Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial

被引:36
作者
Burton, Elissa [1 ,2 ]
Lewin, Gill [1 ,2 ]
Clemson, Lindy [3 ]
Boldy, Duncan [4 ]
机构
[1] Curtin Univ, Fac Hlth Sci, Perth, WA 6845, Australia
[2] Silver Chain, Res Dept, Perth, WA, Australia
[3] Univ Sydney, Hlth & Work Res Unit, Sydney, NSW 2006, Australia
[4] Curtin Univ, Sch Nursing & Midwifery, Perth, WA 6845, Australia
来源
CLINICAL INTERVENTIONS IN AGING | 2013年 / 8卷
关键词
aging; physical activity; reablement; home care services; rehabilitation; CONFIDENCE ABC SCALE; PHYSICAL-ACTIVITY; DISABILITY INSTRUMENT; BALANCE; ADULTS; FALLS; COMPONENT;
D O I
10.2147/CIA.S44614
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: Restorative home care services are short-term and aimed at maximizing a person's ability to live independently. They are multidimensional and often include an exercise program to improve strength, mobility, and balance. The aim of this study was to determine whether a lifestyle exercise program would be undertaken more often and result in greater functional gains than the current structured exercise program delivered as part of a restorative home care service for older adults. Methods: A pragmatic randomized controlled trial was conducted in an organization with an established restorative home care service. Individuals who were to have an exercise program as part of their service were randomized to receive either a lifestyle and functional exercise program called LiFE (as this was a new program, the intervention) or the structured exercise program currently being used in the service (control). Exercise data collected by the individuals throughout and pre and post intervention testing was used to measure balance, strength, mobility, falls efficacy, vitality, function, and disability. Results: There was no difference between the groups in the amounts of exercise undertaken during the 8-week intervention period. Outcome measurement indicated that the LiFE program was as effective, and on 40% of the measures, more effective, than the structured exercise program. Conclusion: Organizations delivering restorative home care services that include an exercise component should consider whether LiFE rather than the exercise program they are currently using could help their clients achieve better outcomes.
引用
收藏
页码:1591 / 1601
页数:11
相关论文
共 33 条
[31]   THE ACTIVITIES-SPECIFIC BALANCE CONFIDENCE (ABC) SCALE [J].
POWELL, LE ;
MYERS, AM .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 1995, 50 (01) :M28-M34
[32]   FALLS EFFICACY AS A MEASURE OF FEAR OF FALLING [J].
TINETTI, ME ;
RICHMAN, D ;
POWELL, L .
JOURNALS OF GERONTOLOGY, 1990, 45 (06) :P239-P243
[33]   Effectiveness of a Lifestyle Physical Activity Versus a Structured Exercise Intervention in Older Adults [J].
Van Roie, Evelien ;
Delecluse, Christophe ;
Opdenacker, Joke ;
De Bock, Katrien ;
Kennis, Eva ;
Boen, Filip .
JOURNAL OF AGING AND PHYSICAL ACTIVITY, 2010, 18 (03) :335-352