Exercise referral schemes enhanced by self-management strategies to reduce sedentary behaviour and increase physical activity among community-dwelling older adults from four European countries: Protocol for the process evaluation of the SITLESS randomised controlled trial

SITLESS group

Research output: Contribution to journalJournal articleResearchpeer-review

80 Downloads (Pure)

Abstract

Introduction: SITLESS is a randomised controlled trial determining whether exercise referral schemes can be enhanced by self-management strategies to reduce sedentary behaviour and increase physical activity in the long term, in community-dwelling older citizens. The intervention is complex and requires a process evaluation to understand how implementation, causal mechanisms and context shape outcomes. The specific aims are to assess fidelity and reach of the implementation, understand the contextual aspects of each intervention site, evaluate the mechanisms of impact, and explore perceived effects. Methods and analysis: Following the Medical Research Council guidance on complex interventions, a combination of qualitative and quantitative procedures is applied, including observational checklists and attendance registries, standardised scales (ie, Marcus's Self-Efficacy Questionnaire, Physical Activity Self-Regulation Scale and the Lubben Social Network Scale) at baseline, postintervention and follow-up assessments, semistructured questionnaires gathering contextual characteristics, and participant observations of the sessions. Semistructured interviews and focus groups with the participants and trainers are conducted at postintervention and during the follow-up to explore their experiences. Outcomes from the standardised scales are analysed as moderators within the impact evaluation. Descriptive results on context and perceived effects complement results on impact. The qualitative and quantitative findings will help to refine the logic model to finally support the interpretation of the results on the effectiveness of the intervention. Ethics and dissemination: The study design was approved by the respective Ethical Committee of Ramon Llull University, Southern Denmark, Northern Ireland and Ulm University. Participation is voluntary, and all participants are asked to sign informed consent before starting the study. A dissemination plan operationalises how to achieve a social impact by reaching academic and non-academic stakeholders. A data management plan describes the specific data sets and regulates its deposition and curation. All publications will be open access.

Original languageEnglish
Article numbere027073
JournalBMJ Open
Volume9
Issue number6
Number of pages9
ISSN2044-6055
DOIs
Publication statusPublished - 14. Jun 2019

Fingerprint

Independent Living
Referral and Consultation
Randomized Controlled Trials
Northern Ireland
Self Efficacy
Denmark
Focus Groups
Informed Consent
Checklist
Ethics
Registries
Publications
Biomedical Research
Interviews
Surveys and Questionnaires
Datasets
Self-Control

Keywords

  • epidemiology
  • geriatric medicine
  • public health

Cite this

@article{bc7c77ce654c47a888c1b4908ecea44b,
title = "Exercise referral schemes enhanced by self-management strategies to reduce sedentary behaviour and increase physical activity among community-dwelling older adults from four European countries: Protocol for the process evaluation of the SITLESS randomised controlled trial",
abstract = "Introduction: SITLESS is a randomised controlled trial determining whether exercise referral schemes can be enhanced by self-management strategies to reduce sedentary behaviour and increase physical activity in the long term, in community-dwelling older citizens. The intervention is complex and requires a process evaluation to understand how implementation, causal mechanisms and context shape outcomes. The specific aims are to assess fidelity and reach of the implementation, understand the contextual aspects of each intervention site, evaluate the mechanisms of impact, and explore perceived effects. Methods and analysis: Following the Medical Research Council guidance on complex interventions, a combination of qualitative and quantitative procedures is applied, including observational checklists and attendance registries, standardised scales (ie, Marcus's Self-Efficacy Questionnaire, Physical Activity Self-Regulation Scale and the Lubben Social Network Scale) at baseline, postintervention and follow-up assessments, semistructured questionnaires gathering contextual characteristics, and participant observations of the sessions. Semistructured interviews and focus groups with the participants and trainers are conducted at postintervention and during the follow-up to explore their experiences. Outcomes from the standardised scales are analysed as moderators within the impact evaluation. Descriptive results on context and perceived effects complement results on impact. The qualitative and quantitative findings will help to refine the logic model to finally support the interpretation of the results on the effectiveness of the intervention. Ethics and dissemination: The study design was approved by the respective Ethical Committee of Ramon Llull University, Southern Denmark, Northern Ireland and Ulm University. Participation is voluntary, and all participants are asked to sign informed consent before starting the study. A dissemination plan operationalises how to achieve a social impact by reaching academic and non-academic stakeholders. A data management plan describes the specific data sets and regulates its deposition and curation. All publications will be open access.",
keywords = "epidemiology, geriatric medicine, public health",
author = "Laura Coll-Planas and {Blancafort Alias}, Sergi and Mark Tully and Paolo Caserotti and Maria Gin{\'e}-Garriga and Nicole Blackburn and Mathias Skj{\o}dt and Katharina Wirth and Manuela Deidda and Emma Mcintosh and Dietrich Rothenbacher and {Gallardo Rodr{\'i}guez}, Rodrigo and Javier Jerez-Roig and Oriol Sansano-Nadal and Marta Santiago and Jason Wilson and M{\'i}riam Guerra-Balic and Carme Mart{\'i}n-Borr{\`a}s and Denise Gonzalez and Guillaume Lefebvre and Michael Denkinger and Frank Kee and {Salv{\`a} Casanovas}, Antoni and Figuls, {Marta Roqu{\'e} I.} and {SITLESS group}",
year = "2019",
month = "6",
day = "14",
doi = "10.1136/bmjopen-2018-027073",
language = "English",
volume = "9",
journal = "B M J Open",
issn = "2044-6055",
publisher = "BMJ Group",
number = "6",

