scholarly journals Non-Inferiority of a Group LiFE Version Compared to the Original, Individual LiFE to Prevent Falls

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 459-459
Author(s):  
Carl-Philipp Jansen ◽  
Corinna Nerz ◽  
Sarah Labudek ◽  
Sophie Gottschalk ◽  
Judith Dams ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Large Scale ◽  
Physical Activity Promotion ◽  
Added Value ◽  
Risk Of Falling ◽  
Activity Promotion ◽  
Functional Exercise ◽  
Incidence Risk ◽  
Intervention Costs

Abstract The ‘Lifestyle-integrated Functional Exercise’ (LiFE) program has been shown to reduce risk of falling via improvements in balance and strength while increasing physical activity in older adults. Its one-to-one delivery comes with considerable costs hampering large scale implementability. To potentially reduce costs, a group format (gLiFE) was developed and analyzed for its non-inferiority to LiFE in reducing activity-adjusted fall incidence after 6 months. Further, intervention costs and physical activity were analyzed. Older adults (70+ years) at risk of falling were included in this multi-centre, single-blinded, randomized non-inferiority trial. LiFE was delivered in nine intervention sessions to increase balance, strength, and physical activity, either in a group (gLiFE) or at the participant’s home (LiFE). 309 persons were randomized into gLiFE (n=153) and LiFE (n=156). Non-inferiority for activity-adjusted falls was inconclusive; the incidence risk ratio (IRR) of gLiFE was 1.350 (95% CI: 0.856; 2.128) at 6 months. Falls were largely reduced in both groups. Physical activity was superior in the gLiFE group (gLiFE +880 steps; CI 252, 1,509) which also had a cost advantage under study conditions as well as real world estimations. GLiFE was associated with lower intervention costs, making it a cost-efficient alternative to the individually delivered LiFE. The added value of gLiFE is the greater effect on physical activity, making it particularly attractive for large scale PA promotion in public health concepts. Depending on individual needs and preferences, both formats could be offered to individuals, with a greater focus on either fall prevention (LiFE) or physical activity promotion (gLiFE).

scholarly journals Lifestyle-integrated functional exercise to prevent falls and promote physical activity: Results from the LiFE-is-LiFE randomized non-inferiority trial

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Carl-Philipp Jansen ◽  
Corinna Nerz ◽  
Sarah Labudek ◽  
Sophie Gottschalk ◽  
Franziska Kramer-Gmeiner ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Secondary Outcome ◽  
Risk Of Falling ◽  
Intention To Treat ◽  
Phone Calls ◽  
Functional Exercise ◽  
Secondary Outcomes ◽  
Intervention Costs

Abstract Background The ‘Lifestyle-integrated Functional Exercise’ (LiFE) program successfully reduced risk of falling via improvements in balance and strength, additionally increasing physical activity (PA) in older adults. Generally being delivered in an individual one-to-one format, downsides of LiFE are considerable human resources and costs which hamper large scale implementability. To address this, a group format (gLiFE) was developed and analyzed for its non-inferiority compared to LiFE in reducing activity-adjusted fall incidence and intervention costs. In addition, PA and further secondary outcomes were evaluated. Methods Older adults (70 + years) at risk of falling were included in this multi-center, single-blinded, randomized non-inferiority trial. Balance and strength activities and means to enhance PA were delivered in seven intervention sessions, either in a group (gLiFE) or individually at the participant’s home (LiFE), followed by two “booster” phone calls. Negative binomial regression was used to analyze non-inferiority of gLiFE compared to LiFE at 6-month follow-up; interventions costs were compared descriptively; secondary outcomes were analyzed using generalized linear models. Analyses were carried out per protocol and intention-to-treat. Results Three hundred nine persons were randomized into gLiFE (n = 153) and LiFE (n = 156). Non-inferiority of the incidence rate ratio of gLiFE was inconclusive after 6 months according to per protocol (mean = 1.27; 95% CI: 0.80; 2.03) and intention-to-treat analysis (mean = 1.18; 95% CI: 0.75; 1.84). Intervention costs were lower for gLiFE compared to LiFE (-€121 under study conditions; -€212€ under “real world” assumption). Falls were reduced between baseline and follow-up in both groups (gLiFE: -37%; LiFE: -55%); increases in PA were significantly higher in gLiFE (+ 880 steps; 95% CI 252; 1,509). Differences in other secondary outcomes were insignificant. Conclusions Although non-inferiority of gLiFE was inconclusive, gLiFE constitutes a less costly alternative to LiFE and it comes with a significantly larger enhancement of daily PA. The fact that no significant differences were found in any secondary outcome underlines that gLiFE addresses functional outcomes to a comparable degree as LiFE. Advantages of both formats should be evaluated in the light of individual needs and preferences before recommending either format. Trial registration The study was preregistered under clinicaltrials.gov (identifier: NCT03462654) on March 12th 2018

