scholarly journals Implementation of an Evidence-Based Exercise Program for Older Adults in South Florida

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Richard C. Palmer ◽  
Anamica Batra ◽  
Chelsie Anderson ◽  
Timothy Page ◽  
Edgar Vieira ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Exercise Program ◽  
South Florida ◽  
Community Dwelling ◽  
Evidence Based ◽  
Functional Fitness ◽  
Body Strength ◽  
High Satisfaction ◽  
Wide Scale

Introduction. This study aimed to examine how well an evidence-based physical activity program could be translated for wide scale dissemination and adoption to increase physical activity among community-dwelling older adults.Methods. Between October 2009 and December 2012, reach, fidelity, dosage, ease of implementation, and barriers to translation of EnhanceFitness (EF) were assessed. To assess effectiveness, a pretest-posttest design was used to measure increases in functional fitness (chair stands, arm curls, and the up-and-go test).Results. Fourteen community-based agencies offered 126 EF classes in 83 different locations and reached 4,490 older adults. Most participants were female (72%). Thirty-eight percent of participants did not complete the initial 16-week EF program. The 25% who received the recommended dose experienced an increase in upper and lower body strength and mobility. Further, participants reported high satisfaction with the program.Conclusion. EF was successfully implemented in a variety of settings throughout South Florida and reached a large number of older adults. However, challenges were encountered in ensuring that those who participated received a program dose that would lead to beneficial gains in functional fitness.

Community Exercise Program for Older Adults Recovering from Hip Fracture: A Pilot Study

2006 ◽  
Vol 14 (4) ◽  
pp. 439-455 ◽  
Author(s):  
Gareth R. Jones ◽  
Jennifer M. Jakobi ◽  
Albert W. Taylor ◽  
Rob J. Petrella ◽  
Anthony A. Vandervoort
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Hip Fracture ◽  
Pilot Study ◽  
Lower Extremity ◽  
Effective Means ◽  
Exercise Program ◽  
Knee Extensor ◽  
Community Dwelling ◽  
Functional Mobility

Community-based rehabilitative exercise programs might be an effective means to improve functional outcomes for hip-fracture patients. The purpose of this study was to evaluate the effectiveness of a community exercise program (CEP) for older adults recovering from hip fracture. Twenty-five older adults (mean age 80.0 ± 6.0 years; 24 women; 71 ± 23 days post–hip fracture) participated in this pilot study (17 exercise, 8 control). The CEP involved functional stepping and lower extremity–strengthening exercises. Control participants received only standard outpatient therapy. Measures of functional mobility, balance confidence, falls efficacy, lower extremity strength, and daily physical activity were evaluated at baseline and at 16 weeks. Improvements for self-reported physical activity, mobility, balance, and knee-extensor strength were observed for the CEP group. This study demonstrated that a CEP is beneficial for community-dwelling older adults post–hip fracture.

scholarly journals Effectiveness of a Modified Lifestyle-Integrated Functional Exercise Program in Residential Retirement Communities—A Pilot Study

2018 ◽  
Vol 4 ◽  
pp. 237796081879303 ◽  
Author(s):  
Kitsum Li ◽  
Kayla Comer ◽  
Tiffany Huang ◽  
Kelly Schmidt ◽  
Matthew Tong
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Exercise Program ◽  
Community Dwelling ◽  
Retirement Communities ◽  
Lower Body ◽  
Body Strength ◽  
Functional Exercise ◽  
Lower Body Strength ◽  
Community Dwelling Older Adults

Abstract Aims This study explored the effectiveness of a modified Lifestyle-integrated Functional Exercise program for increasing community-dwelling older adults’ lower body strength and balance to decrease fall risk. Methods Purposive sampling of men and women aged 65 years and older, with or without a history of falls, living at retirement communities yielded 19 older adult participants, and 16 of the participants completed the 26-week integrated exercise program. The program consisted of five-group training sessions focused on how to integrate individualized exercises into everyday activities, followed by 20 weeks of independent practice with a booster session at Week 10 and two phone calls at Week 15 and Week 20. A battery of assessments was used 3 times to measure the participants. Results Results demonstrated a significant improvement in lower body strength and balance, but fall risk reduction cannot be confirmed from this study. Conclusion Despite reduction in fall risk was inconclusive from this study, a modified Lifestyle-integrated Functional Exercise program delivered to community-dwelling older adults in a group format may be an effective intervention program to improve lower body strength and balance, while integration of exercises into daily activities may also appear to be more sustainable than traditional exercise program.

