It’s Not Just Physical: Exercise Physiologist-Led Exercise Program Promotes Functional and Psychosocial Health Outcomes in Aged Care

in Journal of Aging and Physical Activity

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Annette J. Raynor
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Fiona Iredale
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Robert Crowther
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Jane White
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Julie Dare
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Regular physical activity has multiple benefits for older adults, including improved physical, cognitive, and psychosocial health. This exploratory study investigated the benefits of a 12-week exercise program for older adults (n = 11 control and n = 13 intervention) living in a residential aged care facility in Perth, Western Australia. The program, prescribed and delivered by an accredited exercise physiologist, aimed to maintain or improve participants’ physical capacity. It comprised one-on-one exercise sessions (1 hr × 2 days/week × 12 weeks), involving a components-approach intervention. Physical performance measures (balance, strength, flexibility, and mobility) were assessed preintervention and postintervention. Qualitative interviews postintervention with residents participating in the exercise intervention, and with family members, staff, and research team members, explored barriers and enablers to participation and perceived psychosocial outcomes. Findings indicate the program provided physical benefits and enhanced social engagement for participants, illustrating the value of providing exercise physiology services in the aged care sector.

Raynor, Iredale, White, and Dare are with the School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia. Crowther is with the School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia.

Raynor (a.raynor@ecu.edu.au) is corresponding author.
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  • Australian and New Zealand Society for Geriatric Medicine. (2014). Position statement: Exercise guidelines for older adults. Australasian Journal on Ageing, 33(4), 287294. doi:10.1111/ajag.12194

    • Search Google Scholar
    • Export Citation
  • Australian Institute of Health and Welfare. (2011). Dementia among aged care residents: First information from the Aged Care Funding Instrument. Retrieved from https://www.aihw.gov.au/getmedia/6d160b74-621b-4e08-b193-bc90d5b7f348/11711.pdf.aspx?inline=true

    • Search Google Scholar
    • Export Citation
  • Australian Institute of Health and Welfare. (2013). Depression in residential aged care 2008–2012. Canberra, Australia: AIHW. Retrieved from https://www.aihw.gov.au/getmedia/7ad35fb2-bc14-4692-96b1-c15d73072319/16256.pdf.aspx?inline=true

    • Search Google Scholar
    • Export Citation
  • Australian Institute of Health and Welfare. (2016a). Aged care in Australia. Canberra, Australia Retrieved from http://www.aihw.gov.au/aged-care/residential-and-home-care-2014-15/aged-care-in-australia/

    • Search Google Scholar
    • Export Citation
  • Australian Institute of Health and Welfare. (2016b). Residential aged care and home care 2014–15. Canberra, Australia: Author.

  • Bauman, A., Merom, D., Bull, F., Buchner, D., & Fiatarone, S. (2016). Updating the evidence for physical activity: Summative reviews of the epidemiological evidence, prevalence, and interventions to promote “active aging.” The Gerontologist, 56(S2), S268S280. doi:10.1093/geront/gnw031

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Benjamin, K., Edwards, N., Ploeg, J., & Legault, F. (2014). Barriers to physical activity and restorative care for residents in long-term care: A review of the literature. Journal of Aging & Physical Activity, 22(1), 154165. PubMed ID: 23434919 doi:10.1123/japa.2012-0139

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77101. doi:10.1191/1478088706qp063oa

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Brett, L., Stapley, P., Meedya, S., & Traynor, V. (2018). Sufficient exercise for Australians living with dementia in residential aged care facilities is lacking: An exploration of policy incoherence. Australian and New Zealand Journal of Public Health, 42(5), 427429. PubMed ID: 29972263 doi:10.1111/1753-6405.12800

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Brett, L., Traynor, V., Stapley, P., & Meedya, S. (2018). Exercise and dementia in nursing homes: Views of staff and family carers. Journal of Aging & Physical Activity, 26(1), 8996. PubMed ID: 28513238 doi:10.1123/japa.2016-0368

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Exercise and Sports Science Australia (ESSA) (Producer). (2015). What is an accredited exercise physiologist? Retrieved from https://www.essa.org.au/wp-content/uploads/2015/09/AEP_ESSA_6ppDL_General_Final.pdf

