Community-based Complex Intervention to Prevent Loss of Physical Function and Disability in Home-dwelling Older Adults

Summary

The aim of this study is to compare the effect of 12 weeks group-based exercise program enhanced with 24 weeks health empowerment program (HEP) to an extended usual care condition (the HEP program alone) on physical function, disability, health-related quality of life (HQoL) in home-dwelling older adults at risk for disability. Interventions were implemented into existing health care pathways and added to routine preventive programs using a two-armed randomized intervention design with multiple sites.

Conditions

• Disability Physical

Interventions

OTHER

CALSTI - Complex Active Lifestyle Intervention

A group-based exercise (EX) and health empowerment program (HEP) conducted in the local area. Structured, progressive resistance (55-60%), balance (10-15%), endurance (10-15%) exercise was delivered twice weekly for 12 weeks under supervision of a trained instructor. HEP consists of 8 group sessions aiming to facilitate long-term behaviour change, by empowering older citizens to act on current risk behaviours (i.e. low physical activity/exercise, high sedentary behaviour, social isolation, poor dietary habits, incontinence). Four sessions were conducted during the exercise intervention period (phase 1 - intensive), and four sessions in the following 12 weeks (phase 2 - maintenance).

BEHAVIORAL

SEMAI - Self-Management Intervention

A low-cost enhancement of the existing preventive service where citizens are information about relevant health resources. Citizens allocated to SEMAI intervention are offered the health-empowerment program as outlined above, including four extra sessions dedicated to practical experiences with exercising. 24 weeks duration in total, with eight sessions in phase 1 and four sessions in phase 2

Sponsors & Collaborators

• Esbjerg Municipality

  collaborator OTHER_GOV

• Municipality of Slagelse

  collaborator UNKNOWN

• Municipality of Odense

  collaborator OTHER_GOV

• Christian Albrechts Universität zu Kiel

  collaborator UNKNOWN

• Europa Universität Flensburg

  collaborator UNKNOWN

• AOK Nordwest

  collaborator INDUSTRY

• Howe Fiedler Stiftung Kiel

  collaborator UNKNOWN

• Arla Foods - Denmark

  collaborator UNKNOWN

• University of Southern Denmark

  lead OTHER

Principal Investigators

• Paolo Caserotti, PhD · University of Southern Denmark

Eligibility

Min Age

65 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2017-06-22

Primary Completion

2019-11-29

Completion

2019-12-22

Countries

• Denmark

Study Locations