Clinical trial NCT03095534: Translating 3-Step Workout for Life in a Local Senior Living Community
Official title: Translating 3-Step Workout for Life in a Local Senior Living Community: A Feasibility Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Frail Elderly
Muscle Weakness
Keywords: Occupational Therapy
Aging in place
Activities of daily living
Community program
Lead sponsor: Indiana University
Sponsor class: OTHER
First posted: 2017-03-29
Enrollment: 17
Sex: ALL
Minimum age (years): 60
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Single group with pretest and posttest
Primary purpose: PREVENTION

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

1. Aged 60 years old and above
2. Residents of the local study community
3. Communicable in English
4. Took more than 16 seconds to complete five chair stands with arms crossed at the chest.
5. 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:

1. Aged above 90 years old.
2. Unwilling to commit to the study program 3 sessions per week for 10 weeks.
3. Plan to move away from the current community in 6 months.
4. Having three or more errors on a six-item cognitive impairment screener.
5. Having any terminal illness, cardiovascular, neurological, psychiatric, orthopedic, or cognitive impairments that are contraindications to participating in an exercise program.
6. 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).
7. Physician's recommendation of no moderate physical exercise.
8. Receiving home health rehabilitation therapy or exercise at moderate intensity for more than twice a week (last more than 20 minutes each time).

Primary outcomes:
measure: Assessment of Motor and Process Skills (AMPS)-the motor skill scale
timeFrame: 12 weeks
Secondary outcomes:
measure: Box and Block Test
timeFrame: 12 weeks
measure: Timed Up and Go
timeFrame: 12 weeks
measure: 30-second arm curl test
timeFrame: 12 weeks
measure: 30-second chair stand test
timeFrame: 12 weeks
measure: Canadian Occupational Performance Measure
timeFrame: 12 weeks
Other outcomes:
measure: Montreal Cognitive Assessment
timeFrame: 12 weeks
measure: Patient Health Questionnaire (PHQ-9 )
timeFrame: 12 weeks
measure: A Three-Item Scale Assessing Pain Intensity and Interference (PEG)
timeFrame: 12 weeks
measure: UCLA Loneliness Scale
timeFrame: 12 weeks
measure: Pearlin Mastery Scale
timeFrame: 12 weeks
Locations:
city: Indianapolis
country: United States
facility: Indiana University (IUPUI Campus)
state: Indiana
Study officials:
affiliation: Indiana University School of Health & Rehabilitation Sciences
name: Chiung-ju Liu
role: PRINCIPAL_INVESTIGATOR
References:
citation: Liu CJ, Jones LY, Formyduval A RM, Clark DO. Task-Oriented Exercise to Reduce Activities of Daily Living Disability in Vulnerable Older Adults: A Feasibility Study of the 3-Step Workout for Life. J Aging Phys Act. 2016 Jul;24(3):384-92. doi: 10.1123/japa.2015-0070. Epub 2015 Nov 19.