Frail Elderly, Muscle Weakness
Conditions
Keywords
Occupational Therapy, Aging in place, Activities of daily living, Community program
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.
Interventions
BEHAVIORAL3-Step Workout for Life
a 10-week moderate exercise program
Sponsors
Indiana University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Single group with pretest and posttest
Eligibility
Sex/Gender
ALL
Age
60 Years to 90 Years
Healthy volunteers
No
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).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of Motor and Process Skills (AMPS)-the motor skill scale | 12 weeks | To measure motor ability required to competently complete daily activities |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Box and Block Test | 12 weeks | To measure motor coordination of the upper extremity |
| Timed Up and Go | 12 weeks | To measure functional mobility |
| 30-second arm curl test | 12 weeks | To measure muscle strength of the upper extremity |
| 30-second chair stand test | 12 weeks | To measure muscle strength of the lower extremity |
| Canadian Occupational Performance Measure | 12 weeks | To measure self-perception of performance in everyday living |
Other
| Measure | Time frame | Description |
|---|---|---|
| Montreal Cognitive Assessment | 12 weeks | Global cognitive function measure |
| A Three-Item Scale Assessing Pain Intensity and Interference (PEG) | 12 weeks | To measure the degree of pain and interfering with enjoyment of life and genera activities |
| UCLA Loneliness Scale | 12 weeks | To measure the degree of loneliness |
| Pearlin Mastery Scale | 12 weeks | To measure personal mastery |
| Patient Health Questionnaire (PHQ-9 ) | 12 weeks | To measure the degree of depression |
Countries
United States
Outcome results
None listed