Singapore Institute of Technology
Browse
s11121-021-01221-y copy.pdf (965.42 kB)

Effectiveness of a group functional power training program for frail older adults implemented through neighbourhood senior centres – a randomised controlled study

Download (965.42 kB)
journal contribution
posted on 2023-11-22, 06:41 authored by Nien Xiang Tou, Shiou Liang WeeShiou Liang Wee, Wei Ting Seah, Daniella Hui Min Ng, Benedict Wei Jun Pang, Lay Khoon Lau, Tze Pin Ng

Translation of community-based functional training for older adults to reduce frailty is still lacking. We evaluated the effectiveness and implementation of a community-delivered group-based functional power training (FPT) program for frail older adults within their neighborhoods. A two-arm, multicenter assessor-blind stratified randomized controlled trial was conducted at four local senior activity centers in Singapore. Sixty-one community-dwelling older adults with low handgrip strength were randomized to intervention (IG) or control (CG) group. The IG underwent the FPT program (power and balance exercises using simple equipment) delivered by a community service provider. The 12-week program comprised 2 × 60 min sessions/week. CG continued usual activities at the centers. Functional performance, muscle strength, and frailty status were assessed at baseline and 3 months. Program implementation was evaluated using RE-AIM framework. The program was halted due to Coronavirus Disease 2019-related suspension of senior center activities. Results are reported from four centers, which completed the program. IG showed significantly greater improvement in the Short Physical Performance Battery test as compared to CG (p = 0.047). No effects were found for timed up and go test performance, muscle strength, and frailty status. The community program exhibited good reach, effectiveness, adoption, and implementation. Our study demonstrated that FPT was associated with greater improvement in physical function in pre-frail/frail participants as compared to exercise activities offered at local senior activity centers. It is a feasible intervention that can be successfully implemented for frail older adults in their neighborhoods.

Funding

Core funding from MOH to GERI

History

Journal/Conference/Book title

Prevention Science

Publication date

2021-03-19

Version

  • Published

Usage metrics

    Categories

    No categories selected

    Licence

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC