scholarly journals Stakeholder involvement in the design of a patient-centered comparative effectiveness trial of the “ On the Move ” group exercise program in community-dwelling older adults

2016 ◽  
Vol 50 ◽  
pp. 135-142 ◽  
Author(s):  
Jennifer S. Brach ◽  
Subashan Perera ◽  
Sandra Gilmore ◽  
Jessie M. VanSwearingen ◽  
Deborah Brodine ◽  
...  
Keyword(s):  
Older Adults ◽  
Comparative Effectiveness ◽  
Stakeholder Involvement ◽  
Exercise Program ◽  
Community Dwelling ◽  
Effectiveness Trial ◽  
Group Exercise ◽  
Patient Centered ◽  
Community Dwelling Older Adults

scholarly journals Effectiveness of a Timing and Coordination Group Exercise Program to Improve Mobility in Community-Dwelling Older Adults

2017 ◽  
Vol 177 (10) ◽  
pp. 1437 ◽  
Author(s):  
Jennifer S. Brach ◽  
Subashan Perera ◽  
Sandra Gilmore ◽  
Jessie M. VanSwearingen ◽  
Deborah Brodine ◽  
...  
Keyword(s):  
Older Adults ◽  
Exercise Program ◽  
Community Dwelling ◽  
Group Exercise ◽  
Community Dwelling Older Adults

scholarly journals Improving centre-based group exercise participation of older adults using the behaviour change wheel

2021 ◽  
Vol 10 (1) ◽  
pp. e001078
Author(s):  
Boon Chong Kwok ◽  
Wai Pong Wong ◽  
Louisa Remedios
Keyword(s):  
Older Adults ◽  
Behaviour Change ◽  
Participation Rate ◽  
Community Dwelling ◽  
Participation Rates ◽  
Group Exercise ◽  
Exercise Participation ◽  
Behaviour Change Wheel ◽  
Wheel Model ◽  
Community Dwelling Older Adults

An emphasis on active ageing could help to delay the onset of frailty. In Singapore, Senior Activity Centres provide free and guided group exercise sessions for older adults. However, one such centre had very low participation rates among community-dwelling older adults despite running standardised programmes. Based on a needs analysis from a prior project, this paper reports on strategies implemented to improve the daily centre-based group exercise participation rate among community-dwelling older adults. Using the behaviour change wheel model, participant motivation domains were identified as primary gaps, while the psychological capability and physical opportunity were categorised as secondary gaps. A logic model was used to design a project to respond to these identified gaps and guide the evaluation approach. Three strategies were implemented over a 4-week period and reviewed at 6 months: (1) promotion of the exercise classes, (2) delayed rewards for participation and (3) health ambassadors. Evaluation findings highlighted that more resources were needed for the training of community-dwelling older adult healthcare ambassadors in the use of motivational interviewing. The interventions were found to be efficacious in increasing daily group exercise participation rate at the centre, from an average of three to nine participants per day over the 4 weeks. Furthermore, more than 60% of these participants achieved the WHO’s weekly minimum exercise recommendation for older adults (150 min moderate-intensity physical activity). To increase the engagement of older adults in physical activity or exercise participation, we recommend the use of behaviour change wheel model and the use of community-based health ambassadors. In conclusion, the project found improved daily centre-based group physical exercise participation rates when all the domains in the behaviour change wheel model were addressed.

Effects of a Group Exercise Program on Risk Factors for Falls in Frail Older Adults

1994 ◽  
Vol 2 (1) ◽  
pp. 25-37 ◽  
Author(s):  
Ellen F. Binder ◽  
Marybeth Brown ◽  
Suzanne Craft ◽  
Kenneth B. Schechtman ◽  
Stanley J. Birge
Keyword(s):  
Older Adults ◽  
Gait Speed ◽  
Exercise Program ◽  
Knee Extensor ◽  
Community Dwelling ◽  
Moderate Intensity ◽  
Group Exercise ◽  
Frail Older Adults ◽  
The Mean ◽  
Risk Factors For Falls

