The Effectiveness of Health Promotion Programs on the Pre-frail Individuals

Study Overview
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Brief Summary
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This pilot study aimed to examine the efficacy of a home-based multicomponent exercise training program in older community- dwellers during to the Coronavirus Disease 2019.

Detailed Description
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This pilot study aimed to examine the efficacy of a home-based multicomponent exercise training program in older community- dwellers during to the Coronavirus Disease 2019. Design: A two-arm parallel cluster randomized controlled trial. Older adults ≥60 years old were recruited from eight community units in northern Taiwan. One-hundred and sixty-seven eligible subjects consented to participate in the study. Community units were randomly assigned to either an intervention arm (n=82) or a control arm (n=87). The intervention consisted of one 60-minutes group exercise session once a week in first 8 weeks, and self-management in next 8 weeks. The control arm received an education leaflet. Assessments were performed at baseline and 16 weeks for physical activity, physical performance, and pre-frailty rate. Analysis of covariance or chi-square test adjusted for pretest evaluated the differences between the two study arms.

Official Title
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The Short Effectiveness of Self-Management Skills and Health Promotion Programs on the Health Status of the Pre-frail Individuals in the Communities

Conditions
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Older Adults

Intervention / Treatment
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* Behavioral: multicomponent exercise training program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: older adult with age ≥ 60 years community-dwelling no hearing and visual acuity difficulties Exclusion Criteria: Unconscious Cognitive impairment or dementia

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The intervention consisted of one 60-minutes group exercise session once a week in first 8 weeks, and self-management in next 8 weeks. The control arm received an education leaflet.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intervention arm<br>The intervention consisted of one 60-minutes group exercise session once a week in first 8 weeks, and self-management in next 8 weeks | Behavioral: multicomponent exercise training program<br>* One supervised 60 minutes training sessions per week were organized combining warm-up, speed-walking, resistance exercise, static and dynamic balance. Supervised walking sessions were for 10-20 minutes at a target intensity of 13-15 on the Borg scale. Thereafter, 10 resistance exercises targeting lower body, trunk and upper body muscles were performed with elastic band. In addition, participants were instructed to accumulate 150 minutes per week of moderate intensity aerobic activity in bouts of at least 10 minutes, and at least 2-3 days all major muscle groups training.<br>|
| No Intervention: control arm<br>The control arm received an education leaflet. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physical activity | International Physical Activity Questionnaire (IPAQ) | 4 month follow up | 
| short physical performance battery | sit-to-stand, standing balance, and gait-speed | 4 month follow up | 
| Frailty | Frailty measurement used study of osteoporotic fracture index (SOF) | 4 month follow up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| upper limb muscle strength | hand-grip strength | 4 month follow up | 
| static balance ability | single-leg standing with the eyes open | 4 month follow up | 
| physical agility and dynamic balance ability | Timed-Up and Go and Functional Reach Test | 4 month follow up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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older adults, multicomponent exercise training, physical activity, physical performance, Pre-frailty, Coronavirus Disease 2019 pandemic