Implementing Physical Activity Guidelines for Adults With MS
Primary Purpose
Multiple Sclerosis
Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Direct Referral to physical activity
Sponsored by
About this trial
This is an interventional other trial for Multiple Sclerosis focused on measuring physical activity, exercise guidelines, multiple sclerosis
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of MS with mild-moderate disability (EDSS 1-7)
- Aged 18-60
- Medical clearance to participate in physical activity
Exclusion Criteria:
- current participation in regular physical activity (at least twice-weekly)
- other serious medical condition that might impair ability to participate in strength or aerobic exercise
Sites / Locations
- McMaster University, Physical Activity Centre for Excellence
- Queens University
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Direct Referral to Physical Activity
Control
Arm Description
The REF group will be referred to a centre-based community exercise program in their respective community (either the MacWheelers or Revved Up) by a clinical neurologist where they will be prescribed exercise based on the PAGs for adults with MS, and according to their individual capabilities.
The CON group will be provided with a print copy of the PAGs and a link to an online resource for physical activity information.
Outcomes
Primary Outcome Measures
Adherence to the Physical Activity Guidelines
Adherence to the physical activity guidelines will be analyzed by having participants fill in a weekly physical activity log that will be sent to them by email.
Secondary Outcome Measures
Physical Fitness
Peak oxygen uptake, maximum muscle strength, bodyweight
Perceived Quality of Life
Multiple Sclerosis Quality of Life (MSQoL) scale
Fatigue
Multiple Sclerosis Fatigue Impact Scale (MSFIS)
Mobility
25ft walk test
Blood markers of cardiovascular disease risk
blood lipid panel, HbA1c, fasting glucose
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02100020
Brief Title
Implementing Physical Activity Guidelines for Adults With MS
Official Title
A Community-based Randomized Controlled Trial Testing Implementation of the New Canadian Physical Activity Guidelines for Adults With Multiple Sclerosis.
Study Type
Interventional
2. Study Status
Record Verification Date
May 2018
Overall Recruitment Status
Completed
Study Start Date
May 2014 (Actual)
Primary Completion Date
March 31, 2018 (Actual)
Study Completion Date
March 31, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
McMaster University
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The proposed project will evaluate two methods of implementation of the new Physical Activity Guidelines (PAGs) for Adults with Multiple Sclerosis (MS) living in two Ontario communities. The investigators will also determine if following the PAGs will improve aspects of fitness, function, quality of life and risk for cardiometabolic disease in this population. The investigators hypothesize that adherence to the PAGs will be higher in people who have been referred directly to a community-based exercise program, and that this greater adherence to physical activity will be associated with greater improvements in fitness, function and quality of life.
This randomized controlled trial will provide important information on how best to implement physical activity recommendations within the community setting; this information will be translated to key stakeholders during the final stages of the project.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
Keywords
physical activity, exercise guidelines, multiple sclerosis
7. Study Design
Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
94 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Direct Referral to Physical Activity
Arm Type
Experimental
Arm Description
The REF group will be referred to a centre-based community exercise program in their respective community (either the MacWheelers or Revved Up) by a clinical neurologist where they will be prescribed exercise based on the PAGs for adults with MS, and according to their individual capabilities.
Arm Title
Control
Arm Type
No Intervention
Arm Description
The CON group will be provided with a print copy of the PAGs and a link to an online resource for physical activity information.
Intervention Type
Other
Intervention Name(s)
Direct Referral to physical activity
Intervention Description
Participants randomized to the Direct Referral to Physical Activity Arm will be provided with a referral to a physical activity program in their community and will be closely monitored in this program for 16 wks.
Primary Outcome Measure Information:
Title
Adherence to the Physical Activity Guidelines
Description
Adherence to the physical activity guidelines will be analyzed by having participants fill in a weekly physical activity log that will be sent to them by email.
Time Frame
3 years
Secondary Outcome Measure Information:
Title
Physical Fitness
Description
Peak oxygen uptake, maximum muscle strength, bodyweight
Time Frame
At baseline and after the 16 week intervention
Title
Perceived Quality of Life
Description
Multiple Sclerosis Quality of Life (MSQoL) scale
Time Frame
At baseline and after the 16 week intervention
Title
Fatigue
Description
Multiple Sclerosis Fatigue Impact Scale (MSFIS)
Time Frame
At baseline and after the 16 week intervention
Title
Mobility
Description
25ft walk test
Time Frame
At baseline and after the 16 week intervention
Title
Blood markers of cardiovascular disease risk
Description
blood lipid panel, HbA1c, fasting glucose
Time Frame
At baseline and after the 16 week intervention
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis of MS with mild-moderate disability (EDSS 1-7)
Aged 18-60
Medical clearance to participate in physical activity
Exclusion Criteria:
current participation in regular physical activity (at least twice-weekly)
other serious medical condition that might impair ability to participate in strength or aerobic exercise
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Audrey L Hicks, Ph.D.
Organizational Affiliation
McMaster University
Official's Role
Principal Investigator
Facility Information:
Facility Name
McMaster University, Physical Activity Centre for Excellence
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8S 4K1
Country
Canada
Facility Name
Queens University
City
Kingston
State/Province
Ontario
ZIP/Postal Code
K7L 3N6
Country
Canada
12. IPD Sharing Statement
Citations:
PubMed Identifier
31675636
Citation
Canning KL, Hicks AL. Physician referral improves adherence to the physical activity guidelines for adults with MS: A randomized controlled trial. Mult Scler Relat Disord. 2020 Jan;37:101441. doi: 10.1016/j.msard.2019.101441. Epub 2019 Oct 22.
Results Reference
derived
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Implementing Physical Activity Guidelines for Adults With MS
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