Adoption of Canada's Physical Activity Guide and Handbook for Older Adults: Impact on Functional Fitness and Energy Expenditure

2004 ◽  
Vol 29 (4) ◽  
pp. 395-410 ◽  
Author(s):  
Xuesong Jiang ◽  
Juliette Cooper ◽  
Michelle M. Porter ◽  
A. Elizabeth Ready
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Energy Expenditure ◽  
Behaviour Change ◽  
Dynamic Balance ◽  
Functional Fitness ◽  
Lower Body ◽  
Body Strength ◽  
Lower Body Strength ◽  
Over Time

This study investigated whether a behaviour change program, based on Canada's Physical Activity Guide and Handbook to Healthy Active Living for Older Adults (Health Canada, 1999a), would elicit greater benefits than adoption of the guide and handbook alone. Fifteen older adults received the guide and accompanying handbook and completed the 8-week behaviour change program (mean age 73.2 ± 5.2 yrs), while 14 others received only the guide and handbook (mean age 76.8 ± 10.0 yrs). Functional fitness (lower body strength/endurance, flexibility, agility/dynamic balance) (Rikli and Jones, 1999), and estimated energy expenditure (DiPietro et al., 1993) were measured at baseline and after 8 weeks. Lower body strength/endurance and agility/dynamic balance differed between groups at baseline, p <  0.05. All three functional fitness tests improved in both groups over time, p <  0.05. Estimated energy expended in physical activity increased in both groups over time, p <  0.05; however, there was a significantly greater increase in the behaviour-change group (Group × Time interaction, p <  0.05). Participant response to using the guide and handbook was positive. These results indicate that introduction to Canada's Physical Activity Guide and Handbook to Healthy Active Living for Older Adults leads to benefits, whether or not accompanied by program supports. The group receiving the behaviour change program had a greater increase in energy expenditure, which suggests that such an intervention may ultimately lead to greater health benefits. Key words: behaviour change, chair stand test, community residing, lifestyle activity

scholarly journals The Perceived Importance of Physical Activity: Associations With Psychosocial and Health-Related Outcomes

2013 ◽  
Vol 10 (3) ◽  
pp. 343-349 ◽  
Author(s):  
Thomas R. Wójcicki ◽  
Amanda N. Szabo ◽  
Siobhan M. White ◽  
Emily L. Mailey ◽  
Arthur F. Kramer ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Psychological Health ◽  
Exercise Program ◽  
Outcome Expectations ◽  
Community Dwelling ◽  
Cognitive Assessments ◽  
Exercise Condition ◽  
Perceived Importance ◽  
Health Related

Background:The purpose of this study was to assess the extent to which participation in a 12-month exercise program changed the degree of importance that older adults attached to physical activity. In addition, associations among changes in physical activity importance and health-related and psychosocial outcomes were examined.Methods:Community-dwelling older adults (N = 179) were recruited to participate in a 12-month exercise trial examining the association between changes in physical activity and fitness with changes in brain structure and psychological health. Participants were randomly assigned to a walking condition or a flexibility, toning, and balance condition. Physical, psychological, and cognitive assessments were taken at months 0, 6, and 12.Results:Involvement in a 12-month exercise program increased the importance that participants placed on physical activity; this positive change was similar across exercise condition and sex. Changes in importance, however, were only associated with changes in physical health status and outcome expectations for exercise midway through the intervention. There were no significant associations at the end of the program.Conclusions:Regular participation in physical activity can positively influence the perceived importance of the behavior itself. Yet, the implications of such changes on physical activity-related outcomes remain equivocal and warrant further investigation.

