---
title: Physical Literacy and Rehabilitation
nct_id: NCT04494711
overall_status: COMPLETED
phase: NA
sponsor: Julie Richardson
study_type: INTERVENTIONAL
primary_condition: Chronic Conditions, Multiple
countries: Canada
canonical_url: "https://parkinsonspathways.com/agent/trials/NCT04494711.md"
clinicaltrials_gov: "https://clinicaltrials.gov/study/NCT04494711"
ct_last_update_post_date: 2023-05-11
last_seen_at: "2026-05-12T06:33:38.885Z"
source: ClinicalTrials.gov (mirrored, no enrichment)
---
# Physical Literacy and Rehabilitation

**Official Title:** A Multi-phased Technology Integrated Physical Literacy Program Targeting Adults With Multimorbidity. A Knowledge Translation Project

**NCT ID:** [NCT04494711](https://clinicaltrials.gov/study/NCT04494711)

## Key Facts

- **Status:** COMPLETED
- **Phase:** NA
- **Study Type:** INTERVENTIONAL
- **Target Enrollment:** 20
- **Lead Sponsor:** Julie Richardson
- **Collaborators:** McMaster University
- **Conditions:** Chronic Conditions, Multiple, Aging, Mobility Limitation
- **Start Date:** 2021-01-01
- **Completion Date:** 2022-02-28
- **CT.gov Last Update:** 2023-05-11

## Brief Summary

With the aging population, the prevalence of chronic conditions continues to rise, affecting 1/3 of Canadians. The promotion of physical literacy, defined as "the motivation, confidence, physical competence and knowledge, to take responsibility for engagement in physical activity for life", has emerged as a promising strategy to increase movement for children. However, little is known about how physical literacy can impact aging adults. A working definition of physical literacy for adults focusing on mobility, function and self-monitoring provides opportunity to guide public health programs in addressing the rehabilitation needs of persons living with multiple chronic conditions.

## Detailed Description

The objectives of this three stage mixed methods study is to:

1. Develop a new physical literacy framework, with the help of health professionals and end-users that promotes optimal physical functioning for adults.
2. Develop a population-based health intervention using rehabilitation strategies that are delivered virtually to increase physical literacy for adults.

The first 2 qualitative studies will be used to inform the third quantitative intervention.

First, an on-line consensus approach with physiotherapy leaders, rehabilitation researchers and public health experts will be used to identify a new physical literacy framework as it relates to adults.

Second, virtual semi-structured interviews with working adults who are living with 2 or more chronic conditions will determine how aging adults frame physical literacy in their life, specifically with the management of chronic conditions.

Lastly, working adults with 2 or more chronic conditions will participate in a 5-week physical literacy program. Multifaceted knowledge translation strategies including; "walk and talk" with a neighbour or friend, podcasts and on-line mobility challenges will be utilized.

It is anticipated the intervention will improve important physical literacy outcomes such as; physical competence, function, mobility, motivation, awareness, and self-efficacy.

## Eligibility

- **Minimum age:** 45 Years
- **Maximum age:** 65 Years
- **Sex:** ALL
- **Healthy Volunteers:** Yes

```
Inclusion Criteria:

* Subjects will be screened by the primary researcher for the following inclusion criteria:

  1. Diagnosed from a physician with 2 or more chronic conditions and have lived with the conditions for ≥1 year
  2. Able to speak English
  3. Employed full time as a teacher in the Hamilton-Wentworth School Board, Ontario between the ages of 45 and 65 years.
  4. Describe themselves as moderately physically active or inactive over the past 12 months

Exclusion Criteria:

* Advised by physician not to participate in physical activity
```

## Arms

- **Physical functional literacy** (EXPERIMENTAL) — 5 week physical literacy program for adults with multiple chronic conditions

## Interventions

- **Physical Functional Literacy for Adults** (BEHAVIORAL) — A 5 week physical literacy for program focused on virtual knowledge translation strategies to improve function and mobility for adults with multiple chronic conditions. This is a population -based approach to rehabilitation