Fifteen community dwelling older adults, ages 66 to 97 years, with at least one risk factor for recurrent falls, attended a thrice weekly group exercise class for 8 weeks. In post- versus preexercise comparisons, knee extensor torque at 0°/sec increased by 16.5% (p= 0.055); time to perform the stand-up test once, and five times consecutively, improved by 29.4 and 27.4%, respectively (p= 0.05,p= 0.01); gait speed for 24 feet increased by 16.5% (p< 0.001); and performance of the progressive Romberg test of balance improved with a mean increase of 1.1 ± 0.9 positions (p= 0.001). Participants reported a significant increase in the mean number of times per week that they went out of their apartment/home independent of exercising, and a significant increase in the mean number of city blocks they could walk. Performance data for nine exercise participants at 1-yr postintervention are presented. A low- to moderate-intensity groups exercise program can effect improvements in lower extremity strength, gait speed, balance, and self-reported mobility function in frail older adults.

Home-Based Exercise Program Improves Balance and Fear of Falling in Community-Dwelling Older Adults with Mild Alzheimer’s Disease: A Pilot Study

2017 ◽  
Vol 59 (2) ◽  
pp. 565-574 ◽  
Author(s):  
Kalpana P. Padala ◽  
Prasad R. Padala ◽  
Shelly Y. Lensing ◽  
Richard A. Dennis ◽  
Melinda M. Bopp ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Pilot Study ◽  
Fear Of Falling ◽  
Exercise Program ◽  
Community Dwelling ◽  
Home Based ◽  
Community Dwelling Older Adults

“Are Your Clients Having Fun?” The Implications of Respondents’ Preferences for the Delivery of Group Exercise Programs for Falls Prevention

2016 ◽  
Vol 24 (1) ◽  
pp. 129-138 ◽  
Author(s):  
Lucy McPhate ◽  
Emily M. Simek ◽  
Terry P. Haines ◽  
Keith D. Hill ◽  
Caroline F. Finch ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Interaction ◽  
Exercise Program ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Group Exercise ◽  
Exercise Programs ◽  
Cross Sectional ◽  
Advantages And Disadvantages ◽  
Framework Approach

Background:Group exercise has been shown to be effective in preventing falls; however, adherence to these interventions is often poor. Older adults’ preferences for how these programs can be delivered are unknown.Objective:To identify older people’s preferences for how group exercise programs for falls prevention can be delivered.Design:A two-wave, cross-sectional, state-wide telephone survey was undertaken. Respondents were community-dwelling men and women aged 70+ in Victoria, Australia.Methods:Open-ended questions were asked to elicit information regarding respondent preferences of the program, which were analyzed using a framework approach.Results:Ninetyseven respondents completed the follow-up survey. The results indicate that older adults most frequently report the short-term advantages and disadvantages when describing their preferences for group exercise, such as enjoyment, social interaction, and leader qualities. Longer-term advantages such as falls prevention were described less frequently.Conclusions:This study indicates the importance of interpersonal skills, and that the opportunity for social interaction should not be overlooked as a positive feature of a group exercise program.

Exercise Intervention Designed to Improve Strength and Dynamic Balance among Community-Dwelling Older Adults

2005 ◽  
Vol 13 (2) ◽  
pp. 198-209 ◽  
Author(s):  
Ro DiBrezzo ◽  
Barbara B. Shadden ◽  
Blake H. Raybon ◽  
Melissa Powers
Keyword(s):  
Older Adults ◽  
Upper Extremity ◽  
Exercise Intervention ◽  
Dynamic Balance ◽  
Low Cost ◽  
Balance Training ◽  
Exercise Program ◽  
Community Dwelling ◽  
Training Exercises ◽  
Community Dwelling Older Adults

Loss of balance and falling are critical concerns for older adults. Physical activity can improve balance and decrease the risk of falling. The purpose of this study was to evaluate a simple, low-cost exercise program for community-dwelling older adults. Sixteen senior adults were evaluated using the Senior Fitness Test for measures of functional strength, aerobic endurance, dynamic balance and agility, and flexibility. In addition, measures of height, weight, resting blood pressure, blood lipids, and cognitive function were obtained. Participants then attended a 10-week exercise class including stretching, strengthening, and balance-training exercises. At the completion of the program, significant improvements were observed in tests measuring dynamic balance and agility, lower and upper extremity strength, and upper extremity flexibility. The results indicate that exercise programs such as this are an effective, low-cost solution to improving health and factors that affect falling risk among older adults.

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