Healthy AgingNCT05031273
Designing Communities to Support Healthy Living in Aging Residents
A study testing Residents moving into a congregate-living development with more features that support healthy living in people with Healthy Aging, run by University of Alberta at 1 site in Canada.
Trial summary
The Housing for Health team is making evidence-based recommendations to the developer and design team of an upcoming congregate-living development to support the healthy living of older adults who will be moving into the new building. Read more about this study
- Who is it for?
- Ages 18 to 110 yearsHealthy volunteers can take part
- Conditions the study is for
- Healthy Aging
- What is being tested?
- Residents moving into a congregate-living development with more features that support healthy living
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 155 participants
- Where
- 1 siteCanada
- Study dates
- 1 Mar 2021to 26 Sep 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 110 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Men or women aged 18 years or older that are either moving into the intervention site(s), or living in a control site.
Who cannot join
- Residents who have been told by a health care provider that they have Alzheimer's or dementia.
Trial locations and contacts
1 site in 1 country.
About this study
The Housing for Health team is making evidence-based recommendations to the developer and design team of an upcoming congregate-living development to support the healthy living of older adults who will be moving into the new building. There may also be opportunities to improve the surrounding neighbourhood by collaborating with the municipality where the development is located. We will evaluate whether the intervention leads to changes in the perceived, micro-scale, and macro-scale physical built environment (BE), and whether there are impacts on the physical activity (PA), healthy eating, and social connections of residents. In parallel, we will gather qualitative data to provide a more in-depth understanding of how the BE may facilitate or hinder resident's healthy living behaviours.
Read the detailed description
Background: The Housing for Health team is making evidence-based recommendations to the developer and design team of an upcoming congregate-living development to support the healthy living of older adults who will be moving into the new building. There may also be opportunities to improve the surrounding neighbourhood by collaborating with the municipality where the development is located. We will evaluate whether the intervention leads to changes in the perceived, micro-scale, and macro-scale physical built environment (BE), and whether there are impacts on the physical activity (PA), healthy eating, and social connections of residents. In parallel, we will gather qualitative data to provide a more in-depth understanding of how the BE may facilitate or hinder resident's healthy living behaviours.
Methods: This project employs a quasi-experimental pre-post design. The quantitative built environment (BE) evaluation includes assessments of macroscale (e.g., layout of communities) and microscale (e.g., street details and characteristics) changes as measured using Geographical Information Systems (GIS) and Microscale Audit Pedestrian Streetscapes (MAPS) audits, respectively. For the quantitative resident evaluation, residents moving into the intervention site or who currently live at a control site will be invited to participate. Study outcomes will be measured using self-report (i.e., surveys) and objective tools (i.e., accelerometers, Global Positioning System). The qualitative resident-environment component will be conducted using in-depth semi-structured interviews with building residents, family members, and stakeholders involved in the design/development and/or operation of the intervention site and others living in the developments' neighbourhoods. Participant observations will be completed in the building and neighbourhood environments of the intervention site.
Discussion: Findings will provide evidence on whether and how comprehensive changes to the BE of a building, site, and/or neighbourhood of a congregate living facility can impact PA, healthy eating, and social connections of older adults. Successful aspects of interventions will be scaled up in future work. We will disseminate findings to a broad audience including the scientific community via peer-reviewed publications, conference presentations, and discussion panels; and private, public, and non-profit sectors via reports, public presentations and/or communications via our partners and their networks.
- Conditions
- Healthy Aging
- Being tested
- Residents moving into a congregate-living development with more features that support healthy living
- Keywords
- Social connections, Healthy eating, Physical activity, Built environment, Older adults
- Medical subject headings
- Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Residents moving into a congregate-living development with more features that support healthy livingBehavioural
Our team is making evidence-based recommendations to the developer and design team of an upcoming congregate-living development to support the physical activity, healthy eating, and social connections of residents moving into the new building(s). We hope for the developer to integrate into the new building(s) as many as possible of our team's built environment design and amenity recommendations into their site and/or building plans. Additionally, discussions with the municipality are also occuring on built environment design and amenity recommendations to improve the neighbourhood surrounding the site. Although our team has provided these recommendations, it is ulimatily up to the discretion of the developer and the municipality as to whether and what design and amenity changes are made.
| Study group | Role | What they receive |
|---|---|---|
| Residents moving into a congregate-living development with more features that support healthy living | Experimental | Residents moving into a congregate-living development designed for older adults with more design and amenities features in the building, site, and/or neighbourhood that support physical activity, healthy eating, and social connections. Receives: Behavioral: Residents moving into a congregate-living development with more features that support healthy living |
| Residents living in a standard congregate-living development | No intervention | Residents living in a standard community-based congregate-living development designed for older adults. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in self-reported physical activity from baseline to 3-6-months post-move-in
Self-reported physical activity will be adapted from the Neighborhood - International Physical Activity Questionnaire (N-IPAQ)
Measured: baseline and 3-6-months post-move-in
Change in self-reported physical activity from baseline to 9-12-months post-move-in
Self-reported physical activity will be adapted from the Neighborhood - International Physical Activity Questionnaire (N-IPAQ)
Measured: baseline and 9-12-months post-move-in
Change in accelerometer-measured physical activity from baseline to 9-12-months post-move-in
Accelerometer-measured physical activity will be measured using Actigraph accelerometers.
