Sustainable effects of a low-threshold physical activity intervention on health-related quality of life in residential aged care

Viktoria Quehenberger, Martin Cichocki, Karl Krajic Health promoting Long term Care, Ludwig Boltzmann Institut Health Promotion Research, Vienna, Austria Background: Mobility is a main issue for health-related quality of life in old age. There is evidence for effects of physical activity (PA) interv...

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Autores principales:	Quehenberger V, Cichocki M, Krajic K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	physical activity intervention residential aged care sustainability aged Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/9166c99f14ce4a82a8266f9221cac716
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spelling	oai:doaj.org-article:9166c99f14ce4a82a8266f9221cac7162021-12-02T01:06:44ZSustainable effects of a low-threshold physical activity intervention on health-related quality of life in residential aged care1178-1998https://doaj.org/article/9166c99f14ce4a82a8266f9221cac7162014-11-01T00:00:00Zhttps://www.dovepress.com/sustainable-effects-of-a-low-threshold-physical-activity-intervention--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Viktoria Quehenberger, Martin Cichocki, Karl Krajic Health promoting Long term Care, Ludwig Boltzmann Institut Health Promotion Research, Vienna, Austria Background: Mobility is a main issue for health-related quality of life in old age. There is evidence for effects of physical activity (PA) interventions on several dimensions of health for the aged and also, some specific evidence for vulnerable populations, like residents of residential aged care. Research on low-threshold PA interventions for users of residential aged care and documentation of their sustainability are scarce. “Low threshold” implies moderate demands on the qualification of trainers and low frequency of conduct, implying low demands on the health status and discipline of users. Yet the investigation of low-threshold interventions in residential aged care seems important as they might foster participation of users and implementation in everyday routines of provider organizations. An initial study (October 2011 to June 2012) had found intervention effects on health-related quality of life. The objective of this study was to examine sustainability of the effects of a low-threshold PA intervention on health-related quality of life in residential aged care. Methods: Data collection took place in three residential aged care homes in Vienna, Austria. At 1-year follow-up (June 2013), participants from the intervention group were interviewed using a standardized questionnaire. Using general mixed linear models and Friedman tests followed by paired t- and Wilcoxon signed-rank tests, we compared outcome measures at follow-up with measures obtained at baseline and at the end of the intervention.Results: At the 1-year follow-up assessment, participants’ (mean age 84.7 years; 89.7% female) subjective health status was still significantly increased, equaling a small sustainable intervention effect (Cohen’s d=0.38, P=0.02). In comparison with baseline, a significant decline of reported pain/discomfort (P=0.047) was found. Regarding the subdimensions of health-related quality of life, favorable trends could be observed.Conclusion: The study indicates that effects of a low-threshold PA intervention on health-related quality of life in residential aged care can be sustainable. Addressing hindering factors like poor health status and implementing proactive support and individualization of the program to enable PA for residents might foster sustainability of effects.Keywords: exercise group, long term care, effectiveness, follow-up, highly agedQuehenberger VCichocki MKrajic KDove Medical Pressarticlephysical activityinterventionresidential aged caresustainabilityagedGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 1853-1864 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	physical activity intervention residential aged care sustainability aged Geriatrics RC952-954.6
spellingShingle	physical activity intervention residential aged care sustainability aged Geriatrics RC952-954.6 Quehenberger V Cichocki M Krajic K Sustainable effects of a low-threshold physical activity intervention on health-related quality of life in residential aged care
description	Viktoria Quehenberger, Martin Cichocki, Karl Krajic Health promoting Long term Care, Ludwig Boltzmann Institut Health Promotion Research, Vienna, Austria Background: Mobility is a main issue for health-related quality of life in old age. There is evidence for effects of physical activity (PA) interventions on several dimensions of health for the aged and also, some specific evidence for vulnerable populations, like residents of residential aged care. Research on low-threshold PA interventions for users of residential aged care and documentation of their sustainability are scarce. “Low threshold” implies moderate demands on the qualification of trainers and low frequency of conduct, implying low demands on the health status and discipline of users. Yet the investigation of low-threshold interventions in residential aged care seems important as they might foster participation of users and implementation in everyday routines of provider organizations. An initial study (October 2011 to June 2012) had found intervention effects on health-related quality of life. The objective of this study was to examine sustainability of the effects of a low-threshold PA intervention on health-related quality of life in residential aged care. Methods: Data collection took place in three residential aged care homes in Vienna, Austria. At 1-year follow-up (June 2013), participants from the intervention group were interviewed using a standardized questionnaire. Using general mixed linear models and Friedman tests followed by paired t- and Wilcoxon signed-rank tests, we compared outcome measures at follow-up with measures obtained at baseline and at the end of the intervention.Results: At the 1-year follow-up assessment, participants’ (mean age 84.7 years; 89.7% female) subjective health status was still significantly increased, equaling a small sustainable intervention effect (Cohen’s d=0.38, P=0.02). In comparison with baseline, a significant decline of reported pain/discomfort (P=0.047) was found. Regarding the subdimensions of health-related quality of life, favorable trends could be observed.Conclusion: The study indicates that effects of a low-threshold PA intervention on health-related quality of life in residential aged care can be sustainable. Addressing hindering factors like poor health status and implementing proactive support and individualization of the program to enable PA for residents might foster sustainability of effects.Keywords: exercise group, long term care, effectiveness, follow-up, highly aged
format	article
author	Quehenberger V Cichocki M Krajic K
author_facet	Quehenberger V Cichocki M Krajic K
author_sort	Quehenberger V
title	Sustainable effects of a low-threshold physical activity intervention on health-related quality of life in residential aged care
title_short	Sustainable effects of a low-threshold physical activity intervention on health-related quality of life in residential aged care
title_full	Sustainable effects of a low-threshold physical activity intervention on health-related quality of life in residential aged care
title_fullStr	Sustainable effects of a low-threshold physical activity intervention on health-related quality of life in residential aged care
title_full_unstemmed	Sustainable effects of a low-threshold physical activity intervention on health-related quality of life in residential aged care
title_sort	sustainable effects of a low-threshold physical activity intervention on health-related quality of life in residential aged care
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/9166c99f14ce4a82a8266f9221cac716
work_keys_str_mv	AT quehenbergerv sustainableeffectsofalowthresholdphysicalactivityinterventiononhealthrelatedqualityoflifeinresidentialagedcare AT cichockim sustainableeffectsofalowthresholdphysicalactivityinterventiononhealthrelatedqualityoflifeinresidentialagedcare AT krajick sustainableeffectsofalowthresholdphysicalactivityinterventiononhealthrelatedqualityoflifeinresidentialagedcare
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Sustainable effects of a low-threshold physical activity intervention on health-related quality of life in residential aged care

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