Motivational Factors Influencing Older Adults Diagnosed with Knee Osteoarthritis to Join and Maintain an Exercise Program

2005 ◽  
Vol 13 (1) ◽  
pp. 45-60 ◽  
Author(s):  
Teresa M. Damush ◽  
Susan M. Perkins ◽  
Alan E. Mikesky ◽  
Melanie Roberts ◽  
John O’Dea
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Knee Osteoarthritis ◽  
Multivariate Analyses ◽  
Exercise Program ◽  
Outcome Expectations ◽  
Motivational Factors ◽  
Community Dwelling ◽  
Factors Influencing ◽  
Efficacy Outcome

In order to provide successful interventions to increase physical activity among inactive older adults, it is imperative to understand motivational factors influencing exercise. The authors present data from 191 (baseline) and 125 (12-month) community-dwelling men and women with mean ages of 68.71 (7.47) and 67.55 (7.55) years, respectively, from a strength-training trial. Approximately 53% had diagnosed knee osteoarthritis. Using a Likert scale, participants self-reported their degree of motivation from personal, social, and environmental factors. Using multivariate analyses, the authors evaluated demographic and clinical correlates of motivational factors to join and continue with exercise. The following results were reported: Knee osteoarthritis was positively related to motivation from an organized exercise opportunity and from efficacy/outcome expectations, and knee pain was positively related to motivation from social support and experience with the exercise task. Understanding these motivators might help in targeting recruitment efforts and interventions designed to increase physical activity in older adults with lower extremity arthritis.

scholarly journals Feasibility, Usability and Enjoyment of a Home-based, Multi-component Exercise Program for Musculoskeletal Health Delivered via a Tablet Computer Exercise App for Community-dwelling Older Adults: An 8-week Prospective Pilot Study (Preprint)

2020 ◽  
Author(s):  
Robin M Daly ◽  
Jenny Gianoudis ◽  
Travis Hall ◽  
Niamh Mundell ◽  
Ralph Maddison
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Exercise Prescription ◽  
Exercise Program ◽  
Community Dwelling ◽  
Tablet Computer ◽  
Musculoskeletal Health ◽  
Home Based ◽  
Community Dwelling Older Adults ◽  
Activity Enjoyment

BACKGROUND Many older adults choose and prefer to exercise at home, but to attain the greatest benefits the correct type and dose should be prescribed and adherence maintained. Advances in digital health technologies now provide the opportunity for exercise professionals to deliver and monitor personalized, evidence-based exercise programs to anyone at anytime. OBJECTIVE To evaluate the feasibility, usability and enjoyment of an online exercise prescription application as a platform for exercise professionals to remotely deliver and monitor an individually-tailored, home-based multi-component exercise program (delivered through tablet computers) to older adults living independently in the community. METHODS This was an 8-week, prospective single-arm pilot study in 20 adults aged ≥65 years living independently in the community [10 who owned a tablet computer (tablet owners) and 10 who did not (tablet non-owners)]. All participants were prescribed a home-based, muscle strengthening, weight-bearing impact and challenging balance/mobility program (3 days/week) using a commercial exercise prescription application (app) on a tablet computer. Study endpoints were feasibility (retention, adherence, adverse events), usability (System Usability Scale), physical activity enjoyment (Physical Activity Enjoyment Scale), changes in lower extremity function [Short Physical Performance Battery (SPPB)], and level of physical activity (questionnaire). Process measures related to participants’ experiences and perceptions of the exercise program and online application were also included. RESULTS A total of 19 participants (mean age 70 years) completed the study (19 of 20, 95%) and mean adherence to the exercise program was 84% (95% CI, 70, 97). There were two minor adverse events in two participants from 401 completed sessions. Mean weekly walking time increased by 78 minutes [(95% CI, 0, 156), P=.049] and moderate-vigorous physical activity time by 41 minutes [(95% CI, -8, 90), P=.09]. For SPPB scores, there was a 0.3 point [(95% CI, -0.1, 0.7), P=.17] modest sized (effect size, d=0.42) improvement after 8 weeks. Mean system usability was high (mean  SD, 86  10 with 100 best imaginable]. There was no change in overall physical activity enjoyment scores after 8 weeks, but participants reported that they enjoyed using the online exercise app and the exercise program (median score 4 on a 5-point Likert scale). For all measures, there were no differences between previous tablet owners and non-owners. CONCLUSIONS This pilot feasibility study indicates that it is safe and feasible for community-dwelling older adults to participate in a home-based, multi-component exercise program targeting musculoskeletal health and function that was delivered and monitored remotely by exercise professionals using a tablet-based exercise prescription app.

