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  • Boosting enjoyment and social inclusion to increase physical activity and reduce sedentary behaviour among older adults: protocol for a feasibility study to test the JOIN4JOY approach in five European countries

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Rehabilitation medicine
Protocol
Boosting enjoyment and social inclusion to increase physical activity and reduce sedentary behaviour among older adults: protocol for a feasibility study to test the JOIN4JOY approach in five European countries
  1. Laura Coll-Planas1,2,
  2. Andrea Fuente-Vidal1,2,
  3. Javier Jerez-Roig1,2,3,
  4. Erika Karkauskienė3,
  5. Montse Romero-Mas1,2,
  6. Aimar Intxaurrondo4,
  7. Paolo Caserotti5,
  8. Mathias Skjødt5,
  9. Dhayana Dallmeier6,
  10. Guillaume Lefebvre7,8,
  11. Lucie Bassinah7,
  12. Dolores Forgione9,
  13. Ricard Castro1,2,
  14. Eduard Minobes-Molina1,2,
  15. Carles Parés-Martínez1,2,
  16. Sergi Blancafort Alias1,2,4,
  17. Blanca Roman-Viñas10,
  18. José Luis Socorro-Cumplido10,
  19. Ainhoa Nieto-Guisado10,
  20. Oriol Sansano-Nadal10,
  21. Maria Giné-Garriga10
  1. 1 Research group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare. Centre for Health and Social Care Research (CESS). University of Vic-Central University of Catalonia (UVic-UCC), Vic, Catalunya, Spain
  2. 2 Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), Vic, Spain
  3. 3 Department of Health Promotion and Rehabilitation, Institute of Sport Science and Innovations, Lithuanian Sports University, Kaunas, Lithuania
  4. 4 Fundació Salut i Envelliment (Foundation on Health and Ageing), Autonomous University of Barcelona, Barcelona, Catalunya, Spain
  5. 5 Syddansk Universitet, Odense, Denmark
  6. 6 Agaplesion Bethesda Klinik Ulm, Ulm, Baden-Württemberg, Germany
  7. 7 Sport Initiative et Loisir Bleu Association, Strasbourg, France
  8. 8 Sport Initiative et Loisir Bleu Association, Barcelona, Spain
  9. 9 Istituto Europeo Per Lo Sviluppo Socio Economico (ISES), Alexandria, Italy
  10. 10 Facultat de Psicologia, Ciències de l’Educació i de l’Esport Blanquerna, Universitat Ramon Llull, Barcelona, Spain
  1. Correspondence to Dr Javier Jerez-Roig; javier.jerez{at}uvic.cat

Abstract

Introduction Programmes for older people aimed at increasing physical activity (PA) and reducing sedentary behaviour (SB) traditionally focus on achieving functional and health improvements. Focusing on enjoyment and social inclusion could strengthen adherence and help reach older people with social disadvantages. The aim of this study is to assess the feasibility and acceptability of the Join4Joy approach in PA programmes and its assessment tools.

Methods and analysis A multicentric, pragmatic, pre-post feasibility study using mixed methods will be conducted. The intervention will consist of a PA programme boosting enjoyment and social inclusion, grounded on a co-creation process. Trainers will offer twelve, 1-hour weekly sessions of structured, supervised, group-based PA. Participants will be encouraged to increase activity in daily living. 144 older people will be recruited from the community and nursing homes in Spain, Denmark, Italy, Germany, and France. Additionally, participants and trainers will be invited to join virtual communities of practice to share their experiences across settings and countries. Qualitative procedures will be used to explore the acceptability of the design via interviews and focus groups with participants and trainers. Quantitative methods will be used to assess uptake, adherence, retention, reach, satisfaction, enjoyment (PACES questionnaire), physical function (e.g., Short Physical Performance Battery), quality of life (EQ-5D-5L scale), perceived improvement (Patient Global Impression of Improvement scale-I), activities of daily living (Barthel index) and SB and PA patterns (IPAQ and accelerometry). The degree and type of participation in virtual communities of practice will also be assessed. SPSS software will be used for the analysis of quantitative variables. Qualitative data will be analysed using reflective thematic analysis following Braun and Clarke (2006).

Ethics and dissemination A favourable report by the Research Ethics Committee of UVic-UCC (282/2023) was obtained on 26 June 26th, 2023. Participation and withdrawal will be voluntary. Participants’ (or their legal guardians’, when necessary) written permission will be required. Results of the study will be disseminated through publication of scientific articles, presentations at sport and health-related professional conferences and congresses, as well as through social media and via the Join4Joy website.

Study registration ClinicalTrials.gov, NCT06100835.

  • Aged
  • Behavior
  • Feasibility Studies
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjopen-2023-083291

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    Footnotes

    • X @AndreaFuenteV, @javierjerezroig, @GinGarriga

    • LC-P and AF-V contributed equally.

    • Contributors LC-P and AF-V substantially and equally contributed to the conception and design of the work as well as the drafting and revising of the manuscript (including the proposal for the ethics committee). JJ-R and MG-G contributed to the study conception and design of the work, writing and revising the work critically for important intellectual content. EK contributed to the conception and design of the work as well as the drafting and revising of the manuscript (including the proposal for the ethics committee). MR-M, AI, PC, MS, DD, GL, LB, DF, RC-P, EM-M, CP-M, SB-A, BR-V, JLS-C, AN-G and OS-N contributed to the conception and design of the work as well as the drafting and revising of the manuscript. All authors finally approved the version to be published and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The project will acknowledge the ERASMUS+ SPORT Programme of the European Commission funding (call ERASMUS-SPORT-2021-SCP and project ID 101050674).

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were involved in the design, conduct, reporting or dissemination plans of this research. Refer to the Methods section for further details.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.