Multilevel Perspectives on Diffusing a Physical Activity Promotion Program to Reach Diverse Older Adults

2006 ◽  
Vol 14 (3) ◽  
pp. 270-287 ◽  
Author(s):  
Anita L. Stewart ◽  
Melanie Grossman ◽  
Nathalie Bera ◽  
Dawn E. Gillis ◽  
Nina Sperber ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Care Providers ◽  
Large Scale ◽  
Task Force ◽  
Physical Activity Promotion ◽  
Care Providers ◽  
Promotion Program ◽  
Activity Promotion ◽  
Physical Activity Promotion Program

Diffusing research-based physical activity programs in underserved communities could improve the health of ethnically diverse populations. We utilized a multilevel, community-based approach to determine attitudes, resources, needs, and barriers to physical activity and the potential diffusion of a physical activity promotion program to reach minority and lower-income older adults. Formative research using focus groups and individual interviews elicited feedback from multiple community sectors: community members, task force and coalition members, administrators, service implementers, health care providers, and physical activity instructors. Using qualitative data analysis, 47 transcripts (N= 197) were analyzed. Most sectors identified needs for culturally diverse resources, promotion of existing resources, demonstration of future cost savings, and culturally tailored, proactive outreach. The program was viewed favorably, especially if integrated into existing resources. Linking sectors to connect resources and expertise was considered essential. Complexities of such large-scale collaborations were identified. These results may guide communities interested in diffusing health promotion interventions.

Pedestrian Activity Among California Adults

2009 ◽  
Vol 6 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Anna E. Mathews ◽  
Natalie Colabianchi ◽  
Brent Hutto ◽  
Delores M. Pluto ◽  
Steve P. Hooker
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Activity Patterns ◽  
Physical Activity Promotion ◽  
Activity Level ◽  
Activity Levels ◽  
Public Health Agencies ◽  
Activity Promotion ◽  
Health Agencies ◽  
Random Digit Dial

Background:The objectives of this study were to assess (1) pedestrian activity levels among adults, (2) where and why adults engage in pedestrian activity, and (3) what adults consider when deciding where to engage in pedestrian activity.Methods:Pedestrian activity was assessed in 12,036 California adults, ≥18 years, using a random digit-dial telephone survey.Results:Significant differences were identified by race, sex, age, and physical activity level in the type, location, and purpose of pedestrian activities. Men engage in pedestrian activity at work, and women engage in pedestrian activity while escorting children to school and running errands. Whites primarily engage in leisure-time pedestrian activity, and non-whites are more likely to engage in pedestrian activity for transportation. Older adults were less active than their younger counterparts.Conclusions:These findings should be considered by public health agencies and their partners as they continue to increase and promote opportunities for pedestrian activity. Additional research is needed to assess older adults’ physical activity patterns and preferences, barriers, and facilitators to effectively tailor physical activity promotion efforts to this at-risk group.

scholarly journals A systematic overview of institutions and bodies active in physical activity promotion in Europe

2014 ◽  
Vol 62 (2) ◽  
Keyword(s):  
Physical Activity ◽  
Critical Mass ◽  
Physical Activity Promotion ◽  
Added Value ◽  
Systematic Overview ◽  
Use Of Resources ◽  
Activity Promotion ◽  
Grass Root ◽  
Expert Input ◽  
Health Enhancing Physical Activity

