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

Nicole Blackburn, Mark Tully, Jason Wilson, Laura Coll-Planas, Sergi Blancafort Alias, Paolo Caserotti, Maria Giné-Garriga, Mathias Skjødt, Katarina Wirth, Manuela Deidda, Emma McIntosh, Dietrich Rothenbacher, Rodrigo Gallardo Rodríguez, Javier Jerez-Roig, Oriol Sansano-Nadal, Marta Santiago, Míriam Guerra-Balic, Carme Martín-Borràs, Denise Gonzalez, Guillaume Lefebvre & 4 others Michael Denkinger, Frank Kee, Antoni Salvà Casanovas, Marta Roqué i Figuls

Research output: Contribution to journalArticle

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.
LanguageEnglish
Article numbere027073
Pages1-9
Number of pages9
JournalBMJ Open
Volume9
Issue number6
DOIs
Publication statusPublished - 14 Jun 2019

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

Keywords

  • epidemiology
  • geriatric medicine
  • public health

Cite this

Blackburn, Nicole ; Tully, Mark ; Wilson, Jason ; Coll-Planas, Laura ; Blancafort Alias, Sergi ; Caserotti, Paolo ; Giné-Garriga, Maria ; Skjødt, Mathias ; Wirth, Katarina ; Deidda, Manuela ; McIntosh, Emma ; Rothenbacher, Dietrich ; Gallardo Rodríguez, Rodrigo ; Jerez-Roig, Javier ; Sansano-Nadal, Oriol ; Santiago, Marta ; Guerra-Balic, Míriam ; Martín-Borràs, Carme ; Gonzalez, Denise ; Lefebvre, Guillaume ; Denkinger, Michael ; Kee, Frank ; Salvà Casanovas, Antoni ; Roqué i Figuls, Marta. / 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. In: BMJ Open. 2019 ; Vol. 9, No. 6. pp. 1-9.
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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.",
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Blackburn, N, Tully, M, Wilson, J, Coll-Planas, L, Blancafort Alias, S, Caserotti, P, Giné-Garriga, M, Skjødt, M, Wirth, K, Deidda, M, McIntosh, E, Rothenbacher, D, Gallardo Rodríguez, R, Jerez-Roig, J, Sansano-Nadal, O, Santiago, M, Guerra-Balic, M, Martín-Borràs, C, Gonzalez, D, Lefebvre, G, Denkinger, M, Kee, F, Salvà Casanovas, A & Roqué i Figuls, M 2019, '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', BMJ Open, vol. 9, no. 6, e027073, pp. 1-9. https://doi.org/10.1136/bmjopen-2018-027073

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. / Blackburn, Nicole; Tully, Mark; Wilson, Jason; Coll-Planas, Laura; Blancafort Alias, Sergi; Caserotti, Paolo; Giné-Garriga, Maria; Skjødt, Mathias; Wirth, Katarina; Deidda, Manuela; McIntosh, Emma; Rothenbacher, Dietrich; Gallardo Rodríguez, Rodrigo; Jerez-Roig, Javier; Sansano-Nadal, Oriol; Santiago, Marta; Guerra-Balic, Míriam ; Martín-Borràs, Carme; Gonzalez, Denise; Lefebvre, Guillaume; Denkinger, Michael; Kee, Frank; Salvà Casanovas, Antoni; Roqué i Figuls, Marta.

In: BMJ Open, Vol. 9, No. 6, e027073, 14.06.2019, p. 1-9.

Research output: Contribution to journalArticle

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: protocol for the process evaluation of the SITLESS randomised controlled trial

AU - Blackburn, Nicole

AU - Tully, Mark

AU - Wilson, Jason

AU - Coll-Planas, Laura

AU - Blancafort Alias, Sergi

AU - Caserotti, Paolo

AU - Giné-Garriga, Maria

AU - Skjødt, Mathias

AU - Wirth, Katarina

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 - Guerra-Balic, Míriam

AU - Martín-Borràs, Carme

AU - Gonzalez, Denise

AU - Lefebvre, Guillaume

AU - Denkinger, Michael

AU - Kee, Frank

AU - Salvà Casanovas, Antoni

AU - Roqué i Figuls, Marta

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.

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KW - epidemiology

KW - geriatric medicine

KW - public health

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