Description: The aim of this trial is to i) adapt and ii) test the impact of an effective group-based exercise mobility program across two hospitals in Sydney: St George Private Hospital and Prince of Wales Hospital. Stage 1 of this project will involve collaborative adaptation of the program with clinicians, consumers and managers. Stage 2 will involve a stepped wedge trial. We have submitted ethics application for Stage 1. Academic lead investigator: Dr Marina Pinheiro Clinician Lead investigator: Dr Peter Youssef, Prof Cathie Sherrington Our team comprises academics, clinicians, and consumers from both sites. This project is funded by a Ramsay Research Foundation Grant. For more information about this study please contact Dr Marina Pinheiro: marina.pinheiro@sydney.edu.au

Description: The aim of these reviews was to inform the WHO on their guideline's development, economic modelling, and subsequent implementation activities. These reviews are completed Link to publications: PINHEIRO MB [first author], Oliveira J, Bauman A, Fairhall N, Kwok W, Sherrington C. Evidence on physical activity and osteoporosis prevention for people aged 65+ years: a systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY. 2020;17(1):150. PINHEIRO MB [first author], Sherrington C, Howard K, Caldwell P, Tiedemann A, Wang B, S Oliveira J, Santos A, Bull FC, Willumsen JF, Michaleff ZA, Ferguson S, Mayo E, Fairhall NJ, Bauman AE, Norris S. Economic evaluations of fall prevention exercise programs: a systematic review. BRITISH JOURNAL OF SPORTS MEDICINE. 2022;56:1353-1365. PINHEIRO MB [first author], Oliveira JS, Baldwin J, Hassett L, Costa N, Gilchrist H, Wang B, Kwok W, Albuquerque B, Pivotto L, Carvalho-Silva APMC, Sharma S, Gilbert S, Bauman A, Bull F, Willumsen J, Sherrington C, Tiedemann A. Impact of physical activity programs and services for older adults: a rapid review. INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY. 2022;19:87. PINHEIRO MB [first author], Howard K, Oliveira JS, Kwok WS, Tiedemann A, Wang B, Taylor J, Bauman A, Sherrington C. Cost-effectiveness of physical activity programs and services for older adults: a scoping review. AGE AND AGEING. 2023;52(3):afad023. PINHEIRO MB. [first author], Howard K, Bauman A, Sherrington C, Tiedemann A, Smith B, Bellew W, Ding M, Costa N, Lunar FR, Albuquerque B, Wang B, Ba V, Norris S. Economic evaluation of physical activity mass media campaigns across the globe: a systematic review. INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY. 2022;19:107. Lead investigator: Dr Marina Pinheiro For more information about these reviews please contact Dr Marina Pinheiro: marina.pinheiro@sydney.edu.au

Lead investigator: A/Prof Cathy Said (The University of Melbourne) Description: The aim of this project is to i) co-design an exercise and fall prevention program, delivered via a combination of telehealth and in-person sessions, for people from culturally and linguistically diverse backgrounds and ii) evaluate the effectiveness of this program at increasing the uptake of exercise and fall prevention strategies. This project is funded by MRFF grants (MRF2023755, MRF2023806, MRF2015963) The co-design process is complete. Recruitment for the effectiveness trial has started. Role: Chief investigator

