The Functional Fitness MOT test battery for older adults

ISRCTN ISRCTN38950042
DOI https://doi.org/10.1186/ISRCTN38950042
Secondary identifying numbers N/A
Submission date
11/02/2016
Registration date
11/02/2016
Last edited
13/03/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Not Applicable
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
The Functional Fitness MOT is made up of a number of different physical function tests that help older people to see how fit they are when compared to their peers. It can be used to highlight a person’s strengths and weaknesses and as a motivator to increase physical activity. This study is looking at whether using the FFMOT by the Edinburgh Community Physiotherapy Service will be acceptable to patients, and likely to result in health benefits by helping people become more active. This will be the first time the Functional Fitness MOT has been tested in a physiotherapy department. The FFMOT was devised by Glasgow Caledonian University to raise awareness of the benefits of physical activity and how fit one needs to for independent living, for people aged 60 years and over. It involves six simple physical tests, for example walking and stretching, to assess how fit older people compared to what is considered normal for their age and sex. The test results will be used by the physiotherapy staff running the MOT to discuss with participants the types of activities which may help them to become more fit and active. They will also provide information about appropriate local activity opportunities and home exercise based on the FFMOT test results.

Who can participate?
Adults aged at least 60 who are not very active.

What does the study involve?
All participants are first asked to complete two questionnaires about their levels of physical activity. They then have the FFMOT. The participants are asked to fill in the two questionnaires again three months later to assess any differences in physical activity levels. They are also invited to attend focus groups 2-4 weeks after the FFMOT to discuss their experiences of taking part.

What are the possible benefits and risks of participating?
There is increasing evidence that regular exercise can have a health benefit. The FFMOT is a safe way of assessing participants exercise performance and the physiotherapy staff will monitor participants closely during the FFMOT session. All of the tests involve activities that people already do in their daily life. It is possible that participants will feel tired after the FFMOT session. Participants can always, at any moment, withdraw from the FFMOT tests or session. The information from this study will provide useful information about a possible method of improving physical activity and quality of life for people 60 years and over who wish to become more active.

Where is the study run from?
The Slateford Medical Practice and Sighthill Health Centre, both in Edinburgh (UK)

When is the study starting and how long is it expected to run for?
January 2014 to June 2016

Who is funding the study?
Edinburgh and Lothians Health Foundation (UK)

Who is the main contact?
Prof. Dawn Skelton
Dawn.Skelton@gcu.ac.uk

Contact information

Prof Dawn A. Skelton
Scientific

Glasgow Caledonian University
Institute for Applied Health Research
School of Health & Life Sciences
A258 Govan Mbeki Building
Cowcaddens Road
Glasgow
G4 0BA
United Kingdom

ORCiD logoORCID ID 0000-0001-6223-9840
Phone +44 (0)141 331 8792
Email Dawn.Skelton@gcu.ac.uk

Study information

Study designPhase I feasibility study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Community
Study typeQuality of life
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titlePhase I feasibility study of the Functional Fitness MOT: engaging older patients of a physiotherapy service in healthier levels of activity
Study hypothesisThe main aims of this study are:
1. To assess whether the Functional Fitness MOT (FFMOT), provided in a healthcare setting, is appealing to older patients of a community physiotherapy service
2. To understand the views and perceptions of the older people undergoing the FFMOT regarding the intervention, and the views of the physiotherapy staff delivering the intervention

Secondary aims are to assess the feasibility of carrying out a phase 2 pilot randomised controlled trial of the FFMOT, in the context of a community physiotherapy service, by establishing whether enough patients can be recruited and retained in the study, and enough outcome data can be generated.
Ethics approval(s)1. NHS South East Scotland Research Ethics Committee 01, Scotland UK, 20/07/2015, ref: 15/SS/0118
2. NHS Lothian Research & Development Office, 03/08/2015, ref: 2015/0283
ConditionPhysically inactive, medically stable older adults (60 years+)
InterventionParticipants will be asked to attend Slateford Physiotherapy Clinic (in Slateford Medical Centre) where the researcher will meet them to check that they are happy to proceed. If so, they will then guide the participants through the process of signing a consent form. They will then ask participants to complete a physical activity questionnaire (called CHAMPS) which gives information about how active participants have been in the past 4 weeks and takes about 20 minutes to complete. Participants will then be taken through to meet one of the Technical Instructors for the actual Functional Fitness MOT (FFMOT). The FFMOT test comprises of a set of six (out of the usual seven) standardised, validated, age-appropriate tests aimed at raising awareness of the different components of fitness. This includes, for example, walking and stretching, to assess how fit older adults are in relation to normal values for their age and sex.

