Effects of rural community-based integrated exercise and health education programs on the mobility function of older adults with knee osteoarthritis

2020 ◽  
Author(s):  
Seung-Lyul Oh ◽  
Day-Young Kim ◽  
Jun-Hyun Bae ◽  
Jae-Young Lim
Keyword(s):  
Older Adults ◽  
Health Education ◽  
Knee Osteoarthritis ◽  
Rural Community ◽  
Education Programs ◽  
Community Based ◽  
Mobility Function

scholarly journals Effects of Community-Based Physical-Cognitive Training, Health Education, and Reablement among Rural Community-Dwelling Older Adults with Mobility Deficits

2021 ◽  
Vol 18 (17) ◽  
pp. 9374
Author(s):  
Chen-Yi Song ◽  
Pay-Shin Lin ◽  
Pei-Lun Hung ◽  
Keyword(s):  
Older Adults ◽  
Health Education ◽  
Cognitive Training ◽  
Rural Community ◽  
Functional Independence ◽  
Performance Measure ◽  
Community Dwelling ◽  
Control Group ◽  
Community Based ◽  
Community Dwelling Older Adults

Reablement services are approaches for maintaining and improving the functional independence of older adults. Previous reablement studies were conducted in a home environment. Due to the limited evidence on the effects of multicomponent interventions and reablement in a community-based context, this study aimed to develop and evaluate the effect of community-based physical–cognitive training, health education, and reablement (PCHER) among rural community-dwelling older adults with mobility deficits. The trial was conducted in rural areas of New Taipei City, Taiwan. Older adults with mild to moderate mobility deficits were recruited from six adult daycare centers, and a cluster assignment was applied in a counterbalanced order. The experimental group (n = 16) received a PCHER intervention, comprising 1.5 h of group courses and 1 h of individualized reablement training, while the control group (n = 12) underwent PCHE intervention, comprising 1.5 h of group courses and 1 h of placebo treatment. A 2.5-h training session was completed weekly for 10 weeks. The outcome measures contained the de Morton Mobility Index (DEMMI), the Saint Louis University Mental Status (SLUMS) Examination, the Barthel Index (BI), the Short Physical Performance Battery (SPPB), and the Canadian Occupational Performance Measure (COPM). The PCHER significantly improved the DEMMI, SLUMS, BI, SPPB, and COPM (all p < 0.05), with medium-to-large effect sizes. PCHER also showed an advantage over PCHE in terms of the SPPB (p = 0.02). This study verified that combining individualized reablement with group-based multicomponent training was superior to group courses alone in enhancing the functional abilities of community-dwelling older adults with mobility deficits.

scholarly journals Easy to Read Health Education Material Improves Oral Health Literacy of Older Adults in Rural Community-Based Care Centers: A Quasi-Experimental Study

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1465
Author(s):  
Kuo-Ting Sun ◽  
Tzong-Ming Shieh ◽  
Shih-Min Hsia ◽  
Valendriyani Ningrum ◽  
Xin-Yi Lin ◽  
...  
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Health Literacy ◽  
Health Education ◽  
Rural Community ◽  
Health Knowledge ◽  
Oral Health Literacy ◽  
Community Based ◽  
Education Material ◽  
Significant Difference

Health education increases older adults’ health knowledge and affects their health outcomes. Older adults have physical changes with aging, such as blurred vision and cognitive decline. Therefore, health education materials must be legible in their case. This study, following the “easy (EZ) to read” concept, designed oral health education material and tested the learning effectiveness of older adults in rural community-based care centers in central Taiwan. Three of the communities were provided EZ to read health education material (n = 72), while three were given general text material (n = 57) as the control group. We collected pre-test and post-test scores using the Mandarin version of the oral health literacy adult questionnaire (MOHL-AQ). The demographic background of the EZ to read and general text groups showed no significant difference (p > 0.05). Analysis of covariance (ANCOVA) showed that the EZ to read material significantly improved total scores of oral health literacy (p < 0.001). The chi-square test showed a significant improvement in oral health literacy levels (p < 0.001). We suggest applying EZ to read concepts to widen the field of older adult education and to reduce illegibility-induced health knowledge disparities.

scholarly journals Community-Based Health Education Programs Designed to Improve Clinical Measures Are Unlikely to Reduce Short-Term Costs or Utilization Without Additional Features Targeting These Outcomes

2017 ◽  
Vol 20 (2) ◽  
pp. 93-98 ◽  
Author(s):  
Joe Burton ◽  
Barry Eggleston ◽  
Jeffrey Brenner ◽  
Aaron Truchil ◽  
Brittany A. Zulkiewicz ◽  
...  
Keyword(s):  
Health Education ◽  
Education Programs ◽  
Short Term ◽  
Community Based ◽  
Clinical Measures

scholarly journals Knee Osteoarthritis and the Risk of Medically Treated Injurious Falls Among Older Adults: A Community‐Based US Cohort Study

