scholarly journals 83 The Feasibility of an Interdisciplinary Led Community Based Functional Training Group for Frail Older Adults in a Post-Acute Orthogeriatric Unit

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Edel McDaid ◽  
Aoife Johnston ◽  
Elaine Ross ◽  
Lisa Cogan
Keyword(s):  
Older Adults ◽  
Financial Management ◽  
Training Group ◽  
Post Intervention ◽  
Community Based ◽  
Clinical Frailty Scale ◽  
Rehabilitation Care ◽  
Frail Older Adults ◽  
Community Ambulation ◽  
Hospital To Home

Abstract Background Reduced ability to perform instrumental activities of daily living (IADLs) can lead to a difficult transition from hospital to home, increased dependence and diminished quality of life (1). A novel IADL group for frail older adults ‘Ready Steady Home’ was completed to facilitate transition from hospital to home. Methods A single centre prospective study was undertaken in a Post-Acute Orthogeriatric Rehabilitation Care unit. A sample of convenience was recruited over a 3 month period. All subjects invited to participate had been referred for Physiotherapy and Occupational Therapy, medically stable, able to give consent, mobile with/without an aid and had a goal of community ambulation and IADLS. The one hour intervention consisted of a car transfer, outdoor mobility on a busy footpath, road crossing, negotiating a busy shop, completing shopping task and financial management. A self-reported modified Client Satisfaction Questionnaire (CSQ-8) was completed by all subjects post intervention. Data was analysed using descriptive statistics. Results Twelve participants (female (12); mean age 83.7 years, mean LOS 32.75 days) completed the intervention and were included in the data. All were frail with a Clinical Frailty Scale score ≥ 5, mild (n=4), moderate (n=7) and severe frailty (n=1). Primary diagnosis was femoral fracture (n=7), hip surgery revision (n=2), deconditioning (n=2) and pelvic fracture (n=1). All used a unilateral (n=5) and/or bilateral mobility aid (n=7). The mean CSQ-8 score was 27/32 indicating high satisfaction with the intervention. No adverse events occurred. Common themes reported were improved confidence with community ambulation, preparation for home and re-integration into the community. Conclusion This study indicates that an interdisciplinary intervention addressing community based IADLS was feasible, safe and effective in a frail Orthogeriatric inpatient cohort. Further research is required to evaluate the effectiveness of this therapy intervention in improving hospital to home transition and potential reduction in LOS.

PREDICTING THE EFFICACY OF PROTEIN-ENERGY SUPPLEMENTATION IN FRAIL OLDER ADULTS LIVING IN COMMUNITY

2014 ◽  
pp. 1-6
Author(s):  
C.O. KIM
Keyword(s):  
Older Adults ◽  
Nutritional Assessment ◽  
Linear Regression Analysis ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Home Healthcare ◽  
Post Intervention ◽  
Frail Older Adults ◽  
Protein Energy ◽  
Energy Supplementation

Background:Protein-energy malnutrition is a major cause of functional decline in the elderly and isclearly an important component of frailty. However, limited evidence is available about how to select frailindividuals most benefiting from protein-energy supplementation. Objectives:1) To investigate factors associatedwith stronger benefits from protein-energy supplementation, and 2) to test the hypothesis that the severity offrailty is associated with the efficacy of protein-energy supplementation. Design:Secondary analysis of data froma pre-post-intervention study and a clinical trial. Setting:National Home Healthcare Services in Gangbuk-gu,Seoul, South Korea. Participants:123 community-dwelling frail older adults [usual gait speed (UGS) <0.6m/secand Mini Nutritional Assessment (MNA) <24]. Intervention:Each participant was received with two 200 mL perday of commercial liquid formula (providing additional 400 kcal of energy and 25 g of protein per day) for 12weeks. Measurements:Relative change in the Physical Functioning (PF) and Short Physical Performance Battery(SPPB) score between the baseline and 12-week follow-up assessments were measured. Results:Multilevelmixed-effect linear regression analysis showed that a lower level of baseline UGS was associated with a greaterimprovement in PF and SPPB score after adjustment for age, gender, education, living status, beneficiary ofpublic assistance, number of chronic diseases, compliance, and type of dataset (p<0.001). A lower level ofbaseline MNA score was associated with greater change in PF and SPPB score after adjustment for multiplecovariates (p<0.045). Participants with severe frailty (UGS <0.3 m/sec + MNA <17) showed 52.4% and 44.6%more relevant improvements in PF and SPPB score, respectively, than those with mild frailty (UGS 0.3-0.6 m/sec+ MNA 17-24) (p<0.001). Conclusion:Slower UGS and lower MNA score are independently associated with thegreater efficacy of protein-energy supplementation on functional status.

