PMID- 32326304 OWN - NLM STAT- MEDLINE DCOM- 20201106 LR - 20201106 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 17 IP - 8 DP - 2020 Apr 21 TI - A Pilot Randomised Clinical Trial of a Novel Approach to Reduce Sedentary Behaviour in Care Home Residents: Feasibility and Preliminary Effects of the GET READY Study. LID - 10.3390/ijerph17082866 [doi] LID - 2866 AB - Care-home residents are among the most sedentary and least active of the population. We aimed to assess the feasibility, acceptability, safety, and preliminary effects of an intervention to reduce sedentary behaviour (SB) co-created with care home residents, staff, family members, and policymakers within a pilot two-armed pragmatic cluster randomized clinical trial (RCT). Four care homes from two European countries participated, and were randomly assigned to control (usual care, CG) or the Get Ready intervention (GR), delivered by a staff champion one-to-one with the care home resident and a family member. A total of thirty-one residents participated (51.6% female, 82.9 (13.6) years old). GR involves six face to face sessions over a 12-week period with goal-oriented prompts for movement throughout. The feasibility and acceptability of the intervention were assessed and adverse events (AEs) were collected. The preliminary effects of the GR on SB, quality of life, fear of falling, and physical function were assessed. Means and standard deviations are presented, with the mean change from baseline to post-intervention calculated along with 95% confidence intervals. The CG smoked more, sat more, and had more functional movement difficulties than the GR at baseline. The GR intervention was feasible and acceptable to residents and staff. No AEs occurred during the intervention. GR participants showed a decrease in daily hours spent sitting/lying (Cohen's d = 0.36) and an increase in daily hours stepping, and improvements in health-related quality of life, fear of falling, and habitual gait speed compared to usual care, but these effects need confirmation in a definitive RCT. The co-created GR was shown to be feasible and acceptable, with no AEs. FAU - Gine-Garriga, Maria AU - Gine-Garriga M AUID- ORCID: 0000-0003-4449-3524 AD - School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK. AD - Department of Physical Activity and Sport Sciences, Faculty of Psychology, Education and Sport Sciences (FPCEE) Blanquerna, Ramon Llull University, Cister 34, 08022 Barcelona, Spain. FAU - Dall, Philippa M AU - Dall PM AD - School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK. FAU - Sandlund, Marlene AU - Sandlund M AD - Department of Community Medicine and Rehabilitation, Umea University, 901 87 Umea, Sweden. FAU - Jerez-Roig, Javier AU - Jerez-Roig J AD - Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVIC-UCC), 08500 Vic, Spain. FAU - Chastin, Sebastien F M AU - Chastin SFM AUID- ORCID: 0000-0003-1421-9348 AD - School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK. AD - Department of Movement and Sport Science, Ghent University, St. Pietersnieuwstraat 33, 9000 Ghent, Belgium. FAU - Skelton, Dawn A AU - Skelton DA AUID- ORCID: 0000-0001-6223-9840 AD - School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK. LA - eng PT - Journal Article PT - Pragmatic Clinical Trial PT - Research Support, Non-U.S. Gov't DEP - 20200421 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Accidental Falls MH - Aged MH - Aged, 80 and over MH - Europe MH - *Exercise MH - Feasibility Studies MH - Female MH - Health Promotion/*methods MH - Humans MH - Male MH - *Nursing Homes MH - Pilot Projects MH - *Quality of Life MH - *Sedentary Behavior MH - Walking Speed PMC - PMC7215704 OTO - NOTNLM OT - acceptability OT - care home residents OT - co-creation OT - feasibility OT - sedentary behaviour COIS- The authors declare no conflict of interest. EDAT- 2020/04/25 06:00 MHDA- 2020/11/11 06:00 PMCR- 2020/04/01 CRDT- 2020/04/25 06:00 PHST- 2020/03/25 00:00 [received] PHST- 2020/04/17 00:00 [revised] PHST- 2020/04/19 00:00 [accepted] PHST- 2020/04/25 06:00 [entrez] PHST- 2020/04/25 06:00 [pubmed] PHST- 2020/11/11 06:00 [medline] PHST- 2020/04/01 00:00 [pmc-release] AID - ijerph17082866 [pii] AID - ijerph-17-02866 [pii] AID - 10.3390/ijerph17082866 [doi] PST - epublish SO - Int J Environ Res Public Health. 2020 Apr 21;17(8):2866. doi: 10.3390/ijerph17082866.