    • Search Google Scholar
    • Export Citation
  • Fien, S., Henwood, T., Climstein, M., & Keogh, J.W.L. (2016). Feasibility and benefits of group-based exercise in residential aged care adults: A pilot study for the grace programme. Peer-Reviewed Journal, 4, e2018. doi:10.7717/peerj.2018

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fjellman-Wiklund, A., Nordin, E., Skelton, D.A., & Lundin-Olsson, L. (2016). Reach the person behind the dementia: Physical therapists’ reflections and strategies when composing physical training. PLoS ONE, 11(12), e0166686. PubMed ID: 27906996 doi:10.1371/journal.pone.0166686

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Green, L. (1999). Focusing upon interview methodologies. Australian Journal of Communication, 26(2), 3546.

  • Hanson, H., Hoppmann, C., Condon, K., Davis, J., Feldman, F., Friesen, M., . . . Ashe, M. (2014). Characterizing social and recreational programming in assisted living. Canadian Journal on Aging, 33(3), 285295. PubMed ID: 25110902 doi:10.1017/S0714980814000178

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Haralambous, B., Lin, X., Dow, B., Jones, C., Tinney, J., & Bryant, C. (2009). Depression in older age: A scoping study. Melbourne, Australia: University of Melbourne. NARI. Retrieved from https://www.beyondblue.org.au/docs/default-source/research-project-files/bw0143-nari-2009-full-report-minus-appendices.pdf?sfvrsn=4

    • Search Google Scholar
    • Export Citation
  • Hauer, K., Schwenk, M., Zieschang, T., Essig, M., Becker, C., & Oster, P. (2012). Physical training improves motor performance in people with dementia: A randomized controlled trial. Journal of the American Geriatrics Society, 60(1), 815. PubMed ID: 22211512 doi:10.1111/j.1532-5415.2011.03778.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hewitt, J., Goodall, S., Clemson, L., Henwood, T., & Refshauge, K.M. (2018). Progressive resistance and balance training for falls prevention in long-term residential aged care: A cluster randomized trial of the Sunbeam Program. The Journal of Post-Acute and Long-Term Care Medicine, 19(4), 361369. doi:10.1016/j.jamda.2017.12.014

    • Search Google Scholar
    • Export Citation
  • Hewitt, J., Refshauge, K.M., Goodall, S., Henwood, T., & Clemson, L. (2014). Does progressive resistance and balance exercise reduce falls in residential aged care? Randomized controlled trial protocol for the SUNBEAM program. Clinical Interventions in Aging, 9, 369376. PubMed ID: 24591821 doi:10.2147/CIA.S53931

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Holmes, S.D., Galik, E., & Resnick, B. (2017). Factors that influence physical activity among residents in assisted living. Journal of Gerontological Social Work, 60(2), 120137. PubMed ID: 27982744 doi:10.1080/01634372.2016.1269035

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jansen, C.-P., Claßen, K., Wahl, H.-W., & Hauer, K. (2015). Effects of interventions on physical activity in nursing home residents. European Journal of Ageing, 12(3), 261271. PubMed ID: 28804359 doi:10.1007/s10433-015-0344-1

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Krist, L., Dimeo, F., & Keil, T. (2013). Can progressive resistance training twice a week improve mobility, muscle strength, and quality of life in very elderly nursing-home residents with impaired mobility: A pilot study. Clinical Interventions in Aging, 8, 443448. PubMed ID: 23637524 doi:10.2147/CIA.S42136

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Liamputtong, P. (2009). Qualitative research methods (3rd ed.). Melbourne, Australia: Oxford University Press.

