Exercise physiology in aged care: Perceptions and acceptability from the perspectives of family members and care staff in the residential aged care environment

Post, Dannielle; Corlis, Megan; Penington, Alison; Parfitt, Gaynor

doi:10.1177/1471301218816246

Cited by 9 publications

(9 citation statements)

References 11 publications

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“…Such programs have been well received, and family members and care staff have reported positive outcomes in mood, social participation and pro-social behaviour. 21 We found that the program implementation is cost-effective, if maintenance (of equipment) and (staff) training-related costs were not accounted for. However, if these costs were included in the cost evaluation, and the program was designed in a way that the cost per participant could be kept under A$100 (while maintaining the QoL outcome), the program would maintain its cost-effectiveness (Table 3, lines 'C').…”

Section: Discussionmentioning

confidence: 87%

Some gain for a small investment: An economic evaluation of an exercise program for people living in residential aged care

et al. 2020

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Objective: To evaluate the cost-effectiveness of a 12-week Exercise Physiology (EP) program for people living in a residential aged care facility. Methods: A within-study pre-and postintervention design to calculate incremental cost-effectiveness ratios per quality-adjusted life years gained. A health service provider perspective was used. Results: Fifty-nine participants enrolled in a 12-week program. The program cost was A$514.30 per resident. At a willingness-to-pay threshold of A$64 000, the likelihood of being cost-effective of the program is approximately 60%, due to a small increase in participants' quality of life, as reported by care staff. The model showed great variance, depending on who rated the participants' quality of life outcomes. Conclusion:It is uncertain that a 12-week EP program is cost-effective based on the evidence of the current trial. However, it appears that a low-cost program can produce small improvements for residents in care facilities. K E Y W O R D Scognitive decline, economic evaluation, exercise program, physical function, residential aged care | INTRODUCTIONResidential aged care facilities (RACF) provide care to older people who can no longer continue living independently and safely in their homes. Over 200 000 people live in RACF in Australia, and up to 80% experience a level of cognitive impairment, 1 and approximately 52% have a formal diagnosis of dementia. 2,3 In 2016, the average total yearly cost of dementia (after first year) for a person living in RACF was A$23 810. 3 The type and level of care that is provided in RACF varies from assistance to perform activities of daily living to nursing care, reflecting the needs of each resident. 4 Access to specialised care such as exercise or other allied health professionals is available in many facilities in order to maintain or promote physical and mental health, functional independence and foster social engagement between the residents. 5 Exercise can support healthy ageing 6 and improve cognitive and functional capacity of people with cognitive decline. [7][8][9] Recent years have seen a push to include exercise programs in RACF as they have the potential to improve cognition, mood, mobility and functional ability for residents, including people with cognitive impairment. 8,10 With likely comorbidities, [Correction added on 7th November, after first online publication: Dannielle Post's name has been corrected.]

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Section: Discussionmentioning

confidence: 87%

Some gain for a small investment: An economic evaluation of an exercise program for people living in residential aged care

et al. 2020

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“…The importance of Physical activity are many as it diminishes the risk of various non-communicable and chronic health conditions, which includes heart disease, hypertension, type 2 diabetes, colon, post-menopausal breast and endometrial cancers, stroke, osteoporosis, osteoarthritis, depression, falls and disability in the elderly people 12,14,16,17,19,[21][22][23][24]26,[30][31][32][33][34][35][36][37][38] . From the extant review, it is therefore concluded that physical activities have numerous advantages for the prevention and management of many health-related conditions been faced by the elderly people.…”

Section: Discussionmentioning

confidence: 99%

“…A study on the effect of 6 months of aerobic training on adipokines as breast cancer risk factors in postmenopausal women revealed that exercise programs can be considered as an effective behavioral modification in breast cancer prevention 25 . Also, for improved functional ability in elderly people with dementia, a person-centered exercise approach, delivered by an expert is effective 26 .…”

Section: Benefits Of Physical Activity To the Health Of An Elderly Pementioning

confidence: 99%

The contributions of physical activity and fitness for the optimal health and wellness of the elderly people

Ayenigbara

2020

JGG

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“…For the survey questions, please see Supporting Information. Partners‐in‐care were also involved in semi‐structured interviews designed to explore perceptions around the program further; these findings are reported elsewhere …”

Section: Methodsmentioning

confidence: 99%

Evaluation of an implementation project: The exercise physiology in aged care program

Parfitt

Post

Penington³

et al. 2020

Geriatrics Gerontology Int

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Aim It is important for older adults to maintain the ability to be physically active, and to experience the benefits that physical activity brings. This study evaluates a 12‐week Accredited Exercise Physiologist‐led exercise program for vulnerable older adults living with dementia, delivered in a residential aged care facility in South Australia. The value of the program was also evaluated from the perspective of partners‐in‐care (family members and care staff). Methods Participants (n = 59) were randomized to either an intervention or control group, based on their functional and cognitive status. Physical function, cognitive function and habitual physical activity were assessed at baseline and post‐intervention. In total, 51 family members and 44 care staff completed surveys or participated to understand their perspectives of residents' capacity to exercise, as well as their perceptions of the impact of the program. Results Repeated measures ANOVA identified evidence for maintenance of physical function (timed‐up‐and‐go [ɳ2 = 0.19], handgrip strength [ɳ2 = 0.13]); however, there were no differences for objectively measured habitual activity or cognitive function. Evidence for a dose effect was demonstrated for the 2‐min walk and timed‐up‐and‐go associated with the number of individual sessions attended by a participant. Partners‐in‐care perceived greater improvement compared with deterioration across all measured factors [(P < 0.01, partial eta2 (ɳ2) =0.19] ranged from 0.35 to 0.78) post‐intervention. Perceptions and expectations of who could benefit from participation were changed (P < 0.05) and indicated that all but the most severely declined residents would be likely to benefit. Conclusions Data supporting the maintenance for some physical functions suggest that this type of program should be considered for older adults living with dementia in residential aged care facilities. Geriatr Gerontol Int 2020; ••: ••–••.

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Exercise physiology in aged care: Perceptions and acceptability from the perspectives of family members and care staff in the residential aged care environment

Cited by 9 publications

References 11 publications

Some gain for a small investment: An economic evaluation of an exercise program for people living in residential aged care

Some gain for a small investment: An economic evaluation of an exercise program for people living in residential aged care

The contributions of physical activity and fitness for the optimal health and wellness of the elderly people

Evaluation of an implementation project: The exercise physiology in aged care program

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