Health behaviour change theory meets falls prevention: Feasibility of a habit-based balance and strength exercise intervention for older adults

Fleig, Lena; McAllister, Megan M.; Chen, Peggy; Iverson, Julie; Milne, Kate; McKay, Heather; Clemson, Lindy; Ashe, Maureen C.

doi:10.1016/j.psychsport.2015.07.002

Cited by 65 publications

(125 citation statements)

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“…In total, 6 RCTs were included. Seven articles [40][41][42][43][44][45][46] reported NRS. Among these, 3 articles [40][41][42] reported before-after studies focusing on feasibility [40][41][42] , acceptance [41,42] , motor performances [40][41][42] , and behavioural change [41] .…”

Section: Study Selectionmentioning

confidence: 99%

“…Three before-after studies evaluated the feasibility of LiFE in different settings (i.e., restorative home care [40] ), different target populations (i.e., visually impaired [42] ), or different administration mode (i.e., group-based [41] ). One of them additionally evaluated effects on behaviour change [41] . One controlled trial compared a combined "Home-Based Lifestyle" (HBL) intervention and a gym-based structured exercise programme [43][44][45][46] .…”

Section: Studies Using An Nrs Designmentioning

confidence: 99%

“…One controlled trial compared a combined "Home-Based Lifestyle" (HBL) intervention and a gym-based structured exercise programme [43][44][45][46] . Sample sizes ranged from 8 [40] to 86 participants [43][44][45][46] , mean age from 63.3 [43][44][45][46] to 80.8 years [40] , and percentage of women from 50 [43][44][45][46] to 100% [41] .…”

Section: Studies Using An Nrs Designmentioning

confidence: 99%

“…A third study tested the feasibility of group-based LiFE [41] . Instead of individual teaching, a team (exercise physiologist, health psychologist, personal trainer) taught LiFE within 7 group sessions over a 4-month period.…”

Section: Studies Using An Nrs Designmentioning

confidence: 99%

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Feasibility and Effectiveness of Intervention Programmes Integrating Functional Exercise into Daily Life of Older Adults: A Systematic Review

et al. 2017

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Background: Traditionally, exercise programmes for improving functional performance and reducing falls are organised as structured sessions. An alternative approach of integrating functional exercises into everyday tasks has emerged in recent years. Objectives: Summarising the current evidence for the feasibility and effectiveness of interventions integrating functional exercise into daily life. Methods: A systematic literature search was conducted including articles based on the following criteria: (1) individuals ≥60 years; (2) intervention studies of randomised controlled trials (RCTs) and non-randomised studies (NRS); (3) using a lifestyle-integrated approach; (4) using functional exercises to improve strength, balance, or physical functioning; and (5) reporting outcomes on feasibility and/or effectiveness. Methodological quality of RCTs was evaluated using the PEDro scale. Results: Of 4,415 articles identified from 6 databases, 14 (6 RCTs) met the inclusion criteria. RCT quality was moderate to good. Intervention concepts included (1) the Lifestyle-integrated Functional Exercise (LiFE) programme integrating exercises into everyday activities and (2) combined programmes using integrated and structured training. Three RCTs evaluated LiFE in community dwellers and reported significantly improved balance, strength, and functional performance compared with controls receiving either no intervention, or low-intensity exercise, or structured exercise. Two of these RCTs reported a significant reduction in fall rate compared with controls receiving either no intervention or low-intensity exercise. Three RCTs compared combined programmes with usual care in institutionalised settings and reported improvements for some (balance, functional performance), but not all (strength, falls) outcomes. NRS showed behavioural change related to LiFE and feasibility in more impaired populations. One NRS comparing a combined home-based programme to a gym-based programme reported greater sustainability of effects in the combined programme. Conclusions: This review provides evidence for the effectiveness of integrated training for improving motor performances in older adults. Single studies suggest advantages of integrated compared with structured training. Combined programmes are positively evaluated in institutionalised settings, while little evidence exists in other populations. In summary, the approach of integrating functional exercise into daily life represents a promising alternative or complement to structured exercise programmes. However, more RCTs are needed to evaluate this concept in different target populations and the potential for inducing behavioural change.

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Section: Study Selectionmentioning

confidence: 99%

Section: Studies Using An Nrs Designmentioning

confidence: 99%

Section: Studies Using An Nrs Designmentioning

confidence: 99%

Section: Studies Using An Nrs Designmentioning

confidence: 99%

See 2 more Smart Citations

Feasibility and Effectiveness of Intervention Programmes Integrating Functional Exercise into Daily Life of Older Adults: A Systematic Review

et al. 2017

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“…Health comportment, such as specific physical activity, are well familiar with the beneficial effect the health of human being (Fleig et al, 2016), Most practices need to keep a maximum of a year time, and programmer demand investment of time and energy from a senior citizen. This is unlikely a popular choice (Gillespie et al, 2009;Merom et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Ba Duan Jin Preliminary Analysis of the Second Type of Plantar Pressure

