Naoko Muramatsu1,2, Lijuan Yin1,2, Michael L Berbaum2, David X Marquez2,3, Donald A Jurivich4, Joseph P Zanoni1, Katya Y Cruz Madrid5, Surrey M Walton2,6. 1. School of Public Health, University of Illinois at Chicago. 2. Institute for Health Research and Policy, University of Illinois at Chicago. 3. Department of Kinesiology and Nutrition, University of Illinois at Chicago. 4. Section of Geriatrics, School of Medicine and Health Sciences, University of North Dakota, Grand Forks. 5. Division of Academic Internal Medicine and Geriatrics, University of Illinois at Chicago and Jesse Brown VA Health Care System. 6. College of Pharmacy, University of Illinois at Chicago.
Abstract
Purpose: Regular physical activity (PA) benefits older adults. However, frail older adults lack opportunities to be physically active. This pilot study aimed to test and enhance the feasibility of a PA program delivered by home care aides (HCAs) for community-dwelling older adults in a Medicaid-funded home care setting and to generate preliminary efficacy and cost data. Design and Methods: HCAs were trained to deliver a brief motivational enhancement and three chair-bound movements to motivate their older clients to do PA daily and to help maintain their independence in the community. Mixed methods were used to evaluate clients' function and health before and after the 4-month intervention. Results: Clients' daily activity function and health outcomes (physical fitness, self-rated health, pain interference, and fear of falling) improved significantly. The program was well-received by clients (N = 54) and their HCAs (N = 46) as indicated by high retention rates among client participants (93%) and remarks provided by clients. Implications: Building PA into the everyday care of older adults and the routine work of HCAs is feasible. The intervention has the potential for further implementation and dissemination.
Purpose: Regular physical activity (PA) benefits older adults. However, frail older adults lack opportunities to be physically active. This pilot study aimed to test and enhance the feasibility of a PA program delivered by home care aides (HCAs) for community-dwelling older adults in a Medicaid-funded home care setting and to generate preliminary efficacy and cost data. Design and Methods: HCAs were trained to deliver a brief motivational enhancement and three chair-bound movements to motivate their older clients to do PA daily and to help maintain their independence in the community. Mixed methods were used to evaluate clients' function and health before and after the 4-month intervention. Results: Clients' daily activity function and health outcomes (physical fitness, self-rated health, pain interference, and fear of falling) improved significantly. The program was well-received by clients (N = 54) and their HCAs (N = 46) as indicated by high retention rates among client participants (93%) and remarks provided by clients. Implications: Building PA into the everyday care of older adults and the routine work of HCAs is feasible. The intervention has the potential for further implementation and dissemination.
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Authors: Jennifer M Reckrey; Emma T Geduldig; Lee A Lindquist; R Sean Morrison; Kathrin Boerner; Alex D Federman; Abraham A Brody Journal: Gerontologist Date: 2020-05-15
Authors: Naoko Muramatsu; Lijuan Yin; Michael L Berbaum; David X Marquez; Surrey M Walton; Maria Caceres; Katya Y Cruz Madrid; Joseph P Zanoni Journal: Contemp Clin Trials Date: 2021-03-15 Impact factor: 2.226