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

NCT05081505 | Completed

• 1 other identifier: KMUHIRB-E(II)-20190397
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Older Adult

Outcome Measures

Primary Outcomes (15)

• 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

• 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

• 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

• 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

• 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

• Attendance rate

  The attendance rate of the subjects participating in structured exercise courses and autonomous group classes

  12 and 24 weeks

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

Study Arms (1)

Community-based physical fitness exercise course

EXPERIMENTAL

Included 12-week structural exercise course (0-12 weeks) and 12-week autonomous group class (12-24 weeks).

Behavioral: Structural exercise course; Behavioral: Autonomous group class

Interventions

Structural exercise course BEHAVIORAL

12-week structured exercise class, team competition, social support, and incentive strategy

Community-based physical fitness exercise course

Autonomous group class BEHAVIORAL

12-week autonomous group class, team competition, social support, and incentive strategy

Community-based physical fitness exercise course

Eligibility Criteria

• Age: 65 Years - 82 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• 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)

You may not qualify if:

• 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

Sponsors & Collaborators

• Kaohsiung Medical University Chung-Ho Memorial Hospital: lead

Study Sites (1)

Kaohsiung Medical University

Kaohsiung City, 80708, Taiwan

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: BASIC SCIENCE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a single group trial, according to the pre-test result of the exercise stage of the change questionnaire, they were divided into the maintenance phase group (MP, N=15) and under the maintenance phase group (MPb, N=15). All subjects joined the community-based physical fitness exercise course for 24 weeks. To quantify the effect of this intervention method on functional fitness and exercise persistence of the elderly, this study analyzed the related exercise behavior changes of MPb and MP elderly.

Study Record Dates

• First Submitted: October 5, 2021
• First Posted: October 18, 2021
• Study Start: March 30, 2020
• Primary Completion: March 29, 2021
• Study Completion: March 29, 2021
• Last Updated: October 18, 2021

Record last verified: 2021-10

Locations

TW (1)