Objectives: Growing interest in physical activity has led to the development of a number of organizations, networks and associations, including grass-root, professional and academic institutions. To maximize relevance and effectiveness of work undertaken in this field, we aimed at developing a systematic overview of institutions active in health-enhancing physical activity (HEPA). Methods: Systematic, purposive weblink-search complemented by expert input; classification by institutional type, main activity and synergy with goals of HEPA Europe, the European network for the promotion of HEPA. Results: Of 127 identified institutions, 42 met the criteria of being European and active in physical activity promotion. 45.3% were NGO/associations, 33.3% were networks, 11.9% WHO units or platforms and 9.5% bodies of the European Commission. Sport was the main topic of 28.6% institutions. Health promotion was represented with 21.4%, physical activity promotion and transport/environment with 19.0% each, disease prevention with 7.2% and nutrition with 4.8%. Seven institutions had a high synergy to HEPA Europe’s goals. Conclusions: The search identified many institutions, networks and initiatives, which 1. reflects the growing interest in and importance of physical activity for a number of stakeholders, 2. provides increased capacity to address this important topic on a European scale and 3. creates a “critical mass” to push the agenda forward into clearer and synergetic directions. Systematically mapping key players is a useful tool for institutions active in an environment with a multitude of actors to ensure that activities provide added value, to avoid duplication and to promote partnership and efficient use of resources.

Moving Through COVID-19: Perspectives of Older Adults in the Getting Older Adults Outdoors Study

2021 ◽  
pp. 1-11
Author(s):  
Kristina Marie Kokorelias ◽  
Jacquie Ripat ◽  
C. Allyson Jones ◽  
Nancy E. Mayo ◽  
Nancy M. Salbach ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Older Adults ◽  
Health Knowledge ◽  
Physical Activity Promotion ◽  
Negative Consequences ◽  
Activity Promotion ◽  
Qualitative Descriptive ◽  
Descriptive Approach ◽  
Safety Guidelines

Safety guidelines resulting from the coronavirus disease 2019 pandemic may reduce physical activity participation of older adults, particularly prefrail and frail individuals. The objective was to explore older adults’ experiences with physical activity during the coronavirus disease 2019 pandemic. Using a qualitative descriptive approach, interviews were conducted with 16 older adults. Data were analyzed thematically. Two themes emerged: (a) coming to a standstill and (b) small steps. Participants described that imposed provincial and federal recommendations caused them to reduce their physical activity with negative consequences. As time progressed, participants used emerging public health knowledge about coronavirus disease 2019 to safely increase physical activity. Many participants developed strategies to remain active during the pandemic (e.g., wearing a pedometer, walking outdoors at particular times of day). Findings from this study can better inform the development of programs, clinical practice, and policy for physical activity promotion in older adults during periods of physical distancing and isolation.

Effectiveness of general practice-based physical activity promotion for older adults: systematic review

2013 ◽  
Vol 15 (02) ◽  
pp. 190-201 ◽  
Author(s):  
Zoe Stevens ◽  
Cate Barlow ◽  
Denise Kendrick ◽  
Tahir Masud ◽  
Dawn A. Skelton ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
General Practice ◽  
Physical Activity Promotion ◽  
Activity Promotion

Participants' Evaluations of Components of a Physical-Activity-Promotion Program for Seniors (CHAMPS II)

2002 ◽  
Vol 10 (3) ◽  
pp. 336-353 ◽  
Author(s):  
Dawn E. Gillis ◽  
Melanie D. Grossman ◽  
Barbara Y. McLellan ◽  
Abby C. King ◽  
Anita L. Stewart
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Activity Promotion ◽  
Community Based ◽  
Promotion Program ◽  
Activity Promotion ◽  
Health Promotion Programs ◽  
Telephone Calls ◽  
Program Components ◽  
Physical Activity Promotion Program

As new multifaceted programs are developed to facilitate increased physical activity in older adults, it is increasingly important to understand how useful various program components are in achieving program goals. On concluding a community-based physical-activity-promotion program. 80 older adults (M = 74 years) completed a helpfulness survey of 12 different aspects of the program. and 20 also attended focus groups for evaluation purposes. Results indicated that personal attention from staff, an informational meeting, and telephone calls from staff were most helpful. Ratings were similar across gender, age, and income groups, as well as between those who had previously been sedentary and underactive. Compared with more educated participants, those with less education reported higher ratings for 8 of 12 program components. Results contribute to a small literature on older adults' perceptions of physical activity programs and might be useful in planning future physical activity and other health-promotion programs relying on similar components.

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