scholarly journals Curricula Innovation to Positively Influence Preference for Working With Older Adults: A Review of the Literature

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 546-546
Author(s):  
Christine Brewer
Keyword(s):  
Older Adults ◽  
Nursing Education ◽  
Nursing Students ◽  
Service Learning ◽  
Community Dwelling ◽  
Evidence Based ◽  
Clinical Experiences ◽  
Search Terms ◽  
Education Interventions ◽  
Community Dwelling Older Adults

Abstract Few nursing students show preference in working with older adults. The purpose of this study was to review the U.S. nursing education evidence-based literature to determine curricula innovation to positively influence preference for working with older adults. CINAHL, Medline, Ovid Emcare, PsychInfo, and PubMed databases were searched for relevant U.S studies published between 2009 and 2020 using the search terms “nursing students”, “geriatrics OR gerontology OR older adults OR elderly OR aging”, “career OR work”, and “choice OR preference OR attitude”. Nine studies were eligible for inclusion. Nursing education may play a role in influencing how students perceive and prefer to work with older adults. Promising interventions include stand-alone gerontology courses, intergenerational service-learning experiences, and clinical experiences with community dwelling older adults. More evidence-based research with larger sample sizes are needed to determine effective nursing education interventions to improve nursing students’ attitude and preference for working with older adults.

scholarly journals Changes in Health Behaviors, Mental and Physical Health among Older Adults under Severe Lockdown Restrictions during the COVID-19 Pandemic in Spain

2021 ◽  
Vol 18 (13) ◽  
pp. 7067
Author(s):  
Esther García-Esquinas ◽  
Rosario Ortolá ◽  
Iago Gine-Vázquez ◽  
José A. Carnicero ◽  
Asier Mañas ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Older Adults ◽  
Social Isolation ◽  
Community Dwelling ◽  
Housing Conditions ◽  
Older Individuals ◽  
Lifestyle Risk Factors ◽  
Increased Risk ◽  
Lifestyle Risk

We used data from 3041 participants in four cohorts of community-dwelling individuals aged ≥65 years in Spain collected through a pre-pandemic face-to-face interview and a telephone interview conducted between weeks 7 to 15 after the beginning of the COVID-19 lockdown. On average, the confinement was not associated with a deterioration in lifestyle risk factors (smoking, alcohol intake, diet, or weight), except for a decreased physical activity and increased sedentary time, which reversed with the end of confinement. However, chronic pain worsened, and moderate declines in mental health, that did not seem to reverse after restrictions were lifted, were observed. Males, older adults with greater social isolation or greater feelings of loneliness, those with poorer housing conditions, as well as those with a higher prevalence of chronic morbidities were at increased risk of developing unhealthier lifestyles or mental health declines with confinement. On the other hand, previously having a greater adherence to the Mediterranean diet and doing more physical activity protected older adults from developing unhealthier lifestyles with confinement. If another lockdown were imposed during this or future pandemics, public health programs should specially address the needs of older individuals with male sex, greater social isolation, sub-optimal housing conditions, and chronic morbidities because of their greater vulnerability to the enacted movement restrictions.

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