scholarly journals Changes in GPS-Derived Community Mobility After Motor Skill Training in Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 565-566
Author(s):  
Breanna Crane ◽  
Kyle Moored ◽  
Michelle Carlson ◽  
Subashan Perera ◽  
Jennifer Brach ◽  
...  
Keyword(s):  
Older Adults ◽  
Motor Skill ◽  
Skill Training ◽  
Community Dwelling ◽  
Standard Group ◽  
Post Intervention ◽  
Community Mobility ◽  
Gps Measurement ◽  
Motor Skill Training ◽  
Community Dwelling Older Adults

Abstract The study purpose was to identify the effects of a motor skill training intervention to improve gait speed on community mobility among community-dwelling older adults. The study included 249 participants randomized to standard physical therapy or a standard plus motor skill training program. Community mobility was measured using the Life Space Assessment (LSA) and GPS at baseline, 12 (post-intervention), 24 and 36 weeks. There were 124 participants (M age=77.4±6.7; 68.6% female; LSA: 76.2±17.6) randomized to the standard plus and 125 (M age=77.4±6.4; 62.4% female; LSA: 74.3±18.2) to the standard group. There was no significant between-group difference in pre- or post-intervention LSA scores and no significant pre- to post-intervention change over time in either group. GPS results are pending. While there were no differences in self-reported LSA, we anticipate objective GPS measurement of community mobility will better capture post-intervention changes and differences between groups.

scholarly journals AN MHEALTH BEHAVIORAL INTERVENTION FOR PROMOTING PHYSICAL ACTIVITY AND SLEEP IN COMMUNITY-DWELLING OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S169-S169
Author(s):  
Junxin Li ◽  
Sarah Szanton ◽  
Minhui Liu ◽  
Nada Lukkahatai ◽  
Junxin Li ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sleep Quality ◽  
Behavioral Intervention ◽  
Intervention Group ◽  
Community Dwelling ◽  
Control Group ◽  
Post Intervention ◽  
Tnf Α ◽  
Community Dwelling Older Adults

Abstract Evidence suggests physical activity (PA) improves sleep in older adults. This study examined the preliminary effect of a personalized mHealth behavioral intervention on PA and sleep in older adults. We conducted a randomized controlled pilot trial in 21 community-dwelling older adults with sleep complaints. The 24-week mHealth behavioral intervention included a 2-hour in person training session, personalized exercise prescription, real time PA self-monitoring, interactive prompts, phone consultation, and weekly financial incentives. PA and sleep were measured objectively using Actiwatch 2.0 and subjectively using questionnaires. Peripheral blood was drawn for measuring Plasma inflammatory biomarkers [interleukin 1β, 6, 8, Tumor Necrosis Factor- alpha (TNF-α), and c-reactive protein (CRP)]. Data were collected at baseline, 8-week, 16-week, and post intervention. Repeated measures ANOVA (time*group) was used to examine differences of PA and sleep across times between the two groups. Majority of participants are women (71.4%) with mean age of 73.7 (SD = 6.9). Repeated measure ANOVA showed significant (p <0.05) improvement of objective and subjective PA, objective nocturnal sleep duration, self-report sleep quality (measured by Pittsburg Sleep Quality Index and Insomnia Severity Index) and decreasing of sedentary time over times in the intervention group (n=11), compared to the control group. The intervention group showed significant reduction of plasma TNF-α and CRP levels at 16-week and post intervention. Interventions combining personalized PA and mHealth strategies may positively affect physical activity and sleep in older adults. A larger study is needed to test the efficacy of this intervention and the mechanisms associated with it.

Bingocize®: Utilizing a mobile application to improve gait in community-dwelling older adults

2018 ◽  
Vol 17 (2) ◽  
pp. 9
Author(s):  
Dustin Falls, MS ◽  
Matthew Shake, PhD ◽  
Elizabeth Norris, PhD, PT, OCS ◽  
Scott Arnett, PhD, CSCS,*D ◽  
Jenn Taylor, MS, CTRS ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Gait Speed ◽  
Independent Living ◽  
Mixed Model ◽  
Community Dwelling ◽  
Health Promotion Program ◽  
Post Intervention ◽  
Gait Performance ◽  
Community Dwelling Older Adults

Physical activity (PA) can improve older adults’ gait performance and decrease fall risks, yet adherence to PA programs is low. The purpose of this study was to evaluate the efficacy of a game-centered mobile health promotion application (app) to improve gait performance in community-dwelling older adults. Participants (N = 38; age 72.42 ± 12.58) from four independent living facilities were randomly assigned to experimental (n = 20; app with exercise) or control (n = 18; app without exercise) conditions. Each condition completed a 10-week intervention using an inclusive evidence-based health promotion program that combines bingo and exercise, Bingocize®. The investigators collected baseline/post gait assessments 1 week prior and 1-week post intervention. Data were analyzed using a mixed-model ANOVA (p < 0.05). There were no main effects; however, significant interactions (group × time) were observed, and interactions for gait speed (>5 cm/s) were observed in the experimental condition. Research supports this increase as a meaningful clinical change in gait speed, which may potentially reduce the risk of falls.

