Hinrichs Timo, Schilling René, Sofios Alexandros, Infanger Denis, Prechtl Luisa, Stauffer Nora, Eichenberger Viviane, Giannouli Eleftheria, Rantanen Taina, Portegijs Erja, Schuster-Amft Corina, Mai Anna, Schmidt-Trucksäss Arno, Röcke Christina, Weibel Robert
Department of Sport, Exercise, and Health, Division of Sport and Exercise Medicine, University of Basel, Grosse Allee 6, Basel, CH-4052, Switzerland.
University Research Priority Program (URPP) Dynamics of Healthy Aging, University of Zurich, Zurich, Switzerland.
BMC Geriatr. 2025 Jul 2;25(1):471. doi: 10.1186/s12877-025-06113-2.
Physical activity is a cornerstone of health for older adults. Recent evidence underscores that even regular light activity, such as routine walking, offers substantial health benefits. Traditional approaches to promoting walking often overlook the importance of the local neighbourhood environment and the wide range of abilities and preferences of older adults. A personalised walking intervention - emphasizing personal preferences and local facilitators by employing Geographic information System (GIS)-based methods for communication and goal setting - might help to overcome problems of low long-term adherence to walking interventions. The MOBITEC-Routes trial aims to assess the effects of personalised, GIS-based walking promotion - versus general information on determinants of health - for mobility-limited and chronically ill older adults on walking (primary outcome) immediately after the 15-week intervention period (primary endpoint) and after another 8 months of follow-up (secondary endpoint).
This prospective, two-arm, single centre randomised controlled trial targets sedentary, mobility-limited, chronically ill, and community-living older adults aged 65 + (target N = 130). Outcomes are assessed after 15 weeks of intervention and after an additional 8 months of follow-up. The experimental intervention offers personalised promotion of habitual walking, delivered by an exercise professional in face-to-face and telephone sessions. Opportunities to increase leisure as well as utilitarian walking are identified by using interactive digital maps, personalised walking routes are co-created by the exercise professional and the participant, and a personalised activity plan is developed. Behaviour change strategies are employed. The control group receives general information on determinants of health. Outcomes include walking (average steps per day; primary outcome), time spent lying, sitting, standing and stepping, physical function, life-space mobility, health-related quality of life, fall-related self-efficacy, active aging, as well as constructs of the Health Action Process Approach (HAPA) model (secondary outcomes). Effects will be analysed by analysis of covariance (ANCOVA; primary analysis intention-to-treat, complemented by per-protocol).
By incorporating personal preferences and the neighbourhood environment, this intervention aims to promote walking as a sustainable and meaningful part of everyday life for mobility-limited and chronically ill older adults. If the personalised GIS-based approach is successful, it could be seamlessly integrated into preventive healthcare strategies.
ISRCTN17473086 (Registration date 22/11/2024).
身体活动是老年人健康的基石。最近的证据强调，即使是常规的轻度活动，如日常步行，也能带来显著的健康益处。传统的促进步行的方法往往忽视了当地邻里环境的重要性以及老年人广泛的能力和偏好。一种个性化的步行干预措施——通过采用基于地理信息系统（GIS）的沟通和目标设定方法来强调个人偏好和当地促进因素——可能有助于克服步行干预措施长期依从性低的问题。MOBITEC-Routes试验旨在评估针对行动受限和患有慢性病的老年人，在为期15周的干预期（主要终点）结束后以及另外8个月的随访期（次要终点）后，基于GIS的个性化步行促进措施（与关于健康决定因素的一般信息相比）对步行（主要结局）的影响。
这项前瞻性、双臂、单中心随机对照试验的目标是65岁及以上久坐不动、行动受限、患有慢性病且居住在社区的老年人（目标样本量N = 130）。在干预15周后和额外随访8个月后评估结局。实验性干预措施提供由运动专业人员在面对面和电话会议中进行的个性化习惯性步行促进。通过使用交互式数字地图确定增加休闲步行和实用性步行的机会，运动专业人员与参与者共同创建个性化步行路线，并制定个性化活动计划。采用行为改变策略。对照组接受关于健康决定因素的一般信息。结局包括步行（每天平均步数；主要结局）、躺卧、坐立、站立和行走所花费的时间、身体功能、生活空间移动性、与健康相关的生活质量、与跌倒相关的自我效能感、积极老龄化以及健康行动过程方法（HAPA）模型的构成要素（次要结局）。将通过协方差分析（ANCOVA；主要分析采用意向性分析，并辅以符合方案分析）来分析效果。
通过纳入个人偏好和邻里环境，这项干预旨在促进步行成为行动受限和患有慢性病的老年人日常生活中可持续且有意义的一部分。如果基于GIS的个性化方法取得成功，它可以无缝整合到预防性医疗保健策略中。
ISRCTN17473086（注册日期2024年11月22日）。
