Senior Elastic Band (SEB) on Institutional Elders

Study Overview
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Brief Summary
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The goals of this research project are: 1) to develop and evaluate the safety and feasibility of the Senior Elastic Band (SEB) exercise program for elderly residents in long term care facilities, 2) to evaluate the long-term effects of the SEB on physical functional fitness and sleep quality of elderly residents in long term care facilities, and 3) to investigate the compliance of elderly residents with long-term SEB exercises.

Detailed Description
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A three-year, longitudinal, triangulation research method will be used. The study purpose of the first year is to develop a safe and appropriate SEB program for the elderly residents in long term care facilities using Delphi survey with a panel of 12 experts and pilot-testing on a group of 15-20 elderly residents in long term care facilities. In the second year of the study, a quasi-experimental, non-equivalent control group design will be used to evaluate the effects of the SEB exercise program on the physical functional fitness (cardiovascular-respiratory function, body flexibility, muscle power/muscle endurance, and balance) and sleep quality of elderly residents in long term care facilities. Through the convenience sampling strategy, a total of four long term care facilities with approximately 120 elders in Kaohsiung will be recruited and randomly assigned based on the resided facilities to a SEB experimental group or a waiting-list control group. The subjects in the experimental group will receive the SEB interventions lead by the certified instructors, three times per week, 40 minutes per practice for six months; the subjects in the waiting-list control group will remain regular daily activities in the facilities. All subjects will receive one pre-test and two post-tests three months apart during the study. In the third year, the elderly participants will continue practicing the SEB guided by a VCD for another nine months, and the compliance of the participants toward regular SEB exercise and its long-term effects on the physical functional fitness and sleep quality outcomes will be tested with additional three post-tests, three months apart.

Official Title
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Development, Application , and Evaluation of the Senior Elastic Band (SEB) Exercise Program for Elderly Residents in Long-term Care Facilities

Conditions
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Institutional Older Adults

Intervention / Treatment
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* Other: Wheelchair-bound Senior Elastic Band exercise program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: elderly residents aged 65 and over Mandarin or Taiwanese speakers have been living in the facility for at least 3 months able to stand alone without assistive devices cognitively alert and able to verbally state their name, address, and answer questions. Exclusion Criteria: participants with severe and acute cardiovascular, musculoskeletal, or pulmonary illnesses

Ages Eligible for Study
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Minimum Age: 65 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
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Wheelchair-bound Senior Elastic Band<br>WSEB interventions three times per week, 40 minutes per practice | Other: Wheelchair-bound Senior Elastic Band exercise program<br>* three times per week, 40 minutes per practice<br>|
| No Intervention: Control<br>routine care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in physical functional fitness at 3, 6, 9, 12, 15 months | including cardiovascular-respiratory function, body flexibility, muscle power/muscle endurance, and balance | participants will be followed for 15 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in sleep quality at 3, 6, 9, 12, 15 months | measured by PSQI | participants will be followed for 15 months | 
| Change from baseline in depression at 3, 6, 9, 12, 15 months | measured by Taiwanese Depression Questionnaire (TDQ) | participants will be followed for 15 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Elastic Band, Institutional Elders, Functional Fitness, Sleep Quality, Depression