scholarly journals The Effect of Co-dependent (Thinking in Motion [tim]) Versus Single-modality (Cognifit) Interventions on Cognition and Gait Among Community Dwelling Older Adults With Cognitive Decline: a Randomized Controlled Study

2022 ◽  
Author(s):  
Shiri Embon-Magal ◽  
Tal Krasovsky ◽  
Israel Doron ◽  
Kfir Asraf ◽  
Iris Haimov ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Dual Task ◽  
Group Intervention ◽  
Community Dwelling ◽  
Secondary Outcome ◽  
Controlled Study ◽  
Post Intervention ◽  
Community Dwelling Older Adults ◽  
Single Modality

Abstract Background. Cognition and motor skills are interrelated throughout the aging process and often show simultaneous deterioration among older adults with cognitive decline. Co-dependent training has the potential to ameliorate both domains; however, its effect on the gait and cognition of older adults with cognitive decline has yet to be explored. The aim of this study is to compare the effects of the well-established single-modality cognitive computerized training program, CogniFit, with “Thinking in motion (TIM),” a co-dependent group intervention, among community-dwelling older adults with cognitive decline. Methods. Employing a single-blind randomized control trial design, 47 community-dwelling older adults with cognitive decline were randomly assigned to eight-week thrice weekly trainings of TIM or CogniFit. Pre- and post-intervention assessments included cognitive performance, evaluated by a CogniFit battery, as a primary outcome, and gait, under single- and dual-task conditions, as a secondary outcome. Results. CogniFit total Z scores significantly improved from baseline to post-intervention for both groups. There was a significant main effect for time [F (1, 44) = 17.43, p<.001, ηp2=.283] but not for group [F (1, 44) = 0.001, p=.970]. No time X group interaction [F (1, 44) = 1.29, p=.261] was found. No changes in gait performance under single and dual-task performance were observed in both groups. Conclusions. The findings show that single-modality (CogniFit) and co-dependent (TIM) trainings improve cognition but not gait in older adults with cognitive decline. Such investigations should be extended to include various populations and a broader set of outcome measurements. Trial registration: anzctr Id: 371522. Date: 08/11/2016

scholarly journals Factors That Contribute to Recovery of Community Mobility After Hospitalization Among Community-Dwelling Older Adults

2018 ◽  
Vol 39 (4) ◽  
pp. 435-441
Author(s):  
Elina U. Wells ◽  
Courtney P. Williams ◽  
Richard E. Kennedy ◽  
Patricia Sawyer ◽  
Cynthia J. Brown
Keyword(s):  
Older Adults ◽  
Hospital Admissions ◽  
Community Dwelling ◽  
Medicare Beneficiaries ◽  
Religious Service Attendance ◽  
Factors Associated ◽  
Community Mobility ◽  
Younger Age ◽  
Community Dwelling Older Adults

This study aimed to determine the proportion of older adults who recovered community mobility after hospitalization and identify factors associated with recovery. Using a random sample of 1,000 Medicare beneficiaries ≥65 years of age, we identified individuals with at least one hospitalization over 8.5 years of follow-up. Data were collected at baseline and every 6 months, including demographics, function, social support, community mobility measured by the UAB Life-Space Assessment (LSA), and overnight hospital admissions. Recovery was defined as a LSA score no more than five points lower than the prehospitalization LSA score at last follow-up. Overall, 339 participants ( M age = 75.4 [ SD = 6.6] years, 44% African American, 48% female) had at least one hospitalization. In the full logistic regression model, younger age ( p = .007) and religious service attendance ( p = .001) remained independently associated with recovery. An understanding of factors associated with recovery after hospitalization may provide a target for future interventions.

scholarly journals Methods and Rationale for Using GPS-Derived Objective Technologies to Examine Community Mobility in Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 565-565
Author(s):  
Kyle Moored ◽  
Andrea Rosso ◽  
Michelle Carlson ◽  
Breanna Crane
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Objective Measures ◽  
Walking Ability ◽  
Time Data ◽  
Walking Test ◽  
Community Mobility ◽  
Trail Making ◽  
Community Dwelling Older Adults ◽  
Therapy Intervention

Abstract Objective measures of community mobility are advantageous for capturing life-space activity. In contrast to subjective, self-reported approaches, GPS-derived objective measures leverage passive, real-time data collection techniques to mitigate recall bias and minimize participant burden. We present methods to quantify community mobility among a sample of 164 community-dwelling older adults (Mean age=77.3±6.5) from a physical therapy intervention aimed at improving walking ability. We characterized community mobility using activity space metrics (e.g., standard deviation ellipse (SDE) area), timing (e.g., time outside home), and shape (e.g., SDE compactness). We will discuss challenges and solutions to generating these metrics as well as their associations with physical and cognitive performance. Time outside of home and SDE area, but not SDE compactness, were correlated with better performance on the 6-Minute Walking Test and Trail-Making Test (Part B) (ρ=.20-.23, p’s&lt;.05). These findings will aid in understanding which community mobility measures are associated with functional capacity.

