The Impact of Strong for Life on the