Petrescu-Prahova Miruna, Kohn Marlana, Leroux Brian, Steinman Lesley, Fishleder Sarah, Pike Maureen, Kava Christine M, Belza Basia, Schrodt Lori, Hannon Peggy A, Harris Jeffrey R
Health Promotion Research Center, Department of Health Services, University of Washington, 1107 NE 45th St, Suite 400, Seattle, WA, 98105, USA.
YMCA of the USA, 101 N Wacker Dr, Chicago, IL, 60606, USA.
Contemp Clin Trials Commun. 2019 May 1;15:100373. doi: 10.1016/j.conctc.2019.100373. eCollection 2019 Sep.
Physical activity is important for maintaining older adult health, but a majority of older adults are not meeting recommended physical activity levels. This paper describes the protocol and participant baseline characteristics for a trial (named "PT-REFER") to test an intervention focused on developing community-clinical linkages to increase older adult referrals from physical therapy clinics to an evidence-based group exercise program (Enhance®Fitness) (EF) offered by YMCA associations.
We designed a two-arm cluster-randomized controlled trial with YMCA associations. We conducted formative research with YMCA staff and physical therapists to inform intervention format and content. The primary outcome is the number of new participants enrolled in EF over the course of 30 months. We also collect process information on cost and implementation though structured surveys and semi-structured qualitative interviews.
The PT-REFER intervention creates a learning collaborative for YMCA associations, which are tasked with implementing a number of capacity- and partnership-building activities over the course of seven months, and participating in monthly group technical assistance calls. We recruited 20 YMCA associations from 13 states. At baseline, the average number of EF sites per association was 3.9 and the monthly average number of new EF participants was 3.7.
This study will test an approach to increasing the capacity of YMCAs for conducting outreach to physical therapy clinics, and evaluate the factors that may influence its implementation. As a result, it has the potential to contribute to our understanding of how to develop viable and sustainable community-clinical linkages for older adult health.
身体活动对维持老年人健康很重要，但大多数老年人未达到推荐的身体活动水平。本文描述了一项试验（名为“PT-REFER”）的方案和参与者基线特征，该试验旨在测试一种干预措施，该措施侧重于建立社区与临床的联系，以增加从物理治疗诊所转介到基督教青年会协会提供的循证团体锻炼计划（增强健身）（EF）的老年人数量。
我们与基督教青年会协会设计了一项双臂整群随机对照试验。我们对基督教青年会工作人员和物理治疗师进行了形成性研究，以确定干预形式和内容。主要结局是在30个月内注册参加EF的新参与者数量。我们还通过结构化调查和半结构化定性访谈收集有关成本和实施的过程信息。
PT-REFER干预为基督教青年会协会创建了一个学习协作平台，这些协会的任务是在七个月内开展一系列能力建设和伙伴关系建设活动，并参加每月的团体技术援助电话会议。我们从13个州招募了20个基督教青年会协会。在基线时，每个协会的EF站点平均数量为3.9个，每月新参加EF的参与者平均数量为3.7人。
本研究将测试一种提高基督教青年会向物理治疗诊所进行外展的能力的方法，并评估可能影响其实施的因素。因此，它有可能有助于我们理解如何为老年人健康建立可行和可持续的社区与临床联系。
