Home-Exercise vs General Physical Activity: Effect on Health-related Quality of Life

Study Overview
=================
Brief Summary
-----------------
The purpose of this randomized controlled trial is to evaluate the effectiveness of an exercised-based programme developed for older people admitted at a geriatric outpatient clinic and to see if a home-exercise program enhances the effect. The outcomes considered is health-related quality of life, balance-self confidence, balance and mobility.

Detailed Description
-----------------
Older people discharge from hospital often have decreased functional and physiological reserve that make them vulnerable of being dependent of others. Research have shown that older people discharge from hospital are vulnerable for functional decline during hospital stay and this decline can persist 6 to 18 months after discharge from hospital.Exercise interventions are proven to have effect on mobility, balance and falls among community-dwelling older people and several studies have shown that deconditioning as a consequence of disuse is reversible with training even in very old individuals. However, few studies have evaluated the effects of physical activity promotion and exercise intervention among elderly recently discharge from a geriatric outpatient clinic.

Official Title
-----------------
Effect of Progressive Home-Exercise on Health-related Quality of Life, Balance and Mobility in Older People Discharge From an Outpatient Geriatric Clinic.

Conditions
-----------------
Health-Related Quality of Life

Intervention / Treatment
-----------------
* Other: Balance- training and home-exercise
* Other: Balance-training and home-exercise


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: home-dwelling patients who were admitted at the geriatric clinic. Assessed by a doctor to tolerate training Able to walk in the corridor for 3 min with or without assistive device Exclusion Criteria: Cognitive disorders mini mental status < 24

Ages Eligible for Study
-----------------
Minimum Age: 60 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Home-exercise<br> | Other: Balance- training and home-exercise<br>* Balance-training admitted at the geriatric hospital Home-exercise or advice to be generally active<br>* Other names: 1 control group;Other: Balance-training and home-exercise<br>* The aim of the intervention was to enhance health-related quality of life, self-efficacy and physical function through education and exercise. The education program consisted of information given both oral and in writing regarding the benefits of physical activity. The aim was to increase the participants knowledge about the benefits of physical activity and to stimulate them to integrate physical activity into their immediate environment during daily routines. They were given an exercise-log and were advised to write down all their daily activities and exercise. The exercise program were conducted 2 times per week for 45 min per session. The content of these sessions were balance training with main focus on balance-exercises considered essential for daily living.<br>* Other names: 1 activity group;|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Health-related quality of life |  | by the time of discharge mean 2 weeks after admission | 
| Health-related quality of life |  | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional balance (Berg Balance Scale) |  | by the time of discharge mean 2 weeks after admission and after 3 months | 
| Functional mobility | Timed up and go test and 6 min walk test | by the time of discharge mean 2 weeks after admission, and after 3 months | 
| Functional strength |  | by the time of discharge mean 2 weeks after admission and after 3 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
HLRQ, Elderly, Balance, Mobility, Fear of falling