The Lifestyle-integrated Functional Exercise Program for Older Adults

Abstract Aims This study explored the effectiveness of a modified Lifestyle-integrated Functional Exercise program for increasing community-dwelling older adults’ lower body strength and balance to decrease fall risk. Methods Purposive sampling of men and women aged 65 years and older, with or without a history of falls, living at retirement communities yielded 19 older adult participants, and 16 of the participants completed the 26-week integrated exercise program. The program consisted of five-group training sessions focused on how to integrate individualized exercises into everyday activities, followed by 20 weeks of independent practice with a booster session at Week 10 and two phone calls at Week 15 and Week 20. A battery of assessments was used 3 times to measure the participants. Results Results demonstrated a significant improvement in lower body strength and balance, but fall risk reduction cannot be confirmed from this study. Conclusion Despite reduction in fall risk was inconclusive from this study, a modified Lifestyle-integrated Functional Exercise program delivered to community-dwelling older adults in a group format may be an effective intervention program to improve lower body strength and balance, while integration of exercises into daily activities may also appear to be more sustainable than traditional exercise program.

Download Full-text

Translating a Functional Exercise Program for Fall Prevention Among Diverse Older Adults in Urban Medically Underserved Areas: A Mixed Methods Study

Journal of Aging and Physical Activity ◽

10.1123/japa.2019-0159 ◽

2020 ◽

pp. 1-8

Author(s):

Yi-Ling Hu ◽

Marian Keglovits ◽

Emily Somerville ◽

Makenna Snyder ◽

Susan Stark

Keyword(s):

Older Adults ◽

Mixed Methods ◽

Service Providers ◽

Exercise Program ◽

Mixed Methods Study ◽

Medically Underserved ◽

Sequential Mixed Methods ◽

High Adherence ◽

Functional Exercise ◽

Good Retention

The Lifestyle-integrated Functional Exercise Program (LiFE) is proven to have high adherence rates and can significantly reduce falls, but it has not yet been implemented for diverse older adults residing in urban medically underserved (MU) areas. An exploratory sequential mixed methods study was conducted to adapt LiFE and test the adapted program’s preliminary feasibility. Focus groups with MU older adults and service providers were conducted to identify modifications. The new adapted program, Diverse Older Adults Doing LiFE (DO LiFE), was then evaluated with older adults. Thematic analysis revealed health literacy and lack of racial representation as barriers to implementing LIFE in this population. The pilot study showed that DO LiFE was feasible with good retention (89%) and high adherence (81.27%) rates. DO LiFE demonstrated preliminary feasibility for diverse MU older adults. Researchers should proceed to larger studies for translating DO LiFE from research to the community.

Download Full-text

The Lifestyle-integrated Functional Exercise Program for Older Adults

10.33015/dominican.edu/2015.ot.rp.10 ◽

2015 ◽

Author(s):

Jessica Lim ◽

Courtney Beyer ◽

Anna Lee ◽

Sienna Anderson

Keyword(s):

Older Adults ◽

Exercise Program ◽

Functional Exercise

Download Full-text

The Development And Evaluation Of An Exercise Program To Increase Well-Being Of Older Adults

10.2986/tren.088-0135 ◽

2005 ◽

Author(s):

Malissa L. KRAFT

Keyword(s):

Older Adults ◽

Exercise Program ◽

Well Being

Download Full-text

Innovative Approaches to Inclusive Design for Technology to Support Aging With Disability: Examples From TechSAge

Innovation in Aging ◽

10.1093/geroni/igaa057.2017 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 599-599

Author(s):

Tracy Mitzner ◽

Anne Ordway

Keyword(s):

Older Adults ◽

Research And Development ◽

Health Management ◽

Exercise Program ◽

Target Population ◽

Interview Study ◽

Inclusive Design ◽

Adults With Disabilities ◽

Engineering Research ◽

Expert Interview

Abstract Technology research and development often exclude older adults with disabilities from participating in the design process. As a result, technologies may not be useful or usable by older adults with diverse abilities. This symposium, featuring projects at the TechSAge Rehabilitation Engineering Research Center, highlights ongoing efforts toward inclusive design, representing unique approaches to engage older adults with disabilities and their stakeholders in the research and development of technology supports. First, Mitzner et al., will describe the development of an online, group Tai Chi intervention, and the integral involvement of older adults with mobility disabilities, the exercise program developers, and technology partner in all steps of the process. Exploring the potential of voice-activated assistants, like Amazon Alexa, to support health management activities of older adults with mobility disabilities, Kadlyak et al. will present findings from a needs assessment of the target population and user testing in the lab and home environments. Koon et al. will present findings from a subject matter expert interview study with caregivers and medical professionals designed to identify the scope of activity challenges among people aging with long-term mobility and sensory disabilities that should be explored in more depth through our future interview study with the target population. Sanford et al., will describe a student design competition and hackathon that incorporates immersive experiences with people aging with disabilities to inspire innovative design concepts that respond to the needs of real people. NIDILRR Project Officer, Anne Ordway, will serve as the discussant.

Download Full-text

Nurse Practitioner’s Clinical Triggers for Referral to Other 3D Team Members

Innovation in Aging ◽

10.1093/geroni/igaa057.2680 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 745-745

Author(s):

Shawn Ladda

Keyword(s):

Older Adults ◽

Community Health ◽

Nurse Practitioners ◽

Physical Therapists ◽

Exercise Program ◽

Health Educator ◽

Problem Solving Therapy ◽

Team Members ◽

Resource Information ◽

Registered Dietician

Abstract This presentation features how 3D Team nurse practitioners (NP) use results of clinical assessments to determine whether older adults and caregivers enrolled in the study are referred to other Team members; these assessment results are called “clinical triggers”. Other team members who receive referrals based on NP-generated clinical triggers include: Licensed Clinical Social Workers, who deliver Problem Solving Therapy to older adults with significant depressive symptoms; Occupational Therapists, who deliver an evidence-based dementia care intervention; Physical Therapists, who deliver an adapted Otago exercise program; Registered Dietician, who provides nutrition and dietary instruction; and Community Health Educator, who provides community resource information to address social determinants of health. All clinical triggers will be detailed in this presentation, along with a description of each intervention delivered by other team members except the Community Health Educator. Case studies will be presented to illustrate how study participants receive multiple interventions from the 3D Team.

Download Full-text