Measured: baseline and 9-12-months post-move-in
Change in accelerometer-measured physical activity from baseline to 3-6-months post-move-in
Accelerometer-measured physical activity will be measured using Actigraph accelerometers.
Measured: baseline and 3-6-months post-move-in
Change in location-measured physical activity from baseline to 3-6-months post-move-in
Location-measured physical activity will be measured using Qstarz Travel Recorder Geographical Positioning System (GPS) devices.
Measured: baseline and 3-6-months post-move-in
Change in location-measured physical activity from baseline to 9-12-months post-move-in
Location-measured physical activity will be measured using Qstarz Travel Recorder Geographical Positioning System (GPS) devices.
Measured: baseline and 9-12-months post-move-in
Change in healthy eating from baseline to 3-6-months post-move-in
Healthy eating will be adapted from the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Measured: baseline and 3-6-months post-move-in
Change in healthy eating from baseline to 9-12-months post-move-in
Healthy eating will be adapted from the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Measured: baseline and 9-12-months post-move-in
Change in unhealthy eating from baseline to 3-6-months post-move-in
Unhealthy eating will be adapted from the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Measured: baseline and 3-6-months post-move-in
Change in unhealthy eating from baseline to 9-12-months post-move-in
Unhealthy eating will be adapted from the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Measured: baseline and 9-12-months post-move-in
Change in social connections from baseline to 3-6-months post-move-in
Social connections will be derived from several self-report items.
Measured: baseline and 3-6-months post-move-in
Change in social connections from baseline to 9-12-months post-move-in
Social connections will be derived from several self-report items.
Measured: baseline and 9-12-months post-move-in
Change in the micro-scale built environment from baseline to 3-6-months post-move-in
The actual micro-scale built environment is measured using the Microscale Audit of Pedestrian Streetscapes (MAPS) audit tool
Measured: baseline and 3-6-months post-move-in
Change in the micro-scale built environment from baseline to 9-12-months post-move-in
The actual micro-scale built environment is measured using the Microscale Audit of Pedestrian Streetscapes (MAPS) audit tool
Measured: baseline and 9-12-months post-move-in
Change in the macro-scale built environment from baseline to 3-6-months post-move-in
The actual macro-scale built environment is measured using Geographical Information Systems (GIS)
Measured: baseline and 3-6-months post-move-in
Change in the macro-scale built environment from baseline to 9-12-months post-move-in
The actual macro-scale built environment will be measured using Geographical Information Systems (GIS)
Measured: baseline and 9-12-months post-move-in
Change in the perceived neighbourhood built environment from baseline to 3-6-months post-move-in
The perceived neighbourhood built environment will be measured using the Physical Activity Neighborhood Environment Scale (PANES)
Measured: baseline and 3-6-months post-move-in
Change in the perceived neighbourhood built environment from baseline to 9-12-months
The perceived neighbourhood built environment will be measured using the Physical Activity Neighborhood Environment Scale (PANES)
Measured: baseline and 9-12-months post-move-in
Change in the perceived neighbourhood food environment from baseline to 3-6-months
The perceived neighbourhood food environment will be measured using the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Measured: baseline and 3-6-months post-move-in
Change in the perceived neighbourhood food environment from baseline to 9-12-months
The perceived neighbourhood food environment will be measured using the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Measured: baseline and 9-12-months post-move-in
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Sep 2021
- Study start1 Mar 2021
- Primary completion26 Sep 2023
- Study completion26 Sep 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Healthy AgingStudies of the same condition, open and under way.
- More trials run by University of AlbertaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Single group
- Model description
- The intervention arm will be exposed to the built environment intervention, and the control arm will not.
- Masking
- None (open label)
- Enrolment
- 155 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Alberta
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05031273
- Sponsor's protocol ID
- 1819-HQ-000051
- Status last verified
- Nov 2023
- First submitted
- 29 Jun 2021
- Last updated
- 29 Nov 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Stearns JA, Ren H, Spence JC, Avedzi H, Lee KK. Protocol for an evaluation of the Designing Communities to Support Healthy Living in Aging Residents Study. Arch Public Health. 2021 Oct 7;79(1):172. doi: 10.1186/s13690-021-00691-4.
