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| The FABS trial: a randomised control trial of the effects of a 6-month physical activity intervention on adherence and long-term physical activity and self-efficacy in older adults with memory complaints [with consumer summary] |
| Cox KL, Flicker L, Almeida OP, Xiao J, Greenop KR, Hendriks J, Phillips M, Lautenschlager NT |
| Preventive Medicine 2013 Dec;57(6):824-830 |
| clinical trial |
| 6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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OBJECTIVE: The aim of this study is to assess in older adults with memory complaints, the effects of a 6-month home-based physical activity (PA) intervention on short-term adherence, short and long-term self-efficacy and the predictors of adherence. METHODS: Participants with memory complaints with or without mild cognitive impairment (MCI) were recruited from Perth, Western Australia between May 2004 and July 2006 and randomly assigned to a control or an intervention group. The intervention group received a 6-month PA programme and recorded sessions on a diary. Pedometer readings, questionnaires, and physical and cognitive measures were completed at 0, 6, 12 and 18 months. RESULTS: One hundred and seventy participants started the study. Retention rates were similar for both groups at all time-points however retention was higher for men than women (p < 0.01). Adherence to the prescribed PA was 72.8% (95% CI 70.8 to 74.9%). Men had higher adherence rate than women (p < 0.001). Those with and without MCI had similar adherence. Compared to controls self-efficacy was higher in the intervention group after 6 months only (p < 0.01). CONCLUSIONS: Older adults with memory complaints, with or without MCI, can successfully participate in and enjoy home-based PA programmes. Long-term adherence to such interventions may require continued support and increased self-efficacy. (TRIAL REGISTRATION: ACTRN012605000136606).
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