Preventing Disability and Managing Chronic Illness in Frail Older Adults: A Randomized Trial of a Community-Based Partnership with Primary Care

1998 ◽  
Vol 46 (10) ◽  
pp. 1191-1198 ◽  
Author(s):  
Suzanne G. Leveille ◽  
Edward H. Wagner ◽  
Connie Davis ◽  
Lou Grothaus ◽  
Jeffrey Wallace ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Chronic Illness ◽  
Randomized Trial ◽  
Community Based ◽  
Frail Older Adults

scholarly journals “It makes me feel not so alone”: Features of the Choose to Move physical activity intervention that reduce loneliness in older adults

2021 ◽  
Author(s):  
Thea Franke ◽  
Joanie Sims-Gould ◽  
Lindsay Nettlefold ◽  
Callista Ottoni ◽  
Heather A. McKay
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
At Risk ◽  
Social Connectedness ◽  
Physical Activity Intervention ◽  
Post Intervention ◽  
Community Based ◽  
Health Promoting ◽  
Baseline Factors ◽  
Meaningful Interaction

Abstract Background: Despite the well-known health benefits of physical activity (PA), older adults are the least active citizens. Older adults are also at risk for loneliness. Given that lonely individuals are at risk for accelerated loss of physical functioning and health with age, PA interventions that aim to enhance social connectedness may decrease loneliness and increase long-term PA participation. The objectives of this mixed-method study are to: (1) evaluate whether an evidence-based PA intervention (Choose to Move; CTM) influenced PA and loneliness differently among self-identified ‘lonely’ versus ‘not lonely’ older adults and (2) to describe factors within CTM components most likely to promote social connectedness/reduce loneliness.Methods:  CTM is a flexible, scalable, community-based health promoting physical activity intervention for older adults. Two community delivery partner organizations delivered 56 CTM programs in 26 urban locations across British Columbia. We collected survey data from participants (n=458 at baseline) at 0 (baseline), 3 (mid-intervention) and 6 (post-intervention) months. We conducted in depth interviews with a subset of older adults to understand how CTM facilitated or impeded their PA and social connectedness.Results: PA increased significantly from baseline to 3 months in lonely and not lonely participants. PA decreased significantly from 3-6 months in lonely participants; however, PA at 6 months remained significantly above baseline levels in both groups. Loneliness decreased significantly from baseline to 3 and 6 months in participants identifying as lonely at baseline. Factors within CTM components that promote social connectedness/reduce loneliness include: Activity coach characteristics/personality traits and approaches; opportunity to share information and experiences and learn from others; engagement with others who share similar/familiar experiences; increased opportunity for meaningful interaction; and accountability.Conclusion: Health promoting interventions that focus on PA and social connectedness through group-based activities can effectively reduce social isolation and loneliness of older adults. Given the ‘epidemic of loneliness’ that plagues many countries currently, these kinds of interventions are timely and important. Research that further delineates mechanisms (e.g., sharing experiences vs. lectures), that modify the effect of an intervention on social connectedness outcomes for older adults engaged in community-based PA programs would be a welcome addition to the literature.

scholarly journals FACTORS ASSOCIATED WITH HOSPITAL-TO-HOME DISCHARGE: USING A DECISION TREE ANALYSIS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S941-S941
Author(s):  
Ji Yeon Lee ◽  
Kwang Joon Kim ◽  
Chang Oh Kim
Keyword(s):  
Older Adults ◽  
Decision Tree ◽  
Nutritional Assessment ◽  
Discharge Destination ◽  
Decision Tree Analysis ◽  
Tree Analysis ◽  
Frail Older Adults ◽  
Home Discharge ◽  
Arm Circumference ◽  
Hospital To Home

Abstract Because the number of older adults discharged home is increasing, a comprehensive geriatric assessment (CGA) becomes a helpful tool to make a decision about discharge destination. This study aimed to examine the predictors related with discharge destination using the component of CGA. We used decision tree analysis with the Classification and Regression Trees algorithm. Study participants were older adults over 65 years old who were admitted to geriatric department at a university-affiliated hospital in Korea. The older adults were assessed by multi-professional team at the initial stage of their hospitalization and received blood tests and the CGA. A total of 184 patients was included. The mean age was 84.6 years old and 61.6% were female. The analysis revealed arm circumference and level of frailty were significant predictors of home discharge. Specifically, 90.1% of patients had discharged home if their upper arm circumference was more than 18.3 centimeters, and 36.4% was discharged home if it was less than 18.3 centimeters. Among older adults with the arm circumference more than 18.3 centimeters, 57% of robust older adults and 91.7% of prefrail or frail older adults were discharged home. These robust older adults had relatively better daily living ability, and discharged to other facilities rather than home for rehabilitation. As many frail older adults are discharging to their own home, clinicians need to pay more attention to them. Also it is encouraged to perform the CGA, which includes nutritional assessment in it, for inpatient older adults.

scholarly journals Treinamento físico multimodal com dupla tarefa na doença de Alzheimer: efeito nas funções cognitivas e na força muscular

2017 ◽  
Vol 19 (5) ◽  
pp. 575 ◽  
Author(s):  
Bruno Naves Ferreira ◽  
Emmanuel Dias de Sousa Lopes ◽  
Isadora Ferreira Henriques ◽  
Marina De Melo Reis ◽  
Amanda Morais de Pádua ◽  
...  
Keyword(s):  
Older Adults ◽  
Muscle Strength ◽  
Dual Task ◽  
Cognitive Functions ◽  
Training Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
Post Intervention ◽  
Clock Drawing Test ◽  
And Control