## Primary Outcomes

- **Physical Function at Baseline (Week 1)** _(time frame: Week 1)_ — The Patient Specific Functional Scale is a patient-reported questionnaire that asks participants to identify up to 5 important activities they are having difficulty with because of their health problem, and to rate their ability to perform those activities on a scale of 0 (unable to perform the activity) to 10 (able to perform the activity like they always have).
- **Change in Physical Function from Week 1** _(time frame: Week 5)_ — The Patient Specific Functional Scale is a patient-reported questionnaire that asks participants to identify up to 5 important activities they are having difficulty with because of their health problem, and to rate their ability to perform those activities on a scale of 0 (unable to perform the activity) to 10 (able to perform the activity like they always have).
- **Mobility Survey at Baseline (Week 1)** _(time frame: Week 1)_ — Manty Preclinical Disability Scale: Patient report questionnaire has been created from the work by Many (2007). Self reported mobility is determined by asking participants to rate their ability to walk 2.0 km, walk 0.5 km and climb up 1 flight of stairs on a scale of 1 (able to manage without difficulty) to 5 (unable to manage even with help). To identify persons at an early stage of mobility limitation (preclinical mobility limitation), additional questions were posed to participants who reported no task difficulty. The questions concerned the modification of task performance and the alternatives given were resting in the middle of the performance, using an aid, taking support from handrails, having reduced the frequency of performing the task, having slowed down performance of the task, experiencing tiredness when performing the task, or some other change in carrying out the task.
- **Change in Mobility from Week 1** _(time frame: Week 5)_ — Manty Preclinical Disability Scale: Patient report questionnaire has been created from the work by Many (2007). Self reported mobility is determined by asking participants to rate their ability to walk 2.0 km, walk 0.5 km and climb up 1 flight of stairs on a scale of 1 (able to manage without difficulty) to 5 (unable to manage even with help). To identify persons at an early stage of mobility limitation (preclinical mobility limitation), additional questions were posed to participants who reported no task difficulty. The questions concerned the modification of task performance and the alternatives given were resting in the middle of the performance, using an aid, taking support from handrails, having reduced the frequency of performing the task, having slowed down performance of the task, experiencing tiredness when performing the task, or some other change in carrying out the task.
- **Self-regulation at Baseline (Week 1)** _(time frame: Week 1)_ — The Health education impact questionnaire (heiQ): A Patient report questionnaire that aims to evaluate eight self-management skills in people with chronic conditions. Consists of 35 items across 7 independent constructs: health-directed activity; positive and active engagement in life; emotional wellbeing; self-monitoring and insight; constructive attitudes and approaches; skill and technique acquisition; social integration and support. Each construct comprises an independent questionnaire. Each construct-specific questionnaire includes 4-6 items rated on a 4-point scale (1 = strongly disagree, 2 = disagree, 3 = agree, 4 = strongly agree). The sum of scores for all items is divided by the number of items; construct scores range between 1 and 4. A higher score indicates better self-management, with the exception of the emotional wellbeing construct for which a lower score means better emotional well being.
- **Change in Self-regulation from Week 1** _(time frame: Week 5)_ — The Health education impact questionnaire (heiQ): A Patient report questionnaire that aims to evaluate eight self-management skills in people with chronic conditions. Consists of 35 items across 7 independent constructs: health-directed activity; positive and active engagement in life; emotional wellbeing; self-monitoring and insight; constructive attitudes and approaches; skill and technique acquisition; social integration and support. Each construct comprises an independent questionnaire. Each construct-specific questionnaire includes 4-6 items rated on a 4-point scale (1 = strongly disagree, 2 = disagree, 3 = agree, 4 = strongly agree). The sum of scores for all items is divided by the number of items; construct scores range between 1 and 4. A higher score indicates better self-management, with the exception of the emotional wellbeing construct for which a lower score means better emotional well being.

## Secondary Outcomes

- **Physical Activity at Baseline (Week 1)** _(time frame: Week 1)_
- **Change in Physical Activity from week 1** _(time frame: Week 5)_
- **Self-efficacy to manage chronic conditions at Baseline (Week 1)** _(time frame: Week 1)_
- **Change in Self-efficacy from week 1** _(time frame: Week 5)_
- **Knowledge and Awareness of health changes that occur with aging Baseline (Week 1)** _(time frame: Week 1)_
- **Change in Awareness level from week 1** _(time frame: Week 5)_
- **Participant satisfaction of the Physical Literacy program** _(time frame: Week 5)_

## Locations (1)

- Celeste Petrusevski, Hamilton, Canada

## Recent Field Changes (last 30 days)

- `eligibility.sex` — added _(2026-05-12)_
- `status.overallStatus` — added _(2026-05-12)_
- `status.primaryCompletionDate` — added _(2026-05-12)_
- `status.completionDate` — added _(2026-05-12)_
- `status.lastUpdatePostDate` — added _(2026-05-12)_
- `design.phases` — added _(2026-05-12)_
- `design.enrollmentCount` — added _(2026-05-12)_
- `eligibility.criteria` — added _(2026-05-12)_
- `eligibility.minAge` — added _(2026-05-12)_
- `eligibility.maxAge` — added _(2026-05-12)_
- `outcomes.primary` — added _(2026-05-12)_
- `outcomes.secondary` — added _(2026-05-12)_
- `armsInterventions.arms` — added _(2026-05-12)_
- `armsInterventions.interventions` — added _(2026-05-12)_
- `sponsor.lead` — added _(2026-05-12)_
- `sponsor.collaborators` — added _(2026-05-12)_
- `results.hasResults` — added _(2026-05-12)_
- `locations.celeste petrusevski|hamilton||canada` — added _(2026-05-12)_

---

*Canonical: https://parkinsonspathways.com/agent/trials/NCT04494711.md*  
*Source data (authoritative): https://clinicaltrials.gov/study/NCT04494711*  
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