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
Coll-Planas, Laura (Universitat Autònoma de Barcelona. Fundació Salut i Envelliment)
Blancafort Alias, Sergi (Universitat Autònoma de Barcelona. Fundació Salut i Envelliment)
Tully, Mark (Queen's University Belfast)
Caserotti, Paolo (Department of Sports Science and Clinical Biomechanics. Center for Active and Healthy Ageing (CAHA). Syddansk Universitet)
Giné-Garriga, Maria (Universitat Ramon Llull. Facultat de Psicologia, Ciències de l'Educació i l'Esport Blanquerna)
Blackburn, Nicole E.. (Queen's University Belfast)
Skjødt, Mathias (Department of Sports Science and Clinical Biomechanics. Center for Active and Healthy Ageing (CAHA). Syddansk Universitet)
Wirth, Katharina (Universität Ulm. Geriatric Research Unit)
Deidda, Manuela (Health Economics and Health Technology Assessment (HEHTA). University of Glasgow Institute of Health and Wellbeing)
Mcintosh, Emma (Health Economics and Health Technology Assessment (HEHTA). University of Glasgow Institute of Health and Wellbeing)
Rothenbacher, Dietrich (Universität Ulm. Institute of Epidemiology and Medical Biometry)
Gallardo Rodríguez, Rodrigo (Departamento de Ciencias del Deporte y Acondicionamiento Físico. CEADE. Universidad Católica de la Santísima Concepción. Concepción)
Jerez-Roig, Javier (Universitat de Vic - Universitat Central de Catalunya)
Sansano-Nadal, Oriol (Universitat Ramon Llull. Facultat de Psicologia, Ciències de l'Educació i l'Esport Blanquerna)
Santiago, Marta (Universitat Ramon Llull. Facultat de Psicologia, Ciències de l'Educació i l'Esport Blanquerna)
Wilson, Jason (Queen's University. Belfast School of Medicine Dentistry and Biomedical Sciences)
Guerra-Balic, Míriam (Universitat Ramon Llull. Facultat de Psicologia, Ciències de l'Educació i l'Esport Blanquerna)
Martín-Borràs, Carme (Universitat Ramon Llull. Departament de Teràpia Física)
Gonzalez, Denise (Sport Initiative et Loisir Bleu Association)
Lefebvre, Guillaume (Sport Initiative et Loisir Bleu Association)
Denkinger, Michael (Universität Ulm. Geriatric Research Unit)
Kee, Frank (Queen's University. Belfast School of Medicine Dentistry and Biomedical Sciences)
Salvà Casanovas, Antoni (Universitat Autònoma de Barcelona. Fundació Salut i Envelliment)
Roqué i Figuls, Marta (Universitat Autònoma de Barcelona. Fundació Salut i Envelliment)

Fecha:	2019
Resumen:	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.
Ayudas:	European Commission 634270
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Epidemiology ; Geriatric medicine ; Public health
Publicado en:	BMJ open, Vol. 9 Núm. 6 (january 2019) , p. e027073, ISSN 2044-6055

DOI: 10.1136/bmjopen-2018-027073
PMID: 31203243

9 p, 1.8 MB

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