A multicomponent exercise intervention to improve physical functioning, cognition and psychosocial well-being in elderly nursing home residents: a study protocol of a randomized controlled trial in the PROCARE (prevention and occupational health in long-term care) project

Cordes, Thomas; Bischoff, Laura L.; Schoene, Daniel; Schott, Nadja; Voelcker‐Rehage, Claudia; Meixner, Charlotte; Appelles, Luisa-Marie; Bębenek, Marek; Berwinkel, Andre; Hildebrand, Claudia; Jöllenbeck, Thomas; Johnen, Bettina; Kemmler, Wolfgang; Klotzbier, Thomas Jürgen; Korbus, Heide; Rudisch, Julian; Vogt, Lutz; Weigelt, Matthias; Wittelsberger, Rita; Zwingmann, Katharina; Wollesen, Bettina

doi:10.1186/s12877-019-1386-6

Cited by 76 publications

(65 citation statements)

References 62 publications

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“…The BASE concept, which is central to the method of this study, includes all necessary factors to implement a successful health promotion programme in this context. 31 However, it remains unclear whether this participatory approach is as successful as in other BASE interventions. Wollesen et al 22 could demonstrate sustainable changes in work-related problems, when implementing the BASE concept in the logistic, industrial and office sector.…”

Section: Discussionmentioning

confidence: 99%

“…The study is part of the project ‘Prevention and occupational health in long-term care (PROCARE)’, which addresses the living and working situations of staff and residents in the nursing home setting. 31 The nurses will be randomised to an intervention group and waiting-list control group. Both groups will receive the intervention.…”

Section: Methods and Analysismentioning

confidence: 99%

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Physical activity and health promotion for nursing staff in elderly care: a study protocol for a randomised controlled trial

et al. 2020

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IntroductionNursing staff is burdened by high workload and stress. Furthermore, heavy lifting, as well as transferring nursing home residents, cause lumbar tissue damage and back pain. Exercise intervention studies to reduce work-related problems are rare and the evidence for efficacy of studies among nurses is limited. Studies including targeted analysis of requirements are necessary to generate effective recommendations and tailored interventions for health promotion programmes. The purpose of this multicentred intervention study is to identify work-related problems, to implement health promotion programmes and to evaluate their effectiveness.Methods and analysisA randomised controlled trial will be conducted, including a total of 48 nursing home facilities in eight regions of Germany with an estimated sample size of 700 nurses. Standardised ergonomics and posture training (10 weeks, once a week for 20–30 min) and subsequently, back-fitness training (12 weeks, once a week for 45–60 min) will be administered. Following the implementation of standardised health promotion programmes, further demand-oriented interventions can be implemented. The perceived exposure to work-related demands, work-related pain in different parts of the body, health-related quality of life, perceived stress, work-related patterns of behaviour and experience, presentism behaviour, work environment as well as general needs and barriers to health promotion, will be assessed at baseline (pre-test), at 10 weeks (post-test, after ergonomics training), at 22 weeks (post-test, after back-fitness training) and at 34 weeks of the programme (follow-up).Ethics and disseminationThe study was reviewed and approved by the local ethics committee of the University of Hamburg (AZ: 2018_168). The results of the study will be published in open-access and international journals. Furthermore, the results will be presented in the participating nursing homes and at national and international conferences.Trial registration numberDRKS.de (DRKS00015241).

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Section: Discussionmentioning

confidence: 99%

Section: Methods and Analysismentioning

confidence: 99%

Physical activity and health promotion for nursing staff in elderly care: a study protocol for a randomised controlled trial

et al. 2020

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“…The interventions of the PROfit program combine components of exercise programs that have been proven to yield health benefits for nursing home residents [ 51 , 93 , 98 , 99 ]. Especially the physical outcomes, e.g., walking capacity, muscle strength, and balance capacity have been shown to be improved by multicomponent interventions as conducted within the PROfit approach [ 91 , 93 , 100 ].…”

Section: Discussionmentioning

confidence: 99%

“…Based on the previous PROCARE intervention [ 93 ], three different programs will be conducted (see Table 2 ):…”

