A Home-Based Exercise Program Driven by Tablet Application and Mobility Monitoring for Frail Older Adults: Feasibility and Practical Implications

Geraedts, Hilde; Zijlstra, Wiebren; Zhang, Wei; Spoorenberg, Sophie; Báez, Marcos; Far, Iman Khaghani; Baldus, Heribert; Stevens, Martin

doi:10.5888/pcd14.160227

Cited by 46 publications

(62 citation statements)

References 21 publications

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“…Though women in our study were highly sedentary at baseline, they were highly motivated to participate in the exercise trial. Women in the intervention arm achieved levels of adherence comparable to those reported in other studies of home exercise in older adults . Of note, the median number of sessions declined from 3/week to 1/week over the six‐week period.…”

Section: Discussionsupporting

confidence: 68%

“…Women in the intervention arm achieved levels of adherence comparable to those reported in other studies of home exercise in older adults. 23,24 Of note, the median number of sessions declined from 3/week to 1/week over the six-week period. Thus, even for women who express willingness to perform exercise, behavioral support may be required to promote and maintain adherence (eg, phone call reminders).…”

Section: Discussionmentioning

confidence: 99%

“…To determine acceptability for participants randomized to ExerciseUP, we monitored adherence to exercise and home improvement advice. We defined complete adherence to exercise as performing a total of 18 sessions over 6 weeks and high adherence as completing 70% or 13 sessions . We measured enjoyment of each exercise session by asking participants to rank their enjoyment on a Likert scale from 1( low ) to 7( high ).…”

Section: Methodsmentioning

confidence: 99%

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Feasibility and outcomes: Pilot Randomized Controlled Trial of a home‐based integrated physical exercise and bladder‐training program vs usual care for community‐dwelling older women with urinary incontinence

Chu

Schmitz

Khanijow

et al. 2019

Neurourology and Urodynamics

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Aims To assess the feasibility of a randomized controlled trial of a home‐based integrated physical exercise and bladder‐training program vs usual care in community‐dwelling women with urinary incontinence (UI). Methods We conducted a parallel arm, nonblinded, pilot randomized controlled trial of a home‐based integrated physical exercise and bladder training with urge suppression and fall prevention program (ExerciseUP) vs usual care in women aged 65 and older with UI. Outcomes included feasibility (process, resources, management, and acceptability), urinary symptoms, and falls risk using self‐administered questionnaires. Objective physical activity was measured using accelerometry. Results A total of 37 of 38 (97%) eligible women were willing to participate in the study. In the ExerciseUP intervention cohort, 17 of 19 (89%) women completed all 6 weeks of intervention and follow‐up, and 16 of 18 (89%) women in the usual group completed follow‐up. Ten (53%) women in the ExerciseUP group achieved at least 70% adherence to exercise prescription. The improvement in UI severity scores from baseline was greater in the ExerciseUP intervention group than the usual care group (− 6.2 ± 5.8 vs − 2.4 ± 4.2, P = 0.04). Fall‐risk score decreased (improved) in both groups. There were no significant between‐group differences in change in physical activity or sedentary behavior. Conclusions We determined that it would be feasible to conduct a home‐based exercise intervention in older women with UI. Our clinical outcomes were modestly favorable for the ExerciseUP intervention group.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Feasibility and outcomes: Pilot Randomized Controlled Trial of a home‐based integrated physical exercise and bladder‐training program vs usual care for community‐dwelling older women with urinary incontinence

Chu

Schmitz

Khanijow

et al. 2019

Neurourology and Urodynamics

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“…However, the frequency of training decreased over time with on average less than two training sessions in the last 6 weeks. Adherence to self-managed programs in older adults is an important issue in other studies as well ( 28 , 29 ) and adherence rates are generally higher in supervised programs compared to non-supervised programs ( 30 , 31 ). This might reduce the effectiveness of self-management exercise programs.…”

