Physical activity coaching for adults with mobility limitations: protocol for the ComeBACK pragmatic hybrid effectiveness-implementation type 1 randomised controlled trial
Kirsten Howard,
Anne Tiedemann,
Catherine Sherrington,
Tammy Hoffmann,
Kim L Bennell,
Colin Greaves,
Rana S Hinman,
Nicholas F Taylor,
Andrew Milat,
Marina Pinheiro,
Leanne Hassett,
Maria Crotty,
Lisa Harvey,
Daniel Treacy,
Matthew Jennings,
Maayken van den Berg,
Siobhan Wong,
Catherine Kirkham,
Elizabeth Ramsay,
Sandra O'Rourke
Affiliations
Kirsten Howard
9 Menzies Centre for Health Policy and Economics, University of Sydney, Sydney, New South Wales, Australia
Anne Tiedemann
1 The University of Sydney Institute for Musculoskeletal Health, Sydney, New South Wales, Australia
Catherine Sherrington
Institute for Musculoskeletal Health, University of Sydney, Sydney, New South Wales, Australia
Tammy Hoffmann
professor
Kim L Bennell
10 Department of Physiotherapy, Faculty of Medicine Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia
Colin Greaves
3 School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK
Rana S Hinman
Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia
Nicholas F Taylor
College of Science, Health and Engineering, La Trobe University, Bundoora, Victoria, Australia
Andrew Milat
The University of Sydney School of Public Health, Sydney, New South Wales, Australia
Marina Pinheiro
University of Sydney, Sydney, New South Wales, Australia
Leanne Hassett
1 Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
Maria Crotty
College of Medicine and Public Health, Flinders University, Flinders University, Adelaide, South Australia, Australia
Lisa Harvey
John Walsh Centre for Rehabilitation Research, Northern Clinical School, The University of Sydney, St Leonards, New South Wales, Australia
Daniel Treacy
Institute for Musculoskeletal Health, University of Sydney/ Sydney Local Health District, Sydney, New South Wales, Australia
Matthew Jennings
Physiotherapy, Liverpool Hospital, Liverpool, New South Wales, Australia
Maayken van den Berg
College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
Siobhan Wong
Institute for Musculoskeletal Health, University of Sydney/ Sydney Local Health District, Sydney, New South Wales, Australia
Catherine Kirkham
1 Sydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia
Elizabeth Ramsay
Institute for Musculoskeletal Health, University of Sydney/ Sydney Local Health District, Sydney, New South Wales, Australia
Sandra O'Rourke
Institute for Musculoskeletal Health, University of Sydney/ Sydney Local Health District, Sydney, New South Wales, Australia
Introduction Mobility limitation is common and often results from neurological and musculoskeletal health conditions, ageing and/or physical inactivity. In consultation with consumers, clinicians and policymakers, we have developed two affordable and scalable intervention packages designed to enhance physical activity for adults with self-reported mobility limitations. Both are based on behaviour change theories and involve tailored advice from physiotherapists.Methods and analysis This pragmatic hybrid effectiveness-implementation type 1 randomised control trial (n=600) will be undertaken among adults with self-reported mobility limitations. It aims to estimate the effects on physical activity of: (1) an enhanced 6-month intervention package (one face-to-face physiotherapy assessment, tailored physical activity plan, physical activity phone coaching from a physiotherapist, informational/motivational resources and activity monitors) compared with a less intensive 6-month intervention package (single session of tailored phone advice from a physiotherapist, tailored physical activity plan, unidirectional text messages, informational/motivational resources); (2) the enhanced intervention package compared with no intervention (6-month waiting list control group); and (3) the less intensive intervention package compared with no intervention (waiting list control group). The primary outcome will be average steps per day, measured with the StepWatch Activity Monitor over a 1-week period, 6 months after randomisation. Secondary outcomes include other physical activity measures, measures of health and functioning, individualised mobility goal attainment, mental well-being, quality of life, rate of falls, health utilisation and intervention evaluation. The hybrid effectiveness-implementation design (type 1) will be used to enable the collection of secondary implementation outcomes at the same time as the primary effectiveness outcome. An economic analysis will estimate the cost-effectiveness and cost-utility of the interventions compared with no intervention and to each other.Ethics and dissemination Ethical approval has been obtained by Sydney Local Health District, Royal Prince Alfred Zone. Dissemination will be via publications, conferences, newsletters, talks and meetings with health managers.Trial registration number ACTRN12618001983291.
