Overview
This is a 12-month multi-level behavioral cluster randomized trial testing a church-based intervention to improve physical function (PF) in Americans with PF limitations.
Eligibility
Inclusion Criteria:
Churches (Community-level):
- Membership of 300 or more adults
- Located in Cook, Lake, Dupage, Will, McHenry, Kane, or Kendall counties
Participants (Individual-level):
- Age 40 or older
- Have mobility limitations (defined as SPPB score of ≤9)
- Ambulatory, defined as able to get out of a chair and walk without assistance without using a straight cane
- Able to speak and read English
- Attend recruitment church; and
- Safe to begin an exercise program, which will be determined using the Exercise Assessment and Screening for You (EASY) Tool.
Exclusion Criteria:
Participants (Individual-level):
- Severe cognitive impairment, defined as five or more errors on the Short-Portable Mental Status Questionnaire
- Unable to consistently attend group classes at a scheduled time due to lack of reliable transportation, schedule conflicts, travel, plans to relocate, upcoming surgery, etc.
- Participating in a medically supervised rehabilitation program such as cardiac rehab
- Inpatient treatment for a psychiatric condition within the past 6 months, or currently receiving treatment for schizophrenia or other serious psychiatric illness
- Contraindications to exercise determined using the EASY/healthcare follow-up
- Congestive heart failure New York Health Association (NYHA) Class I or higher; unstable angina; heart attack or stroke within past 6 months
- Visual or hearing impairment.