We hope the findings of this project lead to enhanced promotion of physical activity by health professionals for people aged 50+ and people of all ages with a physical disability. The aim of the project is to to collaboratively develop and test a strategy to support health professionals to promote PA to their patients – including older adults and children/adolescents/adults with physical disabilities – within their daily clinical practice. The project is currently recruiting participants for phase one of the study-collaborative implementation strategy development. In this phase we will conduct interviews, focus groups, workshops and surveys with health professionals, exercise providers and consumers to identify barriers to PA promotion and collaboratively develop the evidence-based implementation strategies and intervention elements. Phase 2 of the study is a Type 2 hybrid effectiveness-implementation cluster randomised trial (2023 onwards). In Phase 2 we will test the effectiveness of the implementation strategies and intervention elements in a Type 2 hybrid cluster randomised trial recruiting 800 participants across 30 sites. Chief Investigator Professor Cathie Sherrington (IMH) Our team comprises academics, public health experts and health economists from the University of Sydney, UNSW, Western Sydney University and Australian Catholic University, as well as multi-disciplinary clinicians from five Local Health Districts (Sydney, Western Sydney, South-Western Sydney, South-Eastern Sydney and Sydney Children Hospitals Network). Partner organisations include Disability Sport Australia, Australian Physiotherapy Association, Clinical Excellence Commission, iCare and Belgravia Leisure. This project has received ethics approval from Local Health District Ethics Committees and is being funded by an NHMRC Partnership Grant. For more information about this project, please contact: Kate Purcell e: kate.purcell@sydney.edu.au

We hope the findings of this project lead to the implementation of a remotely delivered information and support program that is effective in improving physical activity and other physical and mental health outcomes in women aged 50+ years. The aim of this project is to evaluate the effectiveness and cost-effectiveness of the Active Women over 50 program for increasing physical activity compared with a no intervention wait-list, among 1000 women aged 50+ in urban and rural/regional/remote NSW. Participants will be randomly allocated to one of two groups. Group one will receive access to the Active Women over 50 program including a tailored website, telephone health coaching, SMS/email-based messages and Facebook group, to provide support, motivation and guidance on increasing physical activity. Group two will be placed on a waitlist and receive access to the Active Women over 50 program after the 6 month follow-up. Principal Investigator: Professor Anne Tiedemann (IMH) Investigators: Professor Cathie Sherrington (IMH), Associate Professor Leanne Hassett (IMH), Professor Philayrath Phongsavan (University of Sydney), Emeritus Professor Adrian Bauman (University of Sydney), Dr Abigail Haynes (University of Sydney), Dr Marina de Barros Pinheiro (University of Sydney), Dr Dominika Kwasnicka (University of Melbourne), Professor Nehmat Houssami (University of Sydney), Associate Professor Simon Rosenbaum (University of New South Wales), Associate Professor Georgina Luscombe (University of Sydney), Dr Heidi Gilchrist (University of Sydney), Geraldine Wallbank (University of Sydney), Dr Grace McKeon (University of New South Wales), Professor Kirsten Howard (University of Sydney), Dr Raaj Kishore Biswas (SLHD), Susan Linney (consumer advisor), Trish Stabback (consumer advisor CWA NSW), Kamilla Haufort (consumer advisor COTA NSW). The sponsor of this trial is The University of Sydney. Funding is from the Medical Research Future Fund.

We hope the findings of this project lead to the development of a dance program that is effective in preventing falls among people aged 60+ years. RIPE Dance (Really Is Possible for Everyone), provides popular, long-running tailored dance programs, with a fall prevention focus, for over 100 older people in Southeast Queensland. We plan to conduct a pilot RCT of RIPE dance classes for community-dwelling people aged 60+. The objective is to test the feasibility, acceptability, and intervention impact of the RIPE dance classes. The results will inform the design and methods for a planned large trial of tailored dance classes for older people, with falls as the primary outcome. Principal Investigator: Dr Heidi Gilchrist (IMH) Investigators: Professor Anne Tiedemann (IMH), Professor Cathie Sherrington (IMH), Dr Abigail Haynes (University of Sydney), Dr Juliana Oliveira (IMH), Professor Dafna Merom (Western Sydney University). The sponsor of this trial is The University of Sydney. Funding is from the Physiotherapy Research Foundation.

