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Promoting healthy aging for older people living with chronic disease by implementing community health programs: a randomized controlled feasibility study
Hill A-M, Starling T, Xin W, Naseri C, Xu D, O'Brien G, Etherton-Beer C, Flicker L, Bulsara M, Morris ME, Vaz S
International Journal of Environmental Research & Public Health 2024 Dec;21(12):1667
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: The rising prevalence of chronic diseases could be mitigated by expanding community programs. This study aimed to evaluate the feasibility of delivering a community wellness program for older adults living with chronic disease. METHODS: A two-group randomized controlled study, with blinded assessments, enrolling adults (>= 50 years) with chronic disease, was conducted at a Western Australian community hub. Participants randomly allocated to the intervention participated in exercise groups and a wellness activity twice a week. Both the intervention and control groups received a Fitbit and workbook. The primary outcomes were recruitment, retention, acceptability, and suitability. The secondary outcomes measured at baseline and 12 weeks included physical function and physical activity (step count). RESULTS: There were 126 older adults approached, of whom 22 (17.5%) were recruited. Eighteen participants (mean age 70.8 +/- 8.1, n = 8 intervention, n = 10 control) completed 12 weeks. Two intervention participants (25% adherence) completed over 70% of sessions and eight participants (44.4% retention) accepted an ongoing 3-month program. Health problems (30.2%) were barriers to both recruitment and adherence. There were no significant between-group differences in physical function. Physical activity was significantly higher in the intervention group compared to the control group (p = 0.01). CONCLUSION: Tailored programs with ongoing support may be required to improve the health of older adults living with chronic disease.

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