"Bliib Fit - Mach Mit!" in Residential Care Facilities

NCT06738186 | Recruiting

• 1 other identifier: 2024-01990
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to learn, if the video-based exercise program "Bliib fit - mach mit!" can be used to improve physical fitness in older adults living in residential care facilities. The main questions it aims to answer are: Does the video-based exercise program improve participants' physical fitness? Does the video-based exercise program improve participants' quality of life, perceived fall risk, self-efficacy and daily physical activity levels? Researchers will compare this exercise program to an optimized standard care activation program (caregiver-led) to see if the video-based program can affect physical fitness in older adults living in residential care facilities. Participants will participate in the exercise or activation program for 12 weeks, four times a week, with each session lasting 20 minutes.

Conditions

Physical Fitness in Older Adults; Exercise Program

Keywords

physical activity promotion; exercise; physical fitness; elderly; residential care facility

Outcome Measures

Primary Outcomes (3)

• Short Physical Performance Battery (SPPB)

  Lower extremity function and mobility is assessed using the Short Physical Performance Battery (SPPB) (standing balance, gait speed, lower extremity strength). The SPPB is an objective and valid measurement instrument to assess lower extremity function and mobility (\> 65 years of age). The measurement instrument consists of three physical tasks: walking, chair-rise-test (sit-to-stand) and standing balance.

  Baseline, end of intervention at 12 weeks, long-term follow-up 12 weeks after intervention ends

• Grip strength

  Upper extremity strength is assessed using the grip strength test (hand dynamometer). It is a relevant and valid assessment in older adults to assess muscle strength and overall physical function. Participants squeeze a hand dynamometer as hard as they can, three times with each hand.

  Baseline, end of intervention at 12 weeks, long-term follow-up 12 weeks after intervention ends

• 2-Minutes Walking Test

  Aerobic endurance is assessed via the 2-Minutes Walking test. The 2MWT is a submaximal exercise test to assess overall physical fitness and endurance in research and clinical practice. The distance covered in two minutes is recorded. Reference values for adults are available to determine presence of impairments in walking ability, functional endurance, and overall functional status. Oxygen saturation (SpO2) and heart rate (HR) are measured before and after the test using a pulse oximeter. Furthermore, dyspnea and the effort in both legs are measured before and after the test using the Borg scale.

  Baseline, end of intervention at 12 weeks, long-term follow-up 12 weeks after intervention ends

Secondary Outcomes (4)

• Health-related quality of life

  Baseline, end of intervention at 12 weeks, long-term follow-up 12 weeks after intervention ends

• Falls Efficacy Scale

  Baseline, end of intervention at 12 weeks, long-term follow-up 12 weeks after intervention ends

• Self-Efficacy

  Baseline, end of intervention at 12 weeks, long-term follow-up 12 weeks after intervention ends

• Accelerometery

  Baseline, end of intervention at 12 weeks, long-term follow-up 12 weeks after intervention ends

Study Arms (2)

Video-based exericse program

EXPERIMENTAL

Video-based exercise program "Bliib fit - mach mit!"

Other: Video-based exercise program

Caregiver-led activation program

ACTIVE COMPARATOR

An activation (exercise) program that is instructed and carried out by care professionals as optimized standard care.

Other: Caregiver-led activation program

Interventions

Video-based exercise program OTHER

The video-based exercise program - "Bliib fit -mach mit!" focuses on mobilization, muscle strengthening (focus on lower and upper extremities), coordination, balance, and relaxation. Each participant requires the use of a chair for support and to perform exercises in a seated position, if required. The group sessions are supervised by a care professional or registered activation specialist of the residential care facility.

Video-based exericse program

Caregiver-led activation program OTHER

The caregiver-led activation program (DESKK- Demenzspezifisches Kurzzeitpflegekonzept) is instructed and carried out by care professionals (e.g., nursing staff) as optimized standard care conducted individually or in groups.

Caregiver-led activation program

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Written informed consent
• Low to moderate risk of falling
• Physically and cognitively able to independently carry out exercise instructions (based on referral of clinical staff on site)
• Mini Mental State Examination (MMSE) test score ≥ 20

You may not qualify if:

• Inability to speak or understand German
• High risk of falling
• Unstable cardiovascular condition or other health condition, which does not support a safe participation in exercise program (based on referral of clinical staff on site, patient file)
• Scheduled transfer to another institution within the next 3 months

Sponsors & Collaborators

• Eastern Switzerland University of Applied Sciences: lead

Study Sites (1)

Eastern Switzerland University of Applied Sciences

Sankt Gallen, Canton of St. Gallen, 9001, Switzerland

RECRUITING

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Eling de Bruin, Prof.

  Eastern Switzerland University of Applied Sciences

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Eling de Bruin, Prof.

CONTACT

+41 58 257 14 11; eling.debruin@ost.ch

Anne Kelso, Dr.

CONTACT

+41 58 257 15 93; anne.kelso@ost.ch

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof.

Study Record Dates

• First Submitted: November 27, 2024
• First Posted: December 17, 2024
• Study Start: December 5, 2024
• Primary Completion: December 31, 2025
• Study Completion: December 31, 2025
• Last Updated: December 17, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

CH (1)