Translating 3-Step Workout for Life in a Local Senior Living Community

Study Overview
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Brief Summary
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The study evaluates the feasibility of a staff-lead workout program, 3-Step Workout for Life, in a local senior living community. Eligible participants will complete assessments before and after the workout program.

Detailed Description
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The 3-Step Workout for Life program is designed to help older adults improve muscle strength and apply the improved muscle strength to perform activities of daily living. The 10-week workout consists of single-joint resistance exercise, multiple-joint resistance exercise, and activities of daily living exercise. Participants will exercise in small groups in a community room as well as one-on-one with the fitness staff in their home. The community fitness staff will learn the 3-Step Workout for Life program from the University partner and deliver the program.

Official Title
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Translating 3-Step Workout for Life in a Local Senior Living Community: A Feasibility Study

Conditions
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Frail Elderly, Muscle Weakness

Intervention / Treatment
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* Behavioral: 3-Step Workout for Life


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 60 years old and above Residents of the local study community Communicable in English Took more than 16 seconds to complete five chair stands with arms crossed at the chest. Self-reported difficulty in performing one or more activities of daily living, which must include difficulty in feeding/eating, dressing, grooming/personal hygiene, bathing/showering, using the toilet, or functional mobility/transfer. Exclusion Criteria: Aged above 90 years old. Unwilling to commit to the study program 3 sessions per week for 10 weeks. Plan to move away from the current community in 6 months. Having three or more errors on a six-item cognitive impairment screener. Having any terminal illness, cardiovascular, neurological, psychiatric, orthopedic, or cognitive impairments that are contraindications to participating in an exercise program. The difficulty of performing activities of daily living is due to neurological disorders (e.g., stroke, Parkinson's), orthopedic conditions (e.g, amputees), or sensory deficits (diabetic palsy, low vision). Physician's recommendation of no moderate physical exercise. Receiving home health rehabilitation therapy or exercise at moderate intensity for more than twice a week (last more than 20 minutes each time).

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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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Interventional Model Description: Single group with pretest and posttest
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 3-Step Workout for Life<br>Participants will exercise at the moderate intensity three times a week for 10 weeks. The total of 30 workout sessions will consist of 18 sessions of group single-joint resistance exercise, 6 sessions of one-on-one multiple-joint resistance exercise, and 6 sessions of one-on-one activities of daily living exercise. During the resistance exercise sessions, participants will use resistance tubing to strengthen major muscle groups of the upper extremity and lower extremity. During the activities of daily living exercise, participants will practice daily tasks around the home. The community fitness staff will modify the task demand to increase the physical challenge of the task to each participant, for example, increasing travel distance. | Behavioral: 3-Step Workout for Life<br>* a 10-week moderate exercise program<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of Motor and Process Skills (AMPS)-the motor skill scale | To measure motor ability required to competently complete daily activities | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Box and Block Test | To measure motor coordination of the upper extremity | 12 weeks | 
| Timed Up and Go | To measure functional mobility | 12 weeks | 
| 30-second arm curl test | To measure muscle strength of the upper extremity | 12 weeks | 
| 30-second chair stand test | To measure muscle strength of the lower extremity | 12 weeks | 
| Canadian Occupational Performance Measure | To measure self-perception of performance in everyday living | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Occupational Therapy, Aging in place, Activities of daily living, Community program