10.25376/hra.7594124.v1
Subashan Perera
Subashan
Perera
Jennifer Brach
Jennifer
Brach
Sandra Gilmore
Sandra
Gilmore
Jessie Vanswearingen
Jessie
Vanswearingen
Deborah Brodine
Deborah
Brodine
Edmund Ricci
Edmund
Ricci
Neelesh Nadkarni
Neelesh
Nadkarni
Brach_CE-1304-6301_FRR_CE.pdf
Health Research Alliance
2019
Aging Populations
exercise
community programs
Rehabilitation and Therapy (excl. Physiotherapy)
2019-01-16 13:34:29
Dataset
https://hra.figshare.com/articles/dataset/Brach_CE-1304-6301_FRR_CE_pdf/7594124
<p><b>Objectives: </b>To
compare the effectiveness and sustainability of <i>On the Move</i> against a Standard group exercise program consisting of
seated strength, endurance, and flexibility exercises in community-dwelling
older adults who reside in independent living facilities and senior apartment
buildings, and who live elsewhere but regularly attend
senior community centers. </p>
<p><b>Methods:</b> The
study was a cluster randomized, single-blind intervention trial that compared
the effects on function, disability, and mobility of a Standard group exercise
program and the <i>On the Move</i> group
exercise program in community-dwelling older adults. Thirty-two facilities were randomized, encompassing 424 individuals. </p>
<p><b>Results:</b> The mean
± standard deviation age of the participants was 80.7 ± 7.8 years. The <i>On the Move</i> group had
greater improvements than the Standard group in the primary measures of mobility,
the 6MWT (20.6 ± 57.1 versus 4.1 ± 55.6 m; adjusted difference = 16.7 ± 7.4; <i>p</i> = 0.0262), and gait speed (0.05 ± 0.13
versus –0.01 ± 0.11 m/s; adjusted difference = 0.05 ± 0.02; <i>p</i> = 0.0008). The between-group differences
were adjusted for the baseline value of the outcome and represent a small but
meaningful difference. There were no significant differences in self-reported
function and disability as measured by the LLFDI scores. </p>
<p><b>Conclusions:</b> When taught by exercise leaders, the <i>On the Move</i> group exercise program was more effective at improving
mobility than the Standard group exercise program, more safe, and well-liked by
community-dwelling older adults.</p>