Section: Methods/study Designmentioning

confidence: 99%

A three-armed cognitive-motor exercise intervention to increase spatial orientation and life-space mobility in nursing home residents: study protocol of a randomized controlled trial in the PROfit project

et al. 2020

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Background In nursing home residents, the combination of decreasing mobility and declining cognitive abilities, including spatial orientation, often leads to reduced physical activity (PA) and life-space (LS) mobility. As a consequence of sedentary behavior, there is a lack of social interaction and cognitive stimulation, resulting in low quality of life. It has not yet been examined whether cognitive-motor training including spatial cognitive tasks is suitable to improve spatial orientation and, as a consequence, to enlarge LS mobility, and increase well-being and general cognitive-motor functioning. Therefore, the overall goal of this multicentric randomized controlled trial (RCT) is to compare the effect of three different intervention approaches including functional exercise and orientation tasks on PA, LS and spatial orientation in nursing home residents. Methods A three-arm single-blinded multicenter RCT with a wait-list control group will be conducted in a sample of 513 individuals (needed according to power analysis) in three different regions in Germany. In each nursing home, one of three different intervention approaches will be delivered to participating residents for 12 weeks, twice a week for 45 min each: The PROfit basic group will perform functional strength, balance, flexibility, and walking exercises always at the same location, whereas the PROfit plus group changes the location three times while performing similar/the same exercises as the PROfit basic group. The PROfit orientation group receives navigation tasks in addition to the relocation during the intervention. Physical and cognitive functioning as well as psychological measures will be assessed in all study groups at baseline. Participants will then be randomized into either the intervention group or the wait-list control group. After 12 weeks, and after 24 weeks the measures will be repeated. Discussion This study evaluates whether the three different interventions are feasible to reduce the decline of or even improve PA, LS, and spatial orientation in nursing home residents. By adding different training locations in PROfit plus, the program is expected to be superior to PROfit basic in increasing physical and cognitive parameters. Moreover, we expect the PROfit orientation intervention to be most effective in terms of PA, LS, and spatial orientation due to two mechanisms: (1) increased physical and cognitive activity will enhance cognitive-motor capacity and (2) the spatial training will help to build up cognitive strategies to compensate for age-related loss of spatial orientation abilities and related limitations. Trial registration The trial was prospectively registered at DRKS.de with registration number DRKS00021423 on April 16, 2020 and was granted permission by the Technical University Berlin local ethics committee (No. GR_14_20191217).

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“…The data were collected in the period from January to September 2019. Recruitment and eligibility was based upon consultation of nursing staff, nursing documentation, and surveys in the context of the projects “Prevention in Stationary Care” and “Prevention and Occupational Health in Long-Term Care” (PROCARE), which focused on prevention in long-term care settings [ 43 ]. Written informed consent was obtained from each participant or the respective legal guardian.…”

Section: Methodsmentioning

confidence: 99%

Application of Activity Trackers among Nursing Home Residents—A Pilot and Feasibility Study on Physical Activity Behavior, Usage Behavior, Acceptance, Usability and Motivational Impact

Auerswald

Meyer

Holdt

et al. 2020

IJERPH

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The aim of this study was to assess physical activity and sedentary behavior, as well as the usage behavior, usability, acceptance, and motivational impact of an applied activity tracker among nursing home residents. Physical activity and usage behavior were measured among 22 residents (68 to 102 years) by use of a commercial activity tracker worn during waking hours for 77 days on average. Usability, acceptance, and motivational impact of the tracker were examined using an adapted questionnaire. Participants walked, on average, 1007 ± 806 steps per day and spent, on average, more than 9 h (77.2% of their waking time) sedentary. The average steps/day increased significantly within the first five weeks of wearing the activity tracker. The acceptance rate was high (94.4%). The tracker was used for 65.4% of the individual study period, and usage behavior did not significantly change during the first five wearing weeks. Participants with a usage time of ≥50% walked significantly more steps per day than those with a lower usage. Overall, we were able to reveal that the residents were highly inactive and sedentary. The results support the feasibility of a long-term application of activity trackers to assess or even increase physical activity behavior.

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A multicomponent exercise intervention to improve physical functioning, cognition and psychosocial well-being in elderly nursing home residents: a study protocol of a randomized controlled trial in the PROCARE (prevention and occupational health in long-term care) project

Cited by 76 publications

References 62 publications

Physical activity and health promotion for nursing staff in elderly care: a study protocol for a randomised controlled trial

Physical activity and health promotion for nursing staff in elderly care: a study protocol for a randomised controlled trial

A three-armed cognitive-motor exercise intervention to increase spatial orientation and life-space mobility in nursing home residents: study protocol of a randomized controlled trial in the PROfit project

Application of Activity Trackers among Nursing Home Residents—A Pilot and Feasibility Study on Physical Activity Behavior, Usage Behavior, Acceptance, Usability and Motivational Impact

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