None listed
Conditions
Brief summary
The aim of this project is to compare the effect of home-based exercise plans and telephone follow-up to a 12 month gym program with health professionals. 114 participants will be recruited from Southern Health’s community-based health programs in Melbourne’s south east, following their participation in health service based exercise program. Participants will have at least one risk factor for readmission that include: multiple co-morbidities, impaired functionality, aged 65 and over, recent hospital emergency department admissions, poor social support, and history of depression. Base-line data will be collected upon participant recruitment that include: demographics, health and medical history (obtained from the clients’ health record), endurance and strength will be assessed. Outcome measures include: health-related quality of life, depression scale, social isolation, health and labour questionaire, health care utilisation, endurance and strength tests. Participants will then be randomly allocated to either a control group or intervention group. The control group will receive the usual care, a 12 month home exercise program with telephone follow-up. The intervention group will involve a 12 month individualized gym-based exercise program supervised by an exercise physiologist from the health service. At 3 months post-discharge, participants will be re-assessed over the telephone (survey instruments only). At 6 months post-discharge, the participants will be re-assessed on both survey instruments and physical capacity tests for endurance and strength, health related quality of life, depression, social isolation, At 9 months post-discharge, participants will be re-assessed over the telephone (survey instruments only). At 12 months post-discharge, the participants will be re-assessed on both survey instruments and physical capacity tests for endurance and strength, health related quality of life, depression, social isolation.
Interventions
All participants will have previously received a 6 week health-service based exercise program, one hour (1-2 sessions per week.) They will be taken to the gym based centre 1-2 weeks after completing the health service based exercise program.
The intervention group will involve a 12 month individualized gym-based exercise program supervised by an exercise physiologist from the health service
Intervention group participants will be advised that the health professional leading their community ser
All participants will have previously received a 6 week health-service based exercise program, one hour (1-2 sessions per week.) They will be taken to the gym based centre 1-2 weeks after completing the health service based exercise program. The intervention group will involve a 12 month individualized gym-based exercise program supervised by an exercise physiologist from the health service Intervention group participants will be advised that the health professional leading their community service-based exercise program will be attending 2 hours a day Monday till Friday during the 12 month intervention to consult with them. During these 2 hour supervision times, the exercise physiologist will be supervising other clients so it is not one on one supervision. They are encouraged to attend during these supervised times. However, the client is able to attend independently during off peak times at the gym (Monday til Friday 8am - 4 pm) These participants would have had a home exercise program prescribed prior to discharge from the health service-based exercise program. These exercise intervention sessions will be of 1 hour duration (approximately 15 min aerobic training, 40 min resistance training and 5 min flexibility and/or balance exercises) and will be held within the community based fitness centre. The exercise program will be closely supervised, multimodal, individually prescribed, based on the goals and limitations of each participant, and will be regularly progressed and adapted as necessary. In addition to resistance, aerobic and flexibility exercises, if indicated the program may also include exercises for static and dynamic balance, core stability and posture. Participants who choose to attend this specific gym based fitness centre will be required to pay the standard casual entry fee for that centre each visit. While attending the community-based fitness centre, the execise physiologist will monitor participants’ progress and physical capacity and suggest modifications to participants’ exercise prescription. The exercise physiologist will also use motivational interviewing techniques aimed at motivating the participant to engage fully with their exercise program (both at the centre and at home) and adhere to this.
Sponsors
Cranbourne Integrated Health Service
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
Participants will be clients attending exercise programs at Southern Health’s Cranbourne Integrated Care Centre (Victoria). Participants in this health service-based program may suffer from a range of chronic disease diagnoses.
Exclusion criteria
Exclusion criteria will be if the potential participant is aged <18 years, has an acute psychiatric impairment or cognitive impairment such that the person is deemed to be unsuitable for participation in group-based exercise programs as determined by health service staff.
Outcome results
None listed