Lifestyle Matters Randomized Controlled Trial of a Preventive Health Intervention for Older People: Qualitative Sub Study with Participants and Intervention Facilitators

Gail Mountain,1 Kirsty Sprange,2 Robin Chatters1 1School of Health and Related Research, Faculty of Medicine, University of Sheffield, Sheffield, UK; 2Faculty of Medicine, University of Nottingham, Nottingham, UKCorrespondence: Gail MountainSchool of Health and Related Research, University of Sheffi...

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Autores principales:	Mountain G, Sprange K, Chatters R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	preventive health intervention older people qualitative study randomized controlled trial. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/5dc01b158eea4f928641c11fc6a74c9e
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spelling	oai:doaj.org-article:5dc01b158eea4f928641c11fc6a74c9e2021-12-02T09:57:34ZLifestyle Matters Randomized Controlled Trial of a Preventive Health Intervention for Older People: Qualitative Sub Study with Participants and Intervention Facilitators1178-1998https://doaj.org/article/5dc01b158eea4f928641c11fc6a74c9e2020-02-01T00:00:00Zhttps://www.dovepress.com/lifestyle-matters-randomized-controlled-trial-of-a-preventive-health-i-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Gail Mountain,1 Kirsty Sprange,2 Robin Chatters1 1School of Health and Related Research, Faculty of Medicine, University of Sheffield, Sheffield, UK; 2Faculty of Medicine, University of Nottingham, Nottingham, UKCorrespondence: Gail MountainSchool of Health and Related Research, University of Sheffield, Regent Court, Regent Street, Sheffield S1 4DA, UKTel +44 75 4067 1442Email g.a.mountain@sheffield.ac.ukObjective: This qualitative study embedded within a randomized controlled trial was conducted to explore the acceptability, experiences of, and short-term impact of a preventive health intervention (Lifestyle Matters) from the perspectives of those who took part, and to uncover any evidence for the theorised mechanisms of action (improved participation and self efficacy) underpinning the intervention. It was also conducted to help explain the quantitative trial results.Methods: A purposive sample of 13 trial participants who had been randomized to receive the Lifestyle Matters intervention (approximately 10%) were individually qualitatively interviewed immediately following their involvement. All four intervention facilitators were also individually interviewed.Results: Evidence of the hypothesized behavioural changes could be identified within the interview data, demonstrating the potential of this intervention. However, lack of adherence to the overall intervention eroded receipt of benefit. This finding complements the quantitative trial results which found that the study had failed to recruit those who considered themselves to be at risk of age-related decline.Conclusion: This form of preventive health intervention requires proactive identification of those who recognise the need to make lifestyle changes. This is difficult if reactive health and social care systems are the main referral routes. The methodological approaches taken towards the study of complex interventions requires reconsideration if potential benefits are to be accurately assessed.Clinical Trial Registration: ISRCTN67209155Keywords: preventive health intervention, older people, qualitative study, randomized controlled trialMountain GSprange KChatters RDove Medical Pressarticlepreventive health interventionolder peoplequalitative studyrandomized controlled trial.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 239-253 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	preventive health intervention older people qualitative study randomized controlled trial. Geriatrics RC952-954.6
spellingShingle	preventive health intervention older people qualitative study randomized controlled trial. Geriatrics RC952-954.6 Mountain G Sprange K Chatters R Lifestyle Matters Randomized Controlled Trial of a Preventive Health Intervention for Older People: Qualitative Sub Study with Participants and Intervention Facilitators
description	Gail Mountain,1 Kirsty Sprange,2 Robin Chatters1 1School of Health and Related Research, Faculty of Medicine, University of Sheffield, Sheffield, UK; 2Faculty of Medicine, University of Nottingham, Nottingham, UKCorrespondence: Gail MountainSchool of Health and Related Research, University of Sheffield, Regent Court, Regent Street, Sheffield S1 4DA, UKTel +44 75 4067 1442Email g.a.mountain@sheffield.ac.ukObjective: This qualitative study embedded within a randomized controlled trial was conducted to explore the acceptability, experiences of, and short-term impact of a preventive health intervention (Lifestyle Matters) from the perspectives of those who took part, and to uncover any evidence for the theorised mechanisms of action (improved participation and self efficacy) underpinning the intervention. It was also conducted to help explain the quantitative trial results.Methods: A purposive sample of 13 trial participants who had been randomized to receive the Lifestyle Matters intervention (approximately 10%) were individually qualitatively interviewed immediately following their involvement. All four intervention facilitators were also individually interviewed.Results: Evidence of the hypothesized behavioural changes could be identified within the interview data, demonstrating the potential of this intervention. However, lack of adherence to the overall intervention eroded receipt of benefit. This finding complements the quantitative trial results which found that the study had failed to recruit those who considered themselves to be at risk of age-related decline.Conclusion: This form of preventive health intervention requires proactive identification of those who recognise the need to make lifestyle changes. This is difficult if reactive health and social care systems are the main referral routes. The methodological approaches taken towards the study of complex interventions requires reconsideration if potential benefits are to be accurately assessed.Clinical Trial Registration: ISRCTN67209155Keywords: preventive health intervention, older people, qualitative study, randomized controlled trial
format	article
author	Mountain G Sprange K Chatters R
author_facet	Mountain G Sprange K Chatters R
author_sort	Mountain G
title	Lifestyle Matters Randomized Controlled Trial of a Preventive Health Intervention for Older People: Qualitative Sub Study with Participants and Intervention Facilitators
title_short	Lifestyle Matters Randomized Controlled Trial of a Preventive Health Intervention for Older People: Qualitative Sub Study with Participants and Intervention Facilitators
title_full	Lifestyle Matters Randomized Controlled Trial of a Preventive Health Intervention for Older People: Qualitative Sub Study with Participants and Intervention Facilitators
title_fullStr	Lifestyle Matters Randomized Controlled Trial of a Preventive Health Intervention for Older People: Qualitative Sub Study with Participants and Intervention Facilitators
title_full_unstemmed	Lifestyle Matters Randomized Controlled Trial of a Preventive Health Intervention for Older People: Qualitative Sub Study with Participants and Intervention Facilitators
title_sort	lifestyle matters randomized controlled trial of a preventive health intervention for older people: qualitative sub study with participants and intervention facilitators
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/5dc01b158eea4f928641c11fc6a74c9e
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Lifestyle Matters Randomized Controlled Trial of a Preventive Health Intervention for Older People: Qualitative Sub Study with Participants and Intervention Facilitators

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