The Influence of a New Intervention Model of Community-based Physical Fitness Exercise on the Older Adults' Adherence to Physical Activity and the Improvement of Functional Fitness
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Older Adult
- Sponsor
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Senior Fitness Test - Waist-hip ratio
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Maintaining adequate physical activity (PA) and regularly exercising are very important to promote the good physical and mental health of the elderly. According to the transtheoretical model (TTM) framework, previous research studies have formulated many strategies to promote exercise behaviors, such as incentive strategies, combines municipal resources and links up with the referral of primary care institutions, or including patients in the decision-making process about exercise choices to enable patients to have greater autonomy. In addition, in terms of the strategic aspects of achieving goals, competitive incentives are also an effective strategy. Therefore, this study aims to find out the effects of the community-based physical fitness exercise course, which is given according to TTM, on improving functional fitness and exercise persistence of the older adults.
Investigators
Eligibility Criteria
Inclusion Criteria
- •age between 65 to 90 years old
- •can stand up from a chair without armrests
- •can walk independently for 2 minutes without relying on any mechanical assistance
- •no medical issues according to the PAR-Q+ form assessment
- •can complete the Senior Fitness Test (SFT)
Exclusion Criteria
- •diagnosed with severe dementia (unable to understand and/or follow verbal commands)
- •suffering from stroke, severe hypertension, heart disease, and diabetes
- •hip or knee replacement surgery in the past 6 months
- •hip fracture
- •having undergoing rehabilitation plan
- •unable to complete the pre-tests or post-test
Outcomes
Primary Outcomes
Senior Fitness Test - Waist-hip ratio
Time Frame: basal, 12, 24 weeks follow up
The waist-hip ratio is the dimensionless ratio of the circumference of the waist to that of the hips.
Outcome Expectations for Exercise Scale
Time Frame: basal, 12, 24 weeks follow up
The Outcome Expectations for Exercise Scale contains 9 statements rated by participants using a 5-point Likert scale from 1 "Strongly Disagree" to 5 "Strongly Agree". It can help identify older adults with low outcome expectations for exercise.
Senior Fitness Test - 30s Chair stand
Time Frame: basal, 12, 24 weeks follow up
Evaluates the lower body strength according to the number of times the individual stood up and sat down in 30 seconds. Characterized as continuous numeric variable
Physical Activity Survey
Time Frame: basal, 12, 24 weeks follow up
The physical activity survey is measured according to the PASE items. It is calculated by the frequency value (hours per day in the one-week reporting period) for low-intensity, medium-intensity, high-intensity, and muscle strengthening exercise. The higher score indicates the more time spent on the physical activity at each level.
Exercise Self-efficacy Scale
Time Frame: basal, 12, 24 weeks follow up
The Exercise Self-efficacy Scale measures an individual's perceived ability to overcome various obstacles to perform physical activity, with higher scores indicating more confidence in performing the exercise.
Senior Fitness Test - Body Mass Index (BMI)
Time Frame: basal, 12, 24 weeks follow up
Body Mass Index (BMI) is a person's weight in kilograms divided by the square of height in meters.
Exercise stage of change questionnaire
Time Frame: basal, 12, 24 weeks follow up
Exercise Change Stage Short Question Form is a 5 item scale. It has only one question, used to categorizes individuals into one of the five stages of change: (1) Precontemplation (2) Contemplation (3) Preparation (4) Action (5) Maintenance.
Physical Activity Scale for the Elderly (PASE)
Time Frame: basal, 12, 24 weeks follow up
PASE is used to assess the physical activity level of elderly individuals, the factors affecting the activity level, the relationship between physical activity and health profile. The minimum and maximum score that can be obtained from the scale is 0 and 400.The higher score indicates better level of physical activity.
Senior Fitness Test - 30s Arm curl
Time Frame: basal, 12, 24 weeks follow up
Evaluates the upper body strength and endurance according to the number of arm curls in 30 seconds. Characterized as continuous numeric variable.
Attendance rate
Time Frame: 12 and 24 weeks
The attendance rate of the subjects participating in structured exercise courses and autonomous group classes
Senior Fitness Test - 8-Foot Up-&-Go
Time Frame: basal, 12, 24 weeks follow up
Assesses motor agility and dynamic balance. Evaluates the time in seconds and hundredths in an established path of 2.44 meters on the route to go and return to starting position. Characterized as continuous numerical variable.
Senior Fitness Test - Back scratch
Time Frame: basal, 12, 24 weeks follow up
Evaluates the flexibility of the upper limbs. It measures the distance in inches between the tips of the fingers in the back area. Characterized as continuous numeric variable
Open-eyes one leg stand
Time Frame: basal, 12, 24 weeks follow up
Evaluates the balance ability. The standing time on one leg, keep eyes open. Characterized as continuous numeric variable.
Senior Fitness Test - 2-Minute Step
Time Frame: basal, 12, 24 weeks follow up
Evaluates aerobic endurance. Total double past stationary in 2 minutes. Characterized as continuous numeric variable.
Senior Fitness Test - Chair Sit-&-Reach
Time Frame: basal, 12, 24 weeks follow up
Evaluates the lower back and hamstring flexibility according to the distance measured between the tip of the finger tips and the toes. Characterized as continuous numerical variable.