The aim of this study was to evaluate the effects of dual task multimodal physical training (MPT) on the cognitive functions and muscle strength in older adults with Alzheimer’s disease. Participants were 19 subjects with AD in the mild and moderate stages, divided into training group (TG) and control group (CG). The TG performed dual task MPT for 12 weeks. Subjects were evaluated at the pre- and post-intervention moments. The Mini Mental State Examination (MMSE), Clock Drawing Test (CDT) and Frontal Assessment Battery (FAB) were used to assess cognition. For muscle strength, the Chair Lift and Sit Test (CLST) and Manual Grasp Force (MGF) were used. The Wilcoxon test was used to analyze pre and post intragroup moments. The TG showed a significant improvement in FAB and CLST (p≤0.05) and a tendency to improve the MMSE score (p≤0.08). The CG showed significant improvement in CLST (p≤0.05). Dual task MPT improves the frontal cognitive functions and lower limb muscle strength of older adults with AD.

scholarly journals “It makes me feel not so alone”: features of the Choose to Move physical activity intervention that reduce loneliness in older adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Thea Franke ◽  
Joanie Sims-Gould ◽  
Lindsay Nettlefold ◽  
Callista Ottoni ◽  
Heather A. McKay
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
At Risk ◽  
Social Connectedness ◽  
Physical Activity Intervention ◽  
Post Intervention ◽  
Community Based ◽  
Health Promoting ◽  
Baseline Factors ◽  
Meaningful Interaction

Abstract Background Despite the well-known health benefits of physical activity (PA), older adults are the least active citizens. Older adults are also at risk for loneliness. Given that lonely individuals are at risk for accelerated loss of physical functioning and health with age, PA interventions that aim to enhance social connectedness may decrease loneliness and increase long-term PA participation. The objectives of this mixed-method study are to: (1) evaluate whether an evidence-based PA intervention (Choose to Move; CTM) influenced PA and loneliness differently among self-identified ‘lonely’ versus ‘not lonely’ older adults and (2) to describe factors within CTM components most likely to promote social connectedness/reduce loneliness. Methods CTM is a flexible, scalable, community-based health promoting physical activity intervention for older adults. Two community delivery partner organizations delivered 56 CTM programs in 26 urban locations across British Columbia. We collected survey data from participants (n = 458 at baseline) at 0 (baseline), 3 (mid-intervention) and 6 (post-intervention) months. We conducted in depth interviews with a subset of older adults to understand how CTM facilitated or impeded their PA and social connectedness. Results PA increased significantly from baseline to 3 months in lonely and not lonely participants. PA decreased significantly from 3 to 6 months in lonely participants; however, PA at 6 months remained significantly above baseline levels in both groups. Loneliness decreased significantly from baseline to 3 and 6 months in participants identifying as lonely at baseline. Factors within CTM components that promote social connectedness/reduce loneliness include: Activity coach characteristics/personality traits and approaches; opportunity to share information and experiences and learn from others; engagement with others who share similar/familiar experiences; increased opportunity for meaningful interaction; and accountability. Conclusion Health promoting interventions that focus on PA and social connectedness through group-based activities can effectively reduce social isolation and loneliness of older adults. Given the ‘epidemic of loneliness’ that plagues many countries currently, these kinds of interventions are timely and important. Research that further delineates mechanisms (e.g., sharing experiences vs. lectures), that modify the effect of an intervention on social connectedness outcomes for older adults engaged in community-based PA programs would be a welcome addition to the literature.

Suspension Training HIIT Improves Gait Speed, Strength and Quality of Life in Older Adults

2019 ◽  
Vol 40 (02) ◽  
pp. 116-124 ◽  
Author(s):  
Jose Jiménez-García ◽  
Antonio Martínez-Amat ◽  
M. De la Torre-Cruz ◽  
Raquel Fábrega-Cuadros ◽  
David Cruz-Díaz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Training Program ◽  
Gait Speed ◽  
Handgrip Strength ◽  
Training Group ◽  
Control Group ◽  
Strength Increase ◽  
Post Intervention

AbstractThis study aimed to evaluate the effects of a 12-week high-intensity interval exercise (HIIT) training program involving suspension exercises (TRX) on the muscle strength, body composition, gait speed, and quality of life of older adults. A total of 82 older adults were randomly assigned to 3 groups: a HIIT group (n=28), a continuous intensity training group (MIIT group, n=27), or a control group (CG, n=27). Compared to MIIT and CG, participants of the HIIT group showed significant post-intervention improvements in BMI (p=.002 and p<.001, respectively) and gait speed (p<.001 for both). Handgrip strength increase was also observed after HIIT (p=.002), but no differences were observed with MIIT and CG. Compared with MIIT and control groups, HIIT showed improvements in the SF-36 domains: general health (p<.001 for both) health changes (p<.001 for both), vitality (p=.002 and p=.001 respectively) and physical functioning (p=.036 and p<.001 respectively). Our results suggest that a HIIT training program with TRX have benefits in BMI, handgrip strength, gait speed, and quality of life in older adults.

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