Residential geriatric care, frailty, dementia Not Applicable
Conditions
Interventions
This is a multi-centre study with one year of interventions on multiple levels and four accompanying points of measurement, and a 12 month follow-up.
1. Individual level: Exercises 2 x 60 min traini
Sponsors
Institute of Sport Gerontology (Germany)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Political-cultural level: 1. Different administrative districts must be represented 2. Pre-selection of five regions by the Seniors' Agency of North-Rhine Westphalia Institutional level: 1. Each geriatric residence found in the preselected regions was included in a 3-stage selection and negotiation process 2. Selection criteria focused on general professional quality and readiness for a commitment to the project, in order to raise the probability of gaining sustainable models of good practice Individual level: 1. Participants (men and women above 80 years of age) should be able to stand with assistance and to understand instructions. 2. Group integration of a small number of persons with no ability to stand (alternative exercises) or with orientation disorders (additional assistant) is possible 3. Participation of own volition 4. Doctor's approval
Exclusion criteria
Exclusion criteria: Institutional level: 1. Rate of educated nurses lower than 55% 2. Less than 60 ambulating residents 3. No staff to guide residents to/from the exercises 4. No staff to take part in the project training 5. Not enough room for regular group exercise Individual level: 1. Residents not able to take part in a group activity 2. Refusal for medical condition
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Individual level: 1. Continuous documentation (every session) of individual participation and individual dumb bell and ankle weights Institutional level: 2. Number of groups continued without external financial support: 2.1. After the end of the project 2.2. After one year (follow up) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Individual level: Data collection at four times (in the beginning and every 16 weeks): 1.1. Sensorimotor tests: 1.1.1. Timed soda pop test (turning beverage cans) 1.1.2. Five timed chair stands 1.1.3. Ten-second semi tandem balance stand 1.1.4. Rotational flexibility and shoulder flexibility 1.1.5. Grip strength 1.2. Care related assessment: 1.2.1. Subjective well-being 1.2.2. Mini mental state examination (MMSE) 1.2.3. Barthel index 1.2.4. Instrumental activities of daily living (IADL) 2. Institutional and political-cultural level: Qualitative outcome description after 12 months by quantitative and qualitative analysis of media response and structured interviews with stakeholders | — |
Countries
Germany
Outcome results
None listed