PubMed 34620222
Study at a glance
From the registry record, last updated by the sponsor on 29 Nov 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Designing Communities to Support Healthy Living in Aging Residents
- ClinicalTrials.gov ID
- NCT05031273
- Acronym / sponsor ID
- 1819-HQ-000051
- Conditions
- Healthy Aging
- Keywords
- Social connections, Healthy eating, Physical activity, Built environment, Older adults
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 155 participants (actual)
- Lead sponsor
- University of AlbertaUniversity, hospital or other
- Study start
- 1 Mar 2021 (actual)
- Primary completion
- 26 Sep 2023 (actual)
- Study completion
- 26 Sep 2023 (actual)
- First posted
- 1 Sep 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The Housing for Health team is making evidence-based recommendations to the developer and design team of an upcoming congregate-living development to support the healthy living of older adults who will be moving into the new building. There may also be opportunities to improve the surrounding neighbourhood by collaborating with the municipality where the development is located. We will evaluate whether the intervention leads to changes in the perceived, micro-scale, and macro-scale physical built environment (BE), and whether there are impacts on the physical activity (PA), healthy eating, and social connections of residents. In parallel, we will gather qualitative data to provide a more in-depth understanding of how the BE may facilitate or hinder resident's healthy living behaviours.
Detailed description
Background: The Housing for Health team is making evidence-based recommendations to the developer and design team of an upcoming congregate-living development to support the healthy living of older adults who will be moving into the new building. There may also be opportunities to improve the surrounding neighbourhood by collaborating with the municipality where the development is located. We will evaluate whether the intervention leads to changes in the perceived, micro-scale, and macro-scale physical built environment (BE), and whether there are impacts on the physical activity (PA), healthy eating, and social connections of residents. In parallel, we will gather qualitative data to provide a more in-depth understanding of how the BE may facilitate or hinder resident's healthy living behaviours.
Methods: This project employs a quasi-experimental pre-post design. The quantitative built environment (BE) evaluation includes assessments of macroscale (e.g., layout of communities) and microscale (e.g., street details and characteristics) changes as measured using Geographical Information Systems (GIS) and Microscale Audit Pedestrian Streetscapes (MAPS) audits, respectively. For the quantitative resident evaluation, residents moving into the intervention site or who currently live at a control site will be invited to participate. Study outcomes will be measured using self-report (i.e., surveys) and objective tools (i.e., accelerometers, Global Positioning System). The qualitative resident-environment component will be conducted using in-depth semi-structured interviews with building residents, family members, and stakeholders involved in the design/development and/or operation of the intervention site and others living in the developments' neighbourhoods. Participant observations will be completed in the building and neighbourhood environments of the intervention site.
Discussion: Findings will provide evidence on whether and how comprehensive changes to the BE of a building, site, and/or neighbourhood of a congregate living facility can impact PA, healthy eating, and social connections of older adults. Successful aspects of interventions will be scaled up in future work. We will disseminate findings to a broad audience including the scientific community via peer-reviewed publications, conference presentations, and discussion panels; and private, public, and non-profit sectors via reports, public presentations and/or communications via our partners and their networks.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- The intervention arm will be exposed to the built environment intervention, and the control arm will not.
| Arm | Type | Receives |
|---|---|---|
| Residents moving into a congregate-living development with more features that support healthy living | Experimental | Behavioral: Residents moving into a congregate-living development with more features that support healthy livingResidents moving into a congregate-living development designed for older adults with more design and amenities features in the building, site, and/or neighbourhood that support physical activity, healthy eating, and social connections. |
| Residents living in a standard congregate-living development | No intervention | –Residents living in a standard community-based congregate-living development designed for older adults. |
Who may qualify
- Ages
- 18 to 110 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Men or women aged 18 years or older that are either moving into the intervention site(s), or living in a control site.
Key exclusion criteria (1 listed)
- Residents who have been told by a health care provider that they have Alzheimer's or dementia.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Residents moving into a congregate-living development with more features that support healthy livingOur team is making evidence-based recommendations to the developer and design team of an upcoming congregate-living development to support the physical activity, healthy eating, and social connections of residents moving into the new building(s). We hope for the developer to integrate into the new building(s) as many as possible of our team's built environment design and amenity recommendations into their site and/or building plans. Additionally, discussions with the municipality are also occuring on built environment design and amenity recommendations to improve the neighbourhood surrounding the site. Although our team has provided these recommendations, it is ulimatily up to the discretion of the developer and the municipality as to whether and what design and amenity changes are made. | Behavioural | Residents moving into a congregate-living development with more features that support healthy living |
Primary outcome
Change in self-reported physical activity from baseline to 3-6-months post-move-in
Time frame: baseline and 3-6-months post-move-in
Self-reported physical activity will be adapted from the Neighborhood - International Physical Activity Questionnaire (N-IPAQ)
Change in self-reported physical activity from baseline to 9-12-months post-move-in
Time frame: baseline and 9-12-months post-move-in
Self-reported physical activity will be adapted from the Neighborhood - International Physical Activity Questionnaire (N-IPAQ)
Change in accelerometer-measured physical activity from baseline to 9-12-months post-move-in
Time frame: baseline and 9-12-months post-move-in
Accelerometer-measured physical activity will be measured using Actigraph accelerometers.