Jia¹,

Sun

Fekete

2018

Physical Activity and Health

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The mainly subject of this study was a common Ba Duan Jin (BDJ) practitioner. The plantar pressure distribution of nine distinct regions was analyzed during the execution of the one typical BDJ movements and Normal Walking (NK). The result of the experiment demonstrated that in BDJ movements, the pressure-time integral (PTI) of the 1st MTH was the maximum and greater than other parts in BDJ movements. The peak pressure (PP) of the 1st 2nd 3rd MTH and the GT were markedly greater than in other regions (p < 0.05). The center of pressure (COP) focused on the 1st 2nd 3rd MTH, and movement displacement is little. The result indicated that the 1st MTH plantar pressure of the second type of BDJ movement relative to NK a larger, to strengthen the 1st MTH and the GT region skin sensation, improving balance control. The plantar pressure distribution characteristics of BDJ movements found in this study may be one of the important factors that BDJ exercise improves elderly balance control.

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Effect of Intrapersonal and Interpersonal Behavior Change Strategies on Physical Activity Among Older Adults

McMahon,

Lewis,

Guan

et al. 2024

JAMA Netw Open

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ImportanceDespite guidelines that recommend physical activity (PA), little is known about which types of behavior change strategies (BCSs) effectively promote sustained increases in PA in older adults who are insufficiently active.ObjectiveTo determine whether intrapersonal BCSs (eg, goal setting) or interpersonal BCSs (eg, peer-to-peer sharing or learning) combined with the Otago Exercise Program (17 strength and balance exercises and a walking program that are learned and individually tailored, with instruction to perform 3 times per week at home or location of choice) and a wearable PA monitor help older adults sustain increases in their PA.Design, Setting, and ParticipantsThis 2 × 2 factorial randomized clinical trial (Community-Based Intervention Effects on Older Adults’ Physical Activity) of community-dwelling older adults 70 years or older with PA levels below minimum national PA guidelines was conducted in urban community centers. Dates of enrollment were from November 17, 2017, to June 15, 2021, with final follow-up assessments completed on September 2, 2022.InterventionsParticipants were randomized to intrapersonal (eg, goal setting) BCSs, interpersonal (eg, problem-solving with peer-to-peer sharing and learning) BCSs, intrapersonal and interpersonal BCSs, or an attention control group. All interventions included a PA monitor and 8 weekly small-group meetings with discussion, practice, and instructions to implement the exercise program and relevant BCSs independently between meetings and after the intervention.Main Outcomes and MeasuresThe primary outcome was daily minutes of objectively measured total PA (light, moderate, or vigorous intensities) averaged over 7 to 10 days, measured at baseline and after the intervention at 1 week, 6 months, and 12 months.ResultsAmong 309 participants (mean [SD] age, 77.4 [5.0] years; 240 women [77.7%]), 305 (98.7%) completed the intervention, and 302 (97.7%) had complete data. Participants receiving PA interventions with interpersonal BCS components exhibited greater increases in total PA than did those who did not at 1 week (204 vs 177 PA minutes per day; adjusted difference, 27.1 [95% CI, 17.2-37.0]; P &lt; .001), 6 months (195 vs 175 PA minutes per day; adjusted difference, 20.8 [95% CI, 10.0-31.6]; P &lt; .001), and 12 months (195 vs 168 PA minutes per day; adjusted difference, 27.5 [95% CI, 16.2-38.8]; P &lt; .001) after the intervention. Compared with participants who did not receive interventions with intrapersonal BCS components, participants who received intrapersonal BCSs exhibited no significant changes in total PA at 1 week (192 vs 190 PA minutes per day; adjusted difference, 1.8 [95% CI, −8.6 to 12.2]; P = .73), 6 months (183 vs 187 PA minutes per day; adjusted difference, −3.9 [95% CI, −15.0 to 7.1]; P = .49), or 12 months (177 vs 186 PA minutes per day; adjusted difference, −8.8 [95% CI, −20.5 to 2.9]; P = .14) after the intervention. Interactions between intrapersonal and interpersonal BCSs were not significant.Conclusions and RelevanceIn this randomized clinical trial, older adults with low levels of PA who received interpersonal BCSs, the exercise program, and a PA monitor exhibited significant increases in their PA for up to 12 months after the intervention. Intrapersonal BCSs elicited no significant PA changes and did not interact with interpersonal BCSs. Our findings suggest that because effects of a PA intervention on sustained increases in older adults’ PA were augmented with interpersonal but not intrapersonal BCSs, approaches to disseminating and implementing the intervention should be considered.Trial RegistrationClinicalTrials.gov Identifier: NCT03326141

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Health behaviour change theory meets falls prevention: Feasibility of a habit-based balance and strength exercise intervention for older adults

Cited by 65 publications

References 47 publications

Feasibility and Effectiveness of Intervention Programmes Integrating Functional Exercise into Daily Life of Older Adults: A Systematic Review

Feasibility and Effectiveness of Intervention Programmes Integrating Functional Exercise into Daily Life of Older Adults: A Systematic Review

Ba Duan Jin Preliminary Analysis of the Second Type of Plantar Pressure

Effect of Intrapersonal and Interpersonal Behavior Change Strategies on Physical Activity Among Older Adults

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