Correlation among assessment of mood, mobility, and motor skill in community-dwelling older adults

2014 ◽  
Author(s):  
Lauren B. Myers ◽  
Sarah E. Kuklish ◽  
Emily N. Luck ◽  
Amanda E. Wakefield ◽  
Carolyn F. Certilman ◽  
...  
Keyword(s):  
Older Adults ◽  
Motor Skill ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Virtual Group Exercises and Psychological Status among Community-Dwelling Older Adults during the COVID-19 Pandemic—A Feasibility Study

Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 31
Author(s):  
Amirah Ibrahim ◽  
Mei Chan Chong ◽  
Selina Khoo ◽  
Li Ping Wong ◽  
Ivy Chung ◽  
...  
Keyword(s):  
Older Adults ◽  
Exercise Adherence ◽  
Dropout Rate ◽  
Community Dwelling ◽  
Psychological Status ◽  
Anxiety And Depression ◽  
Group Exercise ◽  
Post Intervention ◽  
Virtual Group ◽  
Community Dwelling Older Adults

Social isolation, magnified by the restriction of movement order during the COVID-19 pandemic, may lead to negative psychosocial health impacts among community-dwelling older adults. We, therefore, aimed to evaluate recruitment rates, data collection, and group exercises conducted through virtual technology among individuals aged 60 years and over in Malaysia. Participants were recruited from the Promoting Independence in Seniors with Arthritis (PISA) pilot cohort through social media messaging. A four-week course of virtual group exercise was offered. Anxiety and depression were assessed with the Hospital Anxiety and Depression Scale (HADS) during the last attended follow-up of the cohort study (pre-pandemic), pre-intervention, and post-intervention. Exercise adherence was recorded using diaries with daily entries and attendance to the virtual group exercise sessions were also captured electronically daily. The outcomes of interest were changes in anxiety and depression scores from baseline to pre-intervention (pandemic-related) and post-intervention (virtual exercise related). Forty-three individuals were recruited. A significant increase in anxiety scores from baseline to pre-intervention was observed. Comparisons using repeated-measures analysis of variance between those who attendance ≥14 and <14 group exercise sessions revealed no between-within subject differences in depression scores. There was a 23% dropout rate in the post intervention survey and 60.5% of diaries were returned. Virtual group exercises could be conducted among older adults residing in a middle-income country, though recruitment would have been limited to those with internet access.

scholarly journals Non-pharmacological interventions for fatigue in older adults: a systematic review and meta-analysis

2020 ◽  
Vol 49 (3) ◽  
pp. 341-351
Author(s):  
Lily Y W Ho ◽  
Shamay S M Ng
Keyword(s):  
Older Adults ◽  
Meta Analysis ◽  
Cochrane Review ◽  
Community Dwelling ◽  
Cochrane Library ◽  
Long Term Effects ◽  
Pharmacological Interventions ◽  
Post Intervention ◽  
Positive Effects ◽  
Community Dwelling Older Adults

Abstract Background Non-pharmacological interventions are widely used to treat fatigue in clients with specific diseases but the findings may not be applicable to older adults experiencing fatigue, which also relates to the physiological changes of ageing. Non-pharmacological interventions for fatigue alleviation in older adults have not been reviewed and meta-analysed. Objective To evaluate the immediate and long-term effects of non-pharmacological interventions on fatigue in community-dwelling older adults. Methods Randomised controlled trials published from 2008 to May 2018 were searched in CINAHL, Cochrane Library, Embase, Medline, PsycINFO, PubMed and Web of Science databases. The reference lists of the publications, forward citation and clinical trial registries were also reviewed. Relevant data were extracted and meta-analysis was conducted using Cochrane Review Manager 5.3. Results Eight studies, with a total of 1093 participants, were identified. Non-pharmacological interventions included mindfulness meditation, a behavioural lifestyle programme, muscle relaxation, pet insect-assisted therapy, yoga, Tai Chi and cognitive behavioural therapy. Non-pharmacological interventions elicited significant immediate positive effects on fatigue (SMD: −0.40, 95% CI −0.62 to −0.18), although there was no lasting effect. Both physical and cognitive/mental interventions effectively alleviated fatigue. Conclusion Non-pharmacological interventions appear to be effective in alleviating fatigue at immediate post-intervention in community-dwelling older adults. More studies with robust designs and adequate sample sizes are needed in the future.

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