Change in accelerometer-measured physical activity from baseline to 3-6-months post-move-in
Time frame: baseline and 3-6-months post-move-in
Accelerometer-measured physical activity will be measured using Actigraph accelerometers.
Change in location-measured physical activity from baseline to 3-6-months post-move-in
Time frame: baseline and 3-6-months post-move-in
Location-measured physical activity will be measured using Qstarz Travel Recorder Geographical Positioning System (GPS) devices.
Change in location-measured physical activity from baseline to 9-12-months post-move-in
Time frame: baseline and 9-12-months post-move-in
Location-measured physical activity will be measured using Qstarz Travel Recorder Geographical Positioning System (GPS) devices.
Change in healthy eating from baseline to 3-6-months post-move-in
Time frame: baseline and 3-6-months post-move-in
Healthy eating will be adapted from the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Change in healthy eating from baseline to 9-12-months post-move-in
Time frame: baseline and 9-12-months post-move-in
Healthy eating will be adapted from the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Change in unhealthy eating from baseline to 3-6-months post-move-in
Time frame: baseline and 3-6-months post-move-in
Unhealthy eating will be adapted from the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Change in unhealthy eating from baseline to 9-12-months post-move-in
Time frame: baseline and 9-12-months post-move-in
Unhealthy eating will be adapted from the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Change in social connections from baseline to 3-6-months post-move-in
Time frame: baseline and 3-6-months post-move-in
Social connections will be derived from several self-report items.
Change in social connections from baseline to 9-12-months post-move-in
Time frame: baseline and 9-12-months post-move-in
Social connections will be derived from several self-report items.
Change in the micro-scale built environment from baseline to 3-6-months post-move-in
Time frame: baseline and 3-6-months post-move-in
The actual micro-scale built environment is measured using the Microscale Audit of Pedestrian Streetscapes (MAPS) audit tool
Change in the micro-scale built environment from baseline to 9-12-months post-move-in
Time frame: baseline and 9-12-months post-move-in
The actual micro-scale built environment is measured using the Microscale Audit of Pedestrian Streetscapes (MAPS) audit tool
Change in the macro-scale built environment from baseline to 3-6-months post-move-in
Time frame: baseline and 3-6-months post-move-in
The actual macro-scale built environment is measured using Geographical Information Systems (GIS)
Change in the macro-scale built environment from baseline to 9-12-months post-move-in
Time frame: baseline and 9-12-months post-move-in
The actual macro-scale built environment will be measured using Geographical Information Systems (GIS)
Change in the perceived neighbourhood built environment from baseline to 3-6-months post-move-in
Time frame: baseline and 3-6-months post-move-in
The perceived neighbourhood built environment will be measured using the Physical Activity Neighborhood Environment Scale (PANES)
Change in the perceived neighbourhood built environment from baseline to 9-12-months
Time frame: baseline and 9-12-months post-move-in
The perceived neighbourhood built environment will be measured using the Physical Activity Neighborhood Environment Scale (PANES)
Change in the perceived neighbourhood food environment from baseline to 3-6-months
Time frame: baseline and 3-6-months post-move-in
The perceived neighbourhood food environment will be measured using the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Change in the perceived neighbourhood food environment from baseline to 9-12-months
Time frame: baseline and 9-12-months post-move-in
The perceived neighbourhood food environment will be measured using the Nutritional Environment Measures Survey - Perceived Nutrition Environment (NEMS-P)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Nov 2023.
- Derived from this study: PubMed 34620222Stearns JA, Ren H, Spence JC, Avedzi H, Lee KK. Protocol for an evaluation of the Designing Communities to Support Healthy Living in Aging Residents Study. Arch Public Health. 2021 Oct 7;79(1):172. doi: 10.1186/s13690-021-00691-4.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Residents moving into a congregate-living development with more features that support healthy living in people with Healthy Aging, run by University of Alberta at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 29 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in self-reported physical activity from baseline to 3-6-months post-move-in (time frame: baseline and 3-6-months post-move-in). The study lists 20 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05031273, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Nov 2023.