Community-based Physical Fitness Exercise on the Older Adults' Functional Fitness and Adherence to Physical Activity

Older Adult Clinical Trial

Official title:

The Influence of a New Intervention Model of Community-based Physical Fitness Exercise on the Older Adults' Adherence to Physical Activity and the Improvement of Functional Fitness

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05081505
• Other study ID #: KMUHIRB-E(II)-20190397
• Status: Completed
• Phase: N/A
• Start date: March 30, 2020
• Est. completion date: March 29, 2021

Study information

• Verified date: October 2021
• Source: Kaohsiung Medical University Chung-Ho Memorial Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Maintaining adequate physical activity (PA) and regularly exercising are very important to promote the good physical and mental health of the elderly. According to the transtheoretical model (TTM) framework, previous research studies have formulated many strategies to promote exercise behaviors, such as incentive strategies, combines municipal resources and links up with the referral of primary care institutions, or including patients in the decision-making process about exercise choices to enable patients to have greater autonomy. In addition, in terms of the strategic aspects of achieving goals, competitive incentives are also an effective strategy. Therefore, this study aims to find out the effects of the community-based physical fitness exercise course, which is given according to TTM, on improving functional fitness and exercise persistence of the older adults.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: March 29, 2021
• Est. primary completion date: March 29, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 65 Years to 82 Years

Eligibility

Inclusion Criteria:

• age between 65 to 90 years old
• can stand up from a chair without armrests
• can walk independently for 2 minutes without relying on any mechanical assistance
• no medical issues according to the PAR-Q+ form assessment
• can complete the Senior Fitness Test (SFT)

Exclusion Criteria:

• diagnosed with severe dementia (unable to understand and/or follow verbal commands)
• suffering from stroke, severe hypertension, heart disease, and diabetes
• hip or knee replacement surgery in the past 6 months
• hip fracture
• having undergoing rehabilitation plan
• unable to complete the pre-tests or post-test

Related Conditions & MeSH terms

• Older Adult

Intervention

Behavioral:
• Structural exercise course
12-week structured exercise class, team competition, social support, and incentive strategy
• Autonomous group class
12-week autonomous group class, team competition, social support, and incentive strategy

Locations

Country	Name	City	State
Taiwan	Kaohsiung Medical University	Kaohsiung

Sponsors (1)

Lead Sponsor	Collaborator
Kaohsiung Medical University Chung-Ho Memorial Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Exercise stage of change questionnaire	Exercise Change Stage Short Question Form is a 5 item scale. It has only one question, used to categorizes individuals into one of the five stages of change: (1) Precontemplation (2) Contemplation (3) Preparation (4) Action (5) Maintenance.	basal, 12, 24 weeks follow up
Primary	Physical Activity Scale for the Elderly (PASE)	PASE is used to assess the physical activity level of elderly individuals, the factors affecting the activity level, the relationship between physical activity and health profile. The minimum and maximum score that can be obtained from the scale is 0 and 400.The higher score indicates better level of physical activity.	basal, 12, 24 weeks follow up
Primary	Exercise Self-efficacy Scale	The Exercise Self-efficacy Scale measures an individual's perceived ability to overcome various obstacles to perform physical activity, with higher scores indicating more confidence in performing the exercise.	basal, 12, 24 weeks follow up
Primary	Outcome Expectations for Exercise Scale	The Outcome Expectations for Exercise Scale contains 9 statements rated by participants using a 5-point Likert scale from 1 "Strongly Disagree" to 5 "Strongly Agree". It can help identify older adults with low outcome expectations for exercise.	basal, 12, 24 weeks follow up
Primary	Physical Activity Survey	The physical activity survey is measured according to the PASE items. It is calculated by the frequency value (hours per day in the one-week reporting period) for low-intensity, medium-intensity, high-intensity, and muscle strengthening exercise. The higher score indicates the more time spent on the physical activity at each level.	basal, 12, 24 weeks follow up
Primary	Attendance rate	The attendance rate of the subjects participating in structured exercise courses and autonomous group classes	12 and 24 weeks
Primary	Senior Fitness Test - Body Mass Index (BMI)	Body Mass Index (BMI) is a person's weight in kilograms divided by the square of height in meters.	basal, 12, 24 weeks follow up
Primary	Senior Fitness Test - Waist-hip ratio	The waist-hip ratio is the dimensionless ratio of the circumference of the waist to that of the hips.	basal, 12, 24 weeks follow up
Primary	Senior Fitness Test - 30s Chair stand	Evaluates the lower body strength according to the number of times the individual stood up and sat down in 30 seconds. Characterized as continuous numeric variable	basal, 12, 24 weeks follow up
Primary	Senior Fitness Test - Chair Sit-&-Reach	Evaluates the lower back and hamstring flexibility according to the distance measured between the tip of the finger tips and the toes. Characterized as continuous numerical variable.	basal, 12, 24 weeks follow up
Primary	Senior Fitness Test - 8-Foot Up-&-Go	Assesses motor agility and dynamic balance. Evaluates the time in seconds and hundredths in an established path of 2.44 meters on the route to go and return to starting position. Characterized as continuous numerical variable.	basal, 12, 24 weeks follow up
Primary	Senior Fitness Test - 30s Arm curl	Evaluates the upper body strength and endurance according to the number of arm curls in 30 seconds. Characterized as continuous numeric variable.	basal, 12, 24 weeks follow up
Primary	Senior Fitness Test - Back scratch	Evaluates the flexibility of the upper limbs. It measures the distance in inches between the tips of the fingers in the back area. Characterized as continuous numeric variable	basal, 12, 24 weeks follow up
Primary	Senior Fitness Test - 2-Minute Step	Evaluates aerobic endurance. Total double past stationary in 2 minutes. Characterized as continuous numeric variable.	basal, 12, 24 weeks follow up
Primary	Open-eyes one leg stand	Evaluates the balance ability. The standing time on one leg, keep eyes open. Characterized as continuous numeric variable.	basal, 12, 24 weeks follow up