Three Victorian local governments cooperated in
a pilot study of physical activity promotion as part
of home and community care (HACC) service
delivery. Thirty-one people receiving HACC volunteered
to participate, including completing the
Transtheoretical Stages of Change Exercise
Questionnaire and the short-form Stanford
Health Assessment Questionnaire (HAQ) just
before and at 3 months and 6 months after
starting regular self-selected physical activity.
Twenty-one participants returned questionnaires
at 3 months, and 17 participants returned questionnaires
at 6 months. Data were analysed
using paired t tests and effect sizes were calculated
as mean differences. At 3 months, mean
improvements were identified on 6 of the 8 HAQDI
(disability index) subscales, and in the overall
HAQ-DI score. Improvement in dressing and
grooming was preserved at 6 months. At either 3
or 6 months, improvements in dressing and
grooming, reach, hygiene, and daily activities,
and overall HAQ-DI score exceeded the minimum
clinically important difference. No improvements
were statistically significant, as is likely in
a pilot study with a small sample, however, these
results suggest that even very small increases in
physical activity may afford clinically meaningful
improvements in some areas of physical function
required for independent living.