@article{fdi:010085945,
  title = {{S}tudy protocol for a pragmatic cluster randomized controlled trial to improve dietary diversity and physical fitness among older people who live at home (the "{ALAPAGE} study")},
  author = {{B}ocquier, {A}. and {J}acquemot, {A}. {F}. and {D}ubois, {C}. and {T}rehard, {H}. and {C}ogordan, {C}. and {M}aradan, {G}. and {C}ortaredona, {S}{\'e}bastien and {F}ressard, {L}. and {D}avin-{C}asalena, {B}. and {V}inet, {A}. and {V}erger, {P}. and {D}armon, {N}. and {A}rquier, {V}. and {B}riclot, {G}. and {C}hamla, {R}. and {C}ousson-{G}elie, {F}. and {D}anthony, {S}. and {D}elrieu, {K}. and {D}essirier, {J}. and {F}eart, {C}. and {F}usinati, {C}. and {G}azan, {R}. and {G}ibert, {M}. and {L}amiraud, {V}. and {M}aillot, {M}. and {N}adal, {D}. and {T}rotta, {C}. and {V}erger, {E}ric and {V}iriot, {V}. and {ALAPAGE} {S}tudy {G}roup},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {D}iet and physical activity are key components of healthy aging. {C}urrent interventions that promote healthy eating and physical activity among the elderly have limitations and evidence of {F}rench interventions' effectiveness is lacking. {W}e aim to assess (i) the effectiveness of a combined diet/physical activity intervention (the "{ALAPAGE}" program) on older peoples' eating behaviors, physical activity and fitness levels, quality of life, and feelings of loneliness; (ii) the intervention's process and (iii) its cost effectiveness. {M}ethods: {W}e performed a pragmatic cluster randomized controlled trial with two parallel arms (2:1 ratio) among people >= 60 years old who live at home in southeastern {F}rance. {A} cluster consists of 10 people participating in a "workshop" (i.e., a collective intervention conducted at a local organization). {W}e aim to include 45 workshops randomized into two groups: the intervention group (including 30 workshops) in the {ALAPAGE} program; and the waiting-list control group (including 15 workshops). {P}articipants (expected total sample size: 450) will be recruited through both local organizations' usual practices and an innovative active recruitment strategy that targets hard-toreach people. {W}e developed the {ALAPAGE} program based on existing workshops, combining a participatory and a theory-based approach. {I}t includes a 7-week period with weekly collective sessions supported by a dietician and/or an adapted physical activity professional, followed by a 12-week period of post-session activities without professional supervision. {P}rimary outcomes are dietary diversity (calculated using two 24-hour diet recalls and one {F}ood {F}requency {Q}uestionnaire) and lower-limb muscle strength (assessed by the 30-second chair stand test from the {S}enior {F}itness {T}est battery). {S}econdary outcomes include consumption frequencies of main food groups and water/ hot drinks, other physical fitness measures, overall level of physical activity, quality of life, and feelings of loneliness. {O}utcomes are assessed before the intervention, at 6 weeks and 3 months later. {T}he process evaluation assesses the fidelity, dose, and reach of the intervention as its causal mechanisms (quantitative and qualitative data). {D}iscussion: {T}his study aims to improve healthy aging while limiting social inequalities. {W}e developed and evaluated the {ALAPAGE} program in partnership with major healthy aging organizations, providing a unique opportunity to expand its reach.},
  keywords = {{H}ealthy ageing ; {E}lderly people ; {N}utrition ; {D}ietary diversity ; {P}hysical activity ; {L}ifestyle integrated functional exercise ; {Q}uality of life ; {H}ealth education ; {C}luster randomized controlled trial},
  booktitle = {},
  journal = {{BMC} {G}eriatrics},
  volume = {22},
  numero = {1},
  pages = {643 [12 ]},
  year = {2022},
  DOI = {10.1186/s12877-022-03260-8},
  URL = {https://www.documentation.ird.fr/hor/fdi:010085945},
}