Section: Discussionmentioning

confidence: 95%

User Experience, Actual Use, and Effectiveness of an Information Communication Technology-Supported Home Exercise Program for Pre-Frail Older Adults

et al. 2017

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ObjectiveThe main objective of this study was to investigate the use and user experience of an Information Communication Technology-supported home exercise program when offered for independent use to pre-frail older adults. Our secondary aim was to explore whether the program improved quality of life and health status compared to a control group.MethodsA cohort multiple randomized controlled trail is being performed. Physically pre-frail older adults (65–75 years) living independently at home were included and randomly assigned to a control group or an intervention group. The intervention group received a home exercise program (strength, balance, and flexibility exercises) for a minimal duration of 12 weeks. The control group received usual care. Primary outcomes were: use of the intervention (frequency and duration), adherence to a 3-day exercise protocol and user experience [System Usability Scale (SUS); rating 1–10]. Secondary outcomes were quality of life measured with the SF12 (Physical Component Scale and Mental Component Scale) and health status (EQ-5D), assessed before the study starts and after 12 weeks of exercising.ResultsThirty-seven independently living older adults participated in the study. Sixteen participants were allocated to the intervention group and 21 to the control group. The average score on the SUS was 84.2 (±13.3), almost reaching an excellent score. Participants rated the intervention with an 8.5. Eighty percent of the participants finished the 12 week exercise protocol. The adherence to the 3-day exercise protocol was 68%. Participants in the intervention group trained on average 2.2 times (±1.3) each week. The mean duration of login for each exercise session was 24 min. The Mental Component Scale of the SF12 was significantly higher in the intervention group compared to the control group. A trend was seen in the change over time in the health status between groups.ConclusionsThis study provides evidence that a home-based exercise program is easy to use and has potential in improving quality of life and health status of pre-frail older adults who live at home. However, further refinement of the program is required to improve adherence and maximize the benefits and potential of exercising in the home environment.Trial RegistrationUnique Identifier: NTR5304. URL: .

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“…Information and communication technologies (ICTs) are a significant source of information for people of all ages (16,17). This resource can be widely accessed and adapted to specific communities (18,19), resulting in numerous health benefits, as well as psychosocial benefits. Furthermore, this technology can be specifically applied to active ageing initiatives (20)(21)(22).…”

Section: Introductionmentioning

confidence: 99%

Pilot testing the effectiveness of the Healthy Ageing Supported by Internet and Community programme for promoting healthy lifestyles for people over 65 years of age

García-Camacha

Martínez-Andrés

et al. 2019

Scandinavian Caring Sciences

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Active ageing is associated with physical, social and mental wellbeing, as well as the participation and integration of older people in society. Currently, demographic changes represent a major challenge while reinforcing the need to improve our current understanding of active ageing and promote appropriate interventions suitable for older people. The aim of this pilot study was to evaluate the impact of the Healthy Ageing Supported by Internet and Community training programme for acquiring the knowledge and skills necessary for adopting a healthy lifestyle in community‐dwelling adults over 65 years of age. This study was conducted between 2015 and 2016 and was based on a convenience sample of individuals who responded to questionnaires. The study participants comprised all those who were included in the training programme (n = 71, 47 mentors and 24 participants in peer groups). The statistical analysis demonstrated the effectiveness of the programme regarding feasibility and expected results (p < 0.05 for most items, individually, as well as for the total scores of each test dimension). The programme was based on peer group training and the use of information and communication technologies and proved to be effective for acquiring the knowledge and skills necessary for adopting a healthy lifestyle. Furthermore, increased health scores were obtained in the physical, mental and social domains. It could also be beneficial for other groups of older people in order to support their integration into society, enhance their social skills and decrease any feelings of loneliness and rejection.

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A Home-Based Exercise Program Driven by Tablet Application and Mobility Monitoring for Frail Older Adults: Feasibility and Practical Implications

Cited by 46 publications

References 21 publications

Feasibility and outcomes: Pilot Randomized Controlled Trial of a home‐based integrated physical exercise and bladder‐training program vs usual care for community‐dwelling older women with urinary incontinence

Feasibility and outcomes: Pilot Randomized Controlled Trial of a home‐based integrated physical exercise and bladder‐training program vs usual care for community‐dwelling older women with urinary incontinence

User Experience, Actual Use, and Effectiveness of an Information Communication Technology-Supported Home Exercise Program for Pre-Frail Older Adults

Pilot testing the effectiveness of the Healthy Ageing Supported by Internet and Community programme for promoting healthy lifestyles for people over 65 years of age

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