We hope the findings of this project lead to enhanced promotion of physical activity by health professionals for people aged 50+ and people of all ages with a physical disability. The aim of the project is to determine whether a health professional education and support package (workshop, website, on-line discussion, phone/email support) increases promotion of physical activity and frequency of recommendations about attendance at community-based structured physical activity opportunities among people aged 50+ and/or people of any age with physical disabilities compared with waiting list control. This project is currently recruiting. Chief Investigator: Professor Cathie Sherrington (IMH) Associate Investigators: Professor Anne Tiedemann (IMH), Dr Leanne Hassett (IMH), Dr Bethan Richards (IMH), Professor Louise Baur (The Children’s Hospital at Westmead & The University of Sydney), Professor Adrian Bauman (The University of Sydney), Professor Lisa Harvey (The University of Sydney), Associate Professor Philayrath Phongsavan (University of Sydney), Professor Jennifer Alison (University of Sydney), Associate Professor Ben Smith (University of Sydney), Kate Purcell (IMH), Jenni Cole (Disability Sports Australia), Professor Chris Rissel (University of Sydney & the NSW Office of Preventive Health), Associate Professor Jeff Walkley (Belgravia Leisure), Dr Genevieve Dwyer (Western Sydney University), Kerry West (IMH). This project has received ethics approval from Local Health District Ethics Committees and is being funded by Medical Research Future Fund (MRFF) Rapid Applied Research Translation Grant. For more information about this project, please contact: Kate Purcell e: kate.purcell@sydney.edu.au

We hope the findings of this project will lead to improved physical activity levels in patients receiving brief physical activity counselling as part of their physiotherapy treatment. BEHAVIOUR is a hybrid type II cluster randomised controlled trial. The aim is to evaluate the effectiveness of a multi-faceted implementation strategy compared to usual care on increasing the proportion of patients receiving brief physical activity counselling as part of hospital-based physiotherapy care, and subsequently improving the physical activity levels among these patients. Physiotherapists in the intervention group will be assigned to receive the multi-faceted implementation strategy immediately to support them to incorporate brief physical activity counselling into their routine care. The main implementation strategies will include education training, creating a learning collaborative, tailored strategies to address community referral barriers, facilitation and audit and feedback. The control group will receive an updated version of the implementation strategy at the end of the trial. The trial will be conducted with physiotherapists across all hospitals in South Western Sydney Local Health District and will include participants from culturally and linguistically diverse backgrounds. Principle Investigator: A/Prof Leanne Hassett Co-Investigators: Professor Catherine Sherrington (USyd), Mr Matthew Jennings (SWSLHD), Dr Marina Pinheiro (USyd), Dr Bernadette Brady (SWSLHD/USyd), Professor Sarah Dennis (Usyd/SWSLHD), Professor Kirsten Howard (USyd), Dr Alison Pearce (USyd), Dr Lauren Christie (St Vincent’s Health Network Australia, ACU/SWSLHD), Ms Balwinder Sidhu (SWSLHD), Professor Colin Greaves (UniBirmingham) Funding: MRFF preventive & public health grant 2020-2023; NHMRC TRIP Fellowship 2019-2020. For more information about this project, please contact: Associate Professor Leanne Hassett e: leanne.hassett@sydney.edu.au

We hope the findings of this project lead to improved physical activity levels in adults who have difficulty walking. The aim is to evaluate the effectiveness of two physical activity interventions on adults with self-reported walking difficulty. The participant will be allocated to one of three groups. The first intervention includes: a tailored physical activity plan based on a face-to-face assessment with a physiotherapist; six months of phone-based health coaching; use of technology to keep you active and access to online resources. The second intervention is a less intensive health-coaching program involving a phone consultation with a physiotherapist, monthly text messages to follow up and access to online resources. The third group will receive no intervention for the first six months and then receive the second intervention for the second six months. The project will be conducted over 12 months. You may be eligible to participate in this study if you are 18 years or older, living in the community, and have a mobility limitation – difficulty or inability to walk 800m. Principal Investigator: Professor Cathie Sherrington Chief Investigators: Professor Rana Hinman, Professor Maria Crotty, Professor Tammy Hoffmann, Professor Anne Tiedemann, Professor Lisa Harvey, Professor Nicholas Taylor and Associate Professor Leanne Hassett. For more information about this project, please contact: Associate Professor Leanne Hassett e: leanne.hassett@sydney.edu.au This is a NHMRC Project Grant (2018 – 2021)