}

TY - JOUR

T1 - Exercise referral schemes enhanced by self-management strategies to reduce sedentary behaviour and increase physical activity among community-dwelling older adults from four European countries

T2 - Protocol for the process evaluation of the SITLESS randomised controlled trial

AU - Coll-Planas, Laura

AU - Blancafort Alias, Sergi

AU - Tully, Mark

AU - Caserotti, Paolo

AU - Giné-Garriga, Maria

AU - Blackburn, Nicole

AU - Skjødt, Mathias

AU - Wirth, Katharina

AU - Deidda, Manuela

AU - Mcintosh, Emma

AU - Rothenbacher, Dietrich

AU - Gallardo Rodríguez, Rodrigo

AU - Jerez-Roig, Javier

AU - Sansano-Nadal, Oriol

AU - Santiago, Marta

AU - Wilson, Jason

AU - Guerra-Balic, Míriam

AU - Martín-Borràs, Carme

AU - Gonzalez, Denise

AU - Lefebvre, Guillaume

AU - Denkinger, Michael

AU - Kee, Frank

AU - Salvà Casanovas, Antoni

AU - Figuls, Marta Roqué I.

AU - SITLESS group

PY - 2019/6/14

Y1 - 2019/6/14

N2 - Introduction: SITLESS is a randomised controlled trial determining whether exercise referral schemes can be enhanced by self-management strategies to reduce sedentary behaviour and increase physical activity in the long term, in community-dwelling older citizens. The intervention is complex and requires a process evaluation to understand how implementation, causal mechanisms and context shape outcomes. The specific aims are to assess fidelity and reach of the implementation, understand the contextual aspects of each intervention site, evaluate the mechanisms of impact, and explore perceived effects. Methods and analysis: Following the Medical Research Council guidance on complex interventions, a combination of qualitative and quantitative procedures is applied, including observational checklists and attendance registries, standardised scales (ie, Marcus's Self-Efficacy Questionnaire, Physical Activity Self-Regulation Scale and the Lubben Social Network Scale) at baseline, postintervention and follow-up assessments, semistructured questionnaires gathering contextual characteristics, and participant observations of the sessions. Semistructured interviews and focus groups with the participants and trainers are conducted at postintervention and during the follow-up to explore their experiences. Outcomes from the standardised scales are analysed as moderators within the impact evaluation. Descriptive results on context and perceived effects complement results on impact. The qualitative and quantitative findings will help to refine the logic model to finally support the interpretation of the results on the effectiveness of the intervention. Ethics and dissemination: The study design was approved by the respective Ethical Committee of Ramon Llull University, Southern Denmark, Northern Ireland and Ulm University. Participation is voluntary, and all participants are asked to sign informed consent before starting the study. A dissemination plan operationalises how to achieve a social impact by reaching academic and non-academic stakeholders. A data management plan describes the specific data sets and regulates its deposition and curation. All publications will be open access.

AB - Introduction: SITLESS is a randomised controlled trial determining whether exercise referral schemes can be enhanced by self-management strategies to reduce sedentary behaviour and increase physical activity in the long term, in community-dwelling older citizens. The intervention is complex and requires a process evaluation to understand how implementation, causal mechanisms and context shape outcomes. The specific aims are to assess fidelity and reach of the implementation, understand the contextual aspects of each intervention site, evaluate the mechanisms of impact, and explore perceived effects. Methods and analysis: Following the Medical Research Council guidance on complex interventions, a combination of qualitative and quantitative procedures is applied, including observational checklists and attendance registries, standardised scales (ie, Marcus's Self-Efficacy Questionnaire, Physical Activity Self-Regulation Scale and the Lubben Social Network Scale) at baseline, postintervention and follow-up assessments, semistructured questionnaires gathering contextual characteristics, and participant observations of the sessions. Semistructured interviews and focus groups with the participants and trainers are conducted at postintervention and during the follow-up to explore their experiences. Outcomes from the standardised scales are analysed as moderators within the impact evaluation. Descriptive results on context and perceived effects complement results on impact. The qualitative and quantitative findings will help to refine the logic model to finally support the interpretation of the results on the effectiveness of the intervention. Ethics and dissemination: The study design was approved by the respective Ethical Committee of Ramon Llull University, Southern Denmark, Northern Ireland and Ulm University. Participation is voluntary, and all participants are asked to sign informed consent before starting the study. A dissemination plan operationalises how to achieve a social impact by reaching academic and non-academic stakeholders. A data management plan describes the specific data sets and regulates its deposition and curation. All publications will be open access.

KW - epidemiology

KW - geriatric medicine

KW - public health

U2 - 10.1136/bmjopen-2018-027073

DO - 10.1136/bmjopen-2018-027073

M3 - Journal article

C2 - 31203243

AN - SCOPUS:85067413049

VL - 9

JO - B M J Open

JF - B M J Open

SN - 2044-6055

IS - 6

M1 - e027073

ER -