the Human Research Ethics Committee at The University of Sydney, Australia (number 2015/517). Results will be disseminated via peer-reviewed journal articles, international conference presentations and participants' newsletters. TRIAL REGISTRATION NUMBER: ACTRN12615001190594.

PY - 2016 SN - 2044-6055 (Electronic) EP - e012277 T2 - BMJ Open TI - Health coaching and pedometers to enhance physical activity and prevent falls in community-dwelling people aged 60 years and over: study protocol for the Coaching for Healthy AGEing (CHAnGE) cluster randomised controlled trial VL - 6 Y2 - FY16 ER -