  • Lindelof, N., Lundin-Olsson, L., Skelton, D.A., Lundman, B., & Rosendahl, E. (2017). Experiences of older people with dementia participating in a high-intensity functional exercise program in nursing homes: “While it’s tough, it’s useful.” PLoS ONE, 12(11), e0188225. PubMed ID: 29149198 doi:10.1371/journal.pone.0188225

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Pirkis, J., Pfaff, J., Williamson, M., Tyson, O., Stocks, N., Goldney, R., . . . Almeida, O.P. (2009). The community prevalence of depression in older Australians. Journal of Affective Disorders, 115(1), 5461. doi:10.1016/j.jad.2008.08.014

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Polkinghorne, D.E. (2005). Language and meaning: Data collection and qualitative research. Journal of Counseling Psychology, 52(2), 137145. doi:10.1037/0022-0167.52.2.137

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Post, D., Corlis, M., Penington, A., & Parfitt, G. (2018). Exercise physiology in aged care: Perceptions and acceptability from the perspectives of family members and care staff in the residential aged care environment. Dementia. Advance online publication. doi:10.1177/1471301218816246

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • Prince, M., Prina, M., & Guerchet, M. (2013). World Alzheimer Report 2013: Journey of caring: An analysis of long-term care for dementia. London, UK: Alzheimer’s Disease International. Retrieved from http://www.alz.co.uk/research/world-report-2013

    • Search Google Scholar
    • Export Citation
  • Rikli, R.E., & Jones, C.J. (2013). Senior Fitness Test Manual (2nd ed.). Champaign, Il: Human Kinetics Publishers.

  • Rosewarne, R., Opie, J., Cumpston, R., Boyd, V., & Kikkawa, A. (2017). Review of the Aged Care Funding Instrument Report: Part 2, main report. Retrieved from https://agedcare.health.gov.au/sites/default/files/documents/10_2017/acfi_review_report_part_2_main_report.pdf

    • Search Google Scholar
    • Export Citation
  • Sands, R.G., & Roer-Strier, D. (2006). Using data triangulation of mother and daughter interviews to enhance research about families. Qualitative Social Work, 5(2), 237260. doi:10.1177/1473325006064260

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Scarabottolo, C.C., Garcia Junior, J.R., Gobbo, L.A., Alves, M.J., Ferreira, A.D., Zanuto, E.A.C., . . . Christofaro, D.G.D. (2017). Influence of physical exercise on the functional capacity in institutionalized elderly. Revista Brasileira de Medicina do Esporte, 23(3), 200203. doi:10.1590/1517-869220172303150175

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Singh, M.A.F. (2002). Exercise comes of age: Rationale and recommendations for a geriatric exercise prescription. The Journals of Gerontology: Series A, 57(5), M262M282. doi:10.1093/gerona/57.5.M262

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stuckey, H.L. (2014). The first step in data analysis: Transcribing and managing qualitative research data. Journal of Social Health and Diabetes, 2(1), 14. doi:10.4103/2321-0656109828

    • Search Google Scholar
    • Export Citation
  • Telenius, E.W., Engedal, K., & Bergland, A. (2015). Long-term effects of a 12 weeks high-intensity functional exercise program on physical function and mental health in nursing home residents with dementia: A single blinded randomized control trial. BMC Geriatrics, 15(158), 111. doi:10.1186/s12877-015-1515-8

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Toots, A., Littbrand, H., Lindelöf, N., Wiklund, R., Holmberg, H., Nordström, P., . . . Rosendahl, E. (2016). Effects of a high-intensity functional exercise program on dependence in activities of daily living and balance in older adults with dementia. Journal of the American Geriatrics Society, 64, 5564. PubMed ID: 26782852 doi:10.1111/jgs.13880

    • Crossref
    • Search Google Scholar
    • Export Citation
  • U.S. Health and Human Services. (2008). Physical Activity Guidelines Advisory Report. Washington, DC: U.S. Department of Health and Human Services. Retrieved from http://www.health.gov/paguidelines/guidelines

    • Search Google Scholar
    • Export Citation
  • Verhoef, T.I., Doshi, P., Lehner, D., & Morris, S. (2016). Cost-effectiveness of a physical exercise programme for residents of care homes: A pilot study. BMC Geriatrics, 16(83), 39. doi:10.1186/s12877-016-0261-y

    • Crossref
    • Search Google Scholar
    • Export Citation
  • World Health Organization. (2019). What is healthy ageing? Retrieved from https://www.who.int/ageing/healthy-ageing/en/

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