The visit to the clinic that day will take no more than 1½ hours in total. After the FFMOT appointment participants will be asked to complete the same CHAMPS questionnaire, and another brief questionnaire about physical activity (which takes about 10 minutes to complete) three months after the FFMOT session. These follow-up questionnaires will be posted out to the participants so they can be filled in at home and sent back to the researcher in a pre-paid envelope.

In order to hear about people’s experiences of the FFMOT in their own words the participants will be invited to attend a focus discussion group session. This will be led by a researcher, and will not involve any of the physiotherapy staff. The focus group will take place at Slateford Medical Centre, 2-4 weeks after the FFMOT session. The focus group will last no more than 1½ hours and will involve up to 12 people, all of whom will have attended for a FFMOT as part of this study. The researcher will record this discussion on an audio recorder to help with analysing the data. The audio recordings will be destroyed as soon as they have been transcribed.
Intervention typeMixed
Primary outcome measureRecruitment and retention rates at the key stages of the study
Secondary outcome measures1. Physical activity, assessed by the CHAMPS physical activity questionnaire just before the FFMOT test and 12 weeks later
2. Physical activity, measured by a bespoke post-intervention questionnaire just before the FFMOT test and 12 weeks later
3. People's experiences of the FFMOT test, via focus group discussions 2-4 weeks after the FFMOT test
4. Semi-structured staff interviews
Overall study start date01/01/2014
Overall study end date01/06/2016

Eligibility

Participant type(s)Healthy volunteer
Age groupSenior
SexBoth
Target number of participants30
Participant inclusion criteria1. Aged ≥60 years
2. Not physically active for at least 30 minutes on five days or more, or for at least 150 minutes (2½ hours) in total in the past week, as indicated by the questions on the Scottish Physical Activity Screening Question
3. Interested in increasing their level of PA (where this is seen as an appropriate goal by the screening physiotherapist)
Participant exclusion criteria1. Identification of health risks (contraindications to exercise; e.g. cardiovascular disease) which prevents participation
2. Diagnosis of moderate/severe cognitive impairment, a learning disability, severe mental illness, or the screening physiotherapist believes that any of these impairments/disorders are present
Recruitment start date05/10/2015
Recruitment end date15/02/2016

Locations

Countries of recruitment

  • Scotland
  • United Kingdom

Study participating centres

Slateford Medical Practice
Department of Physiotherapy
27 Gorgie Park Close
Edinburgh
EH14 1NQ
United Kingdom
Sighthill Health Centre
Department of Physiotherapy
380 Calder Road
Edinburgh
EH11 4AU
United Kingdom

Sponsor information

Glasgow Caledonian University
University/education

Cowcaddens Road
Glasgow
G4 0BA
Scotland
United Kingdom

Phone +44 (0)141 331 3000
Email V.McKay@gcu.ac.uk
Website http://www.gcu.ac.uk/
ROR logo "ROR" https://ror.org/03dvm1235

Funders

Funder type

Research organisation

Edinburgh and Lothians Health Foundation (Reference number 10-338)

No information available

Results and Publications

Intention to publish date31/12/2017
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planThe trialists intend to publish the study protocol in 2016 and the results in 2016/2017.
IPD sharing planThe datasets generated during and/or analysed during the current study are available upon request from Professor Dawn Skelton (dawn.skelton@gcu.ac.uk) (qualitative data transcriptions) and Dr Andy Peters (Andy.Peters@luht.scot.nhs.uk) (demographics and CHAMPS data).
1. Screening Information (by physiotherapists in the clinic) of those who accepted pack and were entered into the study - a digital spreadsheet on a secure area of NHS Lothian's servers (anonymised, patient age, sex, postcode, and clinic where they were screened). The same spreadsheet includes data from CHAMPs screening and other questionnaires. These will be stored for 3 years post-study.
2. Qualitative data from Interviews (anonymised transcribed recordings of focus groups and interviews) and paper versions of the quantitative questionnaires will be kept for 3 years post study completion in Glasgow Caledonian University Secure Archive stores and then will be shredded.
3. Personal data linking names to Research ID codes has already been destroyed (ethics allowed 3 months post study completion and this information was only ever available on secure NHS Lothian servers).

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 20/06/2016 Yes No
Basic results 04/08/2017 09/08/2017 No No
Results article 19/09/2018 13/03/2023 Yes No
HRA research summary 28/06/2023 No No

Additional files

ISRCTN38950042_BasicResults_04Aug2017.pdf
Uploaded 09/08/2017

Editorial Notes

13/03/2023: Publication reference added.
09/08/2017: The basic results of this trial have been uploaded as an additional file.
22/06/2016: Publication reference added.

Springer Nature