Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial

Elissa Burton,1,2 Gill Lewin,1,2 Lindy Clemson,3 Duncan Boldy41Faculty of Health Sciences, Curtin University, Perth, WA, Australia; 2Research Department, Silver Chain, Perth, WA, Australia; 3Health and Work Research Unit, The University of Sydney, Sydney, NSW, Australia; 4School of Nursing and Midwi...

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Autores principales:	Burton E, Lewin G, Clemson L, Boldy D
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	aging physical activity reablement home care services rehabilitation Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/8f4084704d4e46be9913f4d7349dcb72
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spelling	oai:doaj.org-article:8f4084704d4e46be9913f4d7349dcb722021-12-02T06:18:55ZEffectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial1178-1998https://doaj.org/article/8f4084704d4e46be9913f4d7349dcb722013-12-01T00:00:00Zhttps://www.dovepress.com/effectiveness-of-a-lifestyle-exercise-program-for-older-people-receivi-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Elissa Burton,1,2 Gill Lewin,1,2 Lindy Clemson,3 Duncan Boldy41Faculty of Health Sciences, Curtin University, Perth, WA, Australia; 2Research Department, Silver Chain, Perth, WA, Australia; 3Health and Work Research Unit, The University of Sydney, Sydney, NSW, Australia; 4School of Nursing and Midwifery, Curtin University, Perth, WA, AustraliaBackground: Restorative home care services are short-term and aimed at maximizing a person’s ability to live independently. They are multidimensional and often include an exercise program to improve strength, mobility, and balance. The aim of this study was to determine whether a lifestyle exercise program would be undertaken more often and result in greater functional gains than the current structured exercise program delivered as part of a restorative home care service for older adults.Methods: A pragmatic randomized controlled trial was conducted in an organization with an established restorative home care service. Individuals who were to have an exercise program as part of their service were randomized to receive either a lifestyle and functional exercise program called LiFE (as this was a new program, the intervention) or the structured exercise program currently being used in the service (control). Exercise data collected by the individuals throughout and pre and post intervention testing was used to measure balance, strength, mobility, falls efficacy, vitality, function, and disability.Results: There was no difference between the groups in the amounts of exercise undertaken during the 8-week intervention period. Outcome measurement indicated that the LiFE program was as effective, and on 40% of the measures, more effective, than the structured exercise program.Conclusion: Organizations delivering restorative home care services that include an exercise component should consider whether LiFE rather than the exercise program they are currently using could help their clients achieve better outcomes.Keywords: aging, physical activity, reablement, home care services, rehabilitationBurton ELewin GClemson LBoldy DDove Medical Pressarticleagingphysical activityreablementhome care servicesrehabilitationGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1591-1601 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	aging physical activity reablement home care services rehabilitation Geriatrics RC952-954.6
spellingShingle	aging physical activity reablement home care services rehabilitation Geriatrics RC952-954.6 Burton E Lewin G Clemson L Boldy D Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial
description	Elissa Burton,1,2 Gill Lewin,1,2 Lindy Clemson,3 Duncan Boldy41Faculty of Health Sciences, Curtin University, Perth, WA, Australia; 2Research Department, Silver Chain, Perth, WA, Australia; 3Health and Work Research Unit, The University of Sydney, Sydney, NSW, Australia; 4School of Nursing and Midwifery, Curtin University, Perth, WA, AustraliaBackground: Restorative home care services are short-term and aimed at maximizing a person’s ability to live independently. They are multidimensional and often include an exercise program to improve strength, mobility, and balance. The aim of this study was to determine whether a lifestyle exercise program would be undertaken more often and result in greater functional gains than the current structured exercise program delivered as part of a restorative home care service for older adults.Methods: A pragmatic randomized controlled trial was conducted in an organization with an established restorative home care service. Individuals who were to have an exercise program as part of their service were randomized to receive either a lifestyle and functional exercise program called LiFE (as this was a new program, the intervention) or the structured exercise program currently being used in the service (control). Exercise data collected by the individuals throughout and pre and post intervention testing was used to measure balance, strength, mobility, falls efficacy, vitality, function, and disability.Results: There was no difference between the groups in the amounts of exercise undertaken during the 8-week intervention period. Outcome measurement indicated that the LiFE program was as effective, and on 40% of the measures, more effective, than the structured exercise program.Conclusion: Organizations delivering restorative home care services that include an exercise component should consider whether LiFE rather than the exercise program they are currently using could help their clients achieve better outcomes.Keywords: aging, physical activity, reablement, home care services, rehabilitation
format	article
author	Burton E Lewin G Clemson L Boldy D
author_facet	Burton E Lewin G Clemson L Boldy D
author_sort	Burton E
title	Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial
title_short	Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial
title_full	Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial
title_fullStr	Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial
title_full_unstemmed	Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial
title_sort	effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/8f4084704d4e46be9913f4d7349dcb72
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Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial

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