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Trial registered on ANZCTR
Registration number
ACTRN12606000242527
Ethics application status
Approved
Date submitted
2/06/2006
Date registered
15/06/2006
Date last updated
14/03/2008
Type of registration
Prospectively registered
Titles & IDs
Public title
Physical activity uptake, adherance and effects among home care clients.
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Scientific title
Physical activity uptake, adherance and health-related quality of life among home care clients.
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Universal Trial Number (UTN)
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Trial acronym
HACC-ASM
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Not a disease specific study. Participants are frail or elderly people with physical function impairment necessitating home based assistance with self-care or house care.
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Condition category
Condition code
Public Health
1303
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0
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Other public health
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Tailored physical activity plan for up to daily intervention for 6 months (26 weeks). Intervention will occur between 1 and 7 times per week. The length and frequency of the intervention will be tailored to the participants' abilities. Fitter participants will engage in longer or more frequent interventions. There is no control group. The study is a single group design. Participants will act as their own controls. All changes in primary and secondary outcomes will be calculated as changes from baseline data.
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Intervention code [1]
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Lifestyle
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Comparator / control treatment
No control group.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Health-related quality of life (physical function, social function, mental health, perceived wellbeing) measured using the Stanford Health Assessment Questionnaire (HAQ) or the Medical Outcomes Study 36-Item health survey (SF-36)
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Assessment method [1]
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Timepoint [1]
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Measured at baseline, 3 months (13 weeks) and 6 months (26 weeks)
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Secondary outcome [1]
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Readiness to adopt physical activity / exercise, motivations towards physical activity / exercise, and adherance to the physical activity plan will be measured using the Stages of Change Questionnaire (Exercise, continuous measure).
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Assessment method [1]
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Timepoint [1]
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All outcomes will be measured at baseline, 3 months (13 weeks) and 6 months (26 weeks).
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Eligibility
Key inclusion criteria
Receiving home care through one of three local government areas (City of Maribyrnong, City of Brimbank, Shire of Melton).
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Cognitive impairment that prevents a person from giving voluntary informed consent to participate.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation will not be concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Purposeful sampling, home care workers will identify suitable clients for invitation into the study.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Interventions will be tailored to individual participants. All interventions will be physical activity increases over participants' baseline physical activity load.
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Phase
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
48
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Department of Human Services (Health & Ageing)
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Address [1]
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Victoria
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Victoria University
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Address
PO Box 14428 Melbourne 8001
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Country
Australia
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Secondary sponsor category [1]
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Government body
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Name [1]
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City of Maribyrnong, Department of Human Services.
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Address [1]
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Victoria
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Country [1]
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Australia
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Secondary sponsor category [2]
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Government body
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Name [2]
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City of Brimbank, Department of Human Services.
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Address [2]
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Victoria
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Country [2]
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Australia
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Secondary sponsor category [3]
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Government body
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Name [3]
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Shire of Melton, Department of Human Services.
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Address [3]
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PO Box 21 Melton 3337
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Country [3]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Victoria University
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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15/07/2006
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Approval date [1]
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Ethics approval number [1]
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HRETH 06 / 105
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Summary
Brief summary
In the three local government areas of Maribyrnong, Brimbank, and Melton, “home care” is available for people who are impaired in their ability to self care (cooking, dressing, bathing) or undertake domestic cleaning. Home care services are provided in clients’ homes by home care workers employed by the local government. People who request home care have their domestic care requirements determined by home care assessors, also employed by local government. Home care assessors also monitor clients’ home care needs through routine follow up checks. Home care workers and home care assessors practice a passive care model in which home care is delivered to clients without any requirement for client involvement. A drawback of this passive care model is that already functionally limited clients may have their physical capacity further reduced through dependence on other people. Three municipal councils, the Dept of Health and Ageing, and Victorian University Exercise Rehabilitation Unit will combine resources to develop an active service model of home care. Home care assessors and home care workers will be trained to identify physical activity need, and plan, implement and support physical activity with home care clients. Once home care workers and assessors have completed this training, home care clients will be invited to volunteer to participate in the active service model of home care. The active service model pilot will run for 6 months. During the active service model of home care, home care assessors and home care workers will interact with clients with the same frequency as in the current passive care model. As well as assessing home care requirements, home care assessors will identify physical activity needs and opportunities. Clients will participate in identifying physical activity needs, and planning physical activities that they a) want to undertake, and b) feel they can undertake with the supervision or assistance of their home care workers. An accredited exercise physiologist will be available throughout the project to support clients, home care workers, and home care assessors in constructing exercise / physical activity plans. Clients who volunteer to receive home care under this model will be asked to complete a battery of pencil and paper questionnaires at the beginning, middle, and end of 6 months. Using these questionnaires, the researchers will seek information about clients’ motivations toward physical activity, physical activity uptake, the continuation of physical activity over time (adherance), and any health effects (physical function, mental well-being, social function) of physical activity.
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Trial website
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Trial related presentations / publications
Cameron M, Chahine N, Selig S, Newton P. (2008) A pilot program of physical activity promotion among clients receiving home and community care (HACC): Very small increases in physical activity may offer important benefits. Australian Health Review. In press.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Melainie Cameron
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Address
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Victoria University
PO Box 14428
Melbourne MC 8001
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Country
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Australia
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Phone
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+61 3 99194287
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Fax
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+61 3 99194891
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Email
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[email protected]
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Contact person for scientific queries
Name
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Melainie Cameron
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Address
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Victoria University
PO Box 14428
Melbourne MC 8001
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Country
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Australia
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Phone
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+61 3 99194287
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Fax
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+61 3 99194891
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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