2019 ◽  
Vol 71 (7) ◽  
pp. 865-874 ◽  
Author(s):  
Kamil E. Barbour ◽  
Naoko Sagawa ◽  
Robert M. Boudreau ◽  
Mary E. Winger ◽  
Jane A. Cauley ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Knee Osteoarthritis ◽  
Community Based ◽  
Injurious Falls

Self-administered acupressure for knee osteoarthritis in middle-aged and older adults: a pilot randomized controlled trial

2019 ◽  
Vol 38 (2) ◽  
pp. 75-85 ◽  
Author(s):  
Denise Shuk Ting Cheung ◽  
Wing-Fai Yeung ◽  
Lorna Kwai-Ping Suen ◽  
Tsz Chung Chong ◽  
Yuan-Shan Ho ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Health Education ◽  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Controlled Trial ◽  
Secondary Outcome ◽  
Post Intervention ◽  
Randomized Controlled ◽  
Pilot Randomized Controlled Trial

Objective: To test the acceptability and feasibility of self-administered acupressure as an intervention for knee pain among middle-aged and older adults with knee osteoarthritis (KOA). Methods: In this pilot randomized controlled trial, 35 participants with KOA were randomized to receive self-administered acupressure (n = 17, two self-administered acupressure training sessions followed by self-practice for 6 weeks) or knee health education (n = 18, two health education sessions about KOA management followed by self-care for 6 weeks). Current pain intensity (primary outcome) was measured using a Numeric Rating Scale (NRS) at baseline and weeks 1, 2, 4 and 6 (post-intervention). Secondary outcome measures included worst and least pain intensity, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), range of motion (ROM) of the knee joints and Short-Form Six-Dimension (SF-6D) scores for health-related quality of life. Results: Participants in both groups attended all training sessions. In the self-administered acupressure group, all subjects mastered the acupressure technique and passed a consistency check. Both groups showed a decreasing trend in current knee pain intensity measured using NRS post-intervention. A medium between-group effect size (0.40) was found, but between-group differences were not statistically significant. The other secondary outcome measures were also comparable between both groups post-intervention (all p > 0.05). Conclusion: A two-session self-administered acupressure training was acceptable to and feasible in participants with KOA. The data generated allowed for calculation of a sample size for a definitive randomized controlled trial (RCT) to confirm whether self-acupressure is effective for pain management in KOA. Furthermore trials with adequate power and longer follow-up periods are warranted.

scholarly journals Translating the Lifestyle Interventions and Independence for Elders Clinical Trial to Older Adults in a Real-World Community-Based Setting

2018 ◽  
Vol 74 (6) ◽  
pp. 924-928 ◽  
Author(s):  
Kieran F Reid ◽  
Jonathan Laussen ◽  
Karan Bhatia ◽  
Davis A Englund ◽  
Dylan R Kirn ◽  
...  
Keyword(s):  
Older Adults ◽  
Clinical Trial ◽  
Health Education ◽  
Adverse Events ◽  
Physical Performance ◽  
Real World ◽  
Short Physical Performance Battery ◽  
Lifestyle Interventions ◽  
Community Based ◽  
World Community

Abstract Background The Lifestyle Interventions and Independence for Elders (LIFE) clinical trial demonstrated that a structured program of physical activity (PA) reduced mobility-disability in older adults by up to 28%. It remains unknown whether the benefits of LIFE PA can be translated to older adults at risk for mobility-disability in real-world community-based settings. To address this knowledge gap, we conducted the ENhancing independence using Group-based community interventions for healthy AGing in Elders (ENGAGE) pilot study and examined the safety, feasibility, and preliminary effectiveness of translating LIFE PA to a community-based senior center. Methods Forty older adults with severe lower extremity functional limitations (age: 76.9 ± 7.3 years; body mass index: 32.7 ± 8 kg/m2; 85% female; short physical performance battery score: 6.3 ± 2.2) were randomized to 24 weeks of PA or a health education control intervention. Results Community-based PA was safe (serious adverse events: PA vs health education, 0:2; nonserious adverse events: PA vs health education, 3:1) and participants successfully adhered to the PA intervention (65.2%). Compared to health education, PA participants who attended ≥25% of scheduled visits had meaningful and sustained short physical performance battery improvements at follow-up (between group short physical performance battery score differences: ~0.7 units). Conclusions ENGAGE has demonstrated the preliminary safety, feasibility, and effectiveness of LIFE PA in a real-world community-based setting. Larger-scale translational studies are needed to further disseminate the benefits of LIFE PA to vulnerable older adults in a variety of community-based settings.

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