Older Adults (65 Years and Older), Resistance Training
Conditions
Brief summary
This study aims to assess the impact of compound resistance training on the ability of adults age 65 and older to participate in desired daily activities, their satisfaction with their level of participation, and their overall mental health.
Detailed description
Eligible and consented participants will complete pre-assessment questionnaires: the Patient Health Questionnaire-9, the Perceived Stress Scale-10, and the Canadian Occupational Performance Measure. Participants will also engaged in a semi-structured interview with pre-set questions. Following pre-assessment, all data will be coded and stored in encrypted software through the university. Participants will then engage in a 10-week intervention period consisting of two 1-hour sessions strength training with principal investigator guiding participants for safety, form, intensity, and volume of exercises. Modifications will be made to exercise programming based on individual performance and individual needs, in accordance with occupational therapy best practices. Rate of Perceived Exertion (RPE) will be used as a guide for intensity with the aim being self-reported RPE 7-8 for each exercise. At completion of the intervention period, participants will complete post-assessment questionnaires: the Patient Health Questionnaire-9, the Perceived Stress Scale-10, and the Canadian Occupational Performance Measure. Participants will also engaged in another semi-structured interview with pre-set questions. Data will be analyzed for statistical and clinically significant changes.
Interventions
Intervention will take place over the course of 10 weeks, with individual sessions occurring twice weekly for one hour per session with each participant. Each session will consist of personalized strength training sessions, utilizing programming with a focus on compound, multi-joint movements, in keeping with existing literature on the subject.
Sponsors
Study design
Intervention model description
Quasi-experimental pre-test post-test
Eligibility
Inclusion criteria
* Adult age 65 or older * Living independently in a community dwelling, such as a house or apartment * Able to complete basic daily tasks (i.e. dressing, toileting, transfers) without assistance from another person * Access to transportation to and from sessions for this study * Able to attend two, one-hour sessions per week for the duration of the study * Has a membership to Silver Sneakers, Silver and Fit, and/or Renew Active, or are willing to obtain a paid membership to Washington Regional Center for Exercise
Exclusion criteria
* · Personal history of stroke or heart attack * Limb amputation * Heart failure or arrythmias * Presence of brain or aortic aneurism * Active cancer * Major illness * Physical activity contraindicated as instructed by a physician * Active drug abuse * Moderate to severe cognitive impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Canadian Occupational Performance Measure | Baseline and 10 weeks | Occupational therapy questionnaire Section 1: Performance Participants requested to report their perception of their performance of a given occupation/activity/daily task on a scale of 1 to 10, with 1 being unable to do it at all and 10 being able to do it with no issues at all. Section 2: Satisfaction Participants requested to reported their satisfaction with their currently level of performance with the previously reported occupation/activity/daily task on a scale of 1 to 10, with 1 being completely dissatisfied and 10 being completely satisfied. Higher scores on either or both sections indicate a better outcome. |
| Patient Health Questionnaire-9 | Baseline and 10 weeks | Mental health questionnaire (depression screen) Participants asked to report the frequency of depression symptoms listed on form over the last 2 weeks using a scale from 0 to 3. Reporting 0 indicates not at all, reporting 1 indicates several days, reporting 2 indicates more than half the days, reporting 3 indicates nearly every day. Lower scores indicate a better outcome |
| Perceived Stress Scale-10 | Baseline and 10 weeks | Mental health questionnaire (stress screen) Participants asked to report frequency of stress impacts on daily life by responding how many days in the past month the participant felt or thought a certain way. Answers are on a scale of 0-4. Reporting 0 indicates never, reporting 1 indicates almost never, reporting 2 indicates sometimes, reporting 3 indicates fairly often, and reporting 4 indicates very often. Lower scores indicate better results. |
| Reported perceptions of exercise, self-confidence, and confidence in gym environment | baseline and 10 weeks | Qualitative data: word associations, open responses, takeaways from study. Thematic analysis and coding for frequency of themes |
Countries
United States