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

被引:6
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, Ageing Hlth & Work Res Unit, Sydney, NSW 2006, Australia
[4] Curtin Univ, Sch Nursing & Midwifery, Perth, WA 6845, Australia
来源
BMC HEALTH SERVICES RESEARCH | 2013年 / 13卷
关键词
Physical activity; Exercise; Restorative home care services; Older people; Randomised controlled trial; Study protocol; PHYSICAL-ACTIVITY; DISABILITY INSTRUMENT; HEALTH-BENEFITS; ADULTS; BALANCE; COMPONENT; SCALE; FALLS;
D O I
10.1186/1472-6963-13-419
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Restorative home care services help older people maximise their independence using a multidimensional approach. They usually include an exercise program designed to improve the older person's strength, balance and function. The types of programs currently offered require allocation of time during the day to complete specific exercises. This is not how the majority of home care clients prefer to be active and may be one of the reasons that few older people do the exercises regularly and continue the exercises post discharge. This paper describes the study protocol to test whether a Lifestyle Functional Exercise (LiFE) program: 1) is undertaken more often; 2) is more likely to be continued over the longer term; and, 3) will result in greater functional gains compared to a standard exercise program for older people receiving a restorative home care service. Methods/Design: Design: A pragmatic randomised controlled trial (RCT) design was employed with two study arms: LiFE program (intervention) and the current exercise program (control). Setting: Silver Chain, a health and community care organisation in Perth, Western Australia. Participants: One hundred and fifty restorative home care clients, aged 65 years and older. Measurements: The primary outcome is a composite measure incorporating balance, strength and mobility. Other outcome measures include: physical functioning, falls efficacy, and levels of disability and functioning. Discussion: If LiFE is more effective than the current exercise program, the evidence will be presented to the service management accompanied by the recommendation that it be adopted as the generic exercise program to be used within the restorative home care service.
引用
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页数:6
相关论文
共 24 条
  • [1] [Anonymous], 2008, GERIACTION
  • [2] [Anonymous], HOM IND PROGR HIP US
  • [3] [Anonymous], 2010, HOME CARE REABLEMENT
  • [4] Burton E, 2013, ACTIV ADAPT IN PRESS
  • [5] Physical Activity Levels of Older Adults Receiving a Home Care Service
    Burton, Elissa
    Lewin, Gill
    Boldy, Duncan
    [J]. JOURNAL OF AGING AND PHYSICAL ACTIVITY, 2013, 21 (02) : 140 - 154
  • [6] Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial
    Clemson, Lindy
    Singh, Maria A. Fiatarone
    Bundy, Anita
    Cumming, Robert G.
    Manollaras, Kate
    O'Loughlin, Patricia
    Black, Deborah
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2012, 345
  • [7] LiFE Pilot Study: A randomised trial of balance and strength training embedded in daily life activity to reduce falls in older adults
    Clemson, Lindy
    Singh, Maria Fiatarone
    Bundy, Anita
    Cumming, Robert G.
    Weissel, Elvina
    Munro, Jo
    Manollaras, Kate
    Black, Deborah
    [J]. AUSTRALIAN OCCUPATIONAL THERAPY JOURNAL, 2010, 57 (01) : 42 - 50
  • [8] COHEN J., 1969, Statistical power analysis
  • [9] FUNCTIONAL REACH - A NEW CLINICAL MEASURE OF BALANCE
    DUNCAN, PW
    WEINER, DK
    CHANDLER, J
    STUDENSKI, S
    [J]. JOURNALS OF GERONTOLOGY, 1990, 45 (06): : M192 - M197
  • [10] Lower extremity function and subsequent disability: Consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery
    Guralnik, JM
    Ferrucci, L
    Pieper, CF
    Leveille, SG
    Markides, KS
    Ostir, GV
    Studenski, S
    Berkman, LF
    Wallace, RB
    [J]. JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2000, 55 (04): : M221 - M231