The Virtual Short Physical Performance Battery

Marsh, Anthony P.; Wrights, Abbie P.; Haakonssen, Eric H.; Dobrosielski, Meredith A.; Chmelo, Elizabeth; Barnard, Ryan; Pecorella, Anthony; Ip, Edward H.; Rejeski, W. Jack

doi:10.1093/gerona/glv029

Cited by 29 publications

(30 citation statements)

References 33 publications

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“…The SPPB could be adopted for characterizing physical function as well as documenting changes over time. Researchers and clinicians might consider using a recent virtual SPPB for ongoing measurement of physical function in older adults with MS [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Preliminary validation of the short physical performance battery in older adults with multiple sclerosis: secondary data analysis

et al. 2015

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BackgroundThere are relatively few standard, objective measures for studying physical function among older adults with multiple sclerosis (MS), yet such measures are necessary considering the shift in prevalence and associated consequences of both MS and older age on physical function. We undertook a preliminary examination of the construct validity of Short Physical Performance Battery (SPPB) scores in older adults with MS based on an expected differential pattern of associations with measures of lower and upper extremity function.MethodsThe sample included 48 persons with MS aged 50 years and older who were enrolled in a pilot, randomized controlled trial of exercise training. Participants completed the SPPB and other objective and self-report measures of lower and upper extremity function as part of baseline testing.ResultsSPPB scores demonstrated strong associations with measures of lower extremity function (|rs| = .66–.79), and weak associations with measures of upper extremity function (|rs| = .03–.33).ConclusionsWe provide preliminary evidence that supports the validity of scores from the SPPB as a measure of lower extremity function for inclusion in clinical research and practice involving older adults with MS.

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Section: Discussionmentioning

confidence: 99%

Preliminary validation of the short physical performance battery in older adults with multiple sclerosis: secondary data analysis

et al. 2015

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“…It has been shown that walking speed alone can represent nearly all of the predictive value of the SPPB [31], is quick and low cost, and may be done outside of a clinical setting. There has also been some work to validate self-reported performance on tests of physical performance, using a “virtual SPPB” test [32]. It would be feasible to design an app that participants downloaded and allowed them to test their walking speed with automatic notification to the study team as to whether they were eligible or not.…”

Section: Discussionmentioning

confidence: 99%

A pilot randomised controlled trial of physical activity facilitation for older adults: feasibility study findings

Morgan

Haase

Campbell

et al. 2019

Pilot Feasibility Stud

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Background More people are living longer lives leading to a growth in the population of older adults, many of whom have comorbidities and low levels of physical function. Physical activity in later life can prevent or delay age-related disability. Identifying a cost-effective means of increasing physical activity in older adults therefore remains an important public health priority. Physical Activity Facilitation (PAF) is an intervention shown to increase physical activity in adults with depression. The PAF model was modified for a population of older adults at risk of disability. This study aimed to assess the feasibility of undertaking a definitive RCT of the PAF intervention in the target population. Methods A pilot randomised controlled trial (RCT) was delivered through primary care. Patients at risk of disability and who were not meeting recommended levels of physical activity were recruited through postal invitation and direct approach in the practice waiting room. Those meeting eligibility criteria were enrolled and randomised at a 2:1 ratio to the PAF intervention and control. Behaviour change techniques were used by facilitators with participants over the telephone and face-to-face for 6 months. Outcome measures including physical function, physical activity, depression, social support, and quality of life were collected at baseline and at 6 months. Results A high proportion of patients responded to the initial invitation (68%), yet many were ineligible due to high levels of self-reported physical activity and baseline physical function. Fifty-one participants were recruited to the trial, with an average age of 74 years (range 65–89), and there were high rates of adherence and retention to the study (94% follow-up at 6 months). The majority of outcome data collected from participants was complete; however, the validated scale used to measure self-reported physical activity was associated with high levels of missing data. Conclusions The findings of this pilot RCT suggest that it is feasible to deliver a definitive RCT of the PAF intervention in this population. Further work is required to improve the efficiency of recruitment and to minimise missing data from self-reported physical activity measures. Trial registration Current controlled trials ISRCTN80470273 . Registered 25 October 2013. Electronic supplementary material The online version of this article (10.1186/s40814-019-0414-9) contains supplementary material, which is available to authorized users.

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“…Participants will be eligible for the PA module based on health conditions identified in the Australian National University Alzheimer’s Disease Risk Index Short Form (ANU-ADRI-SF [18, 19], medical history (MYB Medical History), and MYB Physical Assessment battery (includes measures of body composition, Harvard Alumni Questionnaire [20], International Physical Activity Questionnaire [21] sitting, and Virtual Short Physical Performance Battery Protocol [22]). Risks identified include low levels of physical activity (aerobic and/or resistance training), high levels of sitting, high blood pressure, dyslipidemia, diabetes, heart related issues, stroke, transient ischemic attack (TIA), high body mass index (BMI), high waist circumference, and active smoking status.…”

Section: Methodsmentioning

confidence: 99%

“…The PA module will be adjusted if a participant reports being diagnosed with osteoporosis, or a high number of falls in the past 12 months, or scores poorly in the virtual Short Physical Performance Battery (vSPPB) [22] by removing any goals and feedback related to aerobic exercise as walking may increase risk of falls until strength and balance are improved [34, 35]. During annual assessments, participants could be reallocated to the main PA module if appropriate.…”

Section: Methodsmentioning

confidence: 99%

Maintain Your Brain: Protocol of a 3-Year Randomized Controlled Trial of a Personalized Multi-Modal Digital Health Intervention to Prevent Cognitive Decline Among Community Dwelling 55 to 77 Year Olds

Heffernan

Andrews

Singh

et al. 2019

JAD

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Background: Maintain Your Brain (MYB) is a randomized controlled trial of an online multi-modal lifestyle intervention targeting modifiable dementia risk factors with its primary aim being to reduce cognitive decline in an older age cohort. Methods: MYB aims to recruit 8,500 non-demented community dwelling 55 to 77 year olds from the Sax Institute's 45 and Up Study in New South Wales, Australia. Participants will be screened for risk factors related to four modules that comprise the MYB intervention: physical activity, nutrition, mental health, and cognitive training. Targeting risk factors will enable interventions to be personalized so that participants receive the most appropriate modules. MYB will run for three years and up to four modules will be delivered sequentially each quarter during year one. Upon completing a module, participants will continue to receive less frequent booster activities for their eligible modules (except for the mental health module) until the end of the trial. Discussion: MYB will be the largest internet-based trial to attempt to prevent cognitive decline and potentially dementia. If successful, MYB will provide a model for not just effective intervention among older adults, but an intervention that is scalable for broad use.

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The Virtual Short Physical Performance Battery

Abstract: In spite of the similarity between the SPPB and vSPPB, the moderate strength of the association between the two suggests that they offer unique perspectives on an older adult's physical function.

Cited by 29 publications

References 33 publications

Preliminary validation of the short physical performance battery in older adults with multiple sclerosis: secondary data analysis

Preliminary validation of the short physical performance battery in older adults with multiple sclerosis: secondary data analysis

A pilot randomised controlled trial of physical activity facilitation for older adults: feasibility study findings

Maintain Your Brain: Protocol of a 3-Year Randomized Controlled Trial of a Personalized Multi-Modal Digital Health Intervention to Prevent Cognitive Decline Among Community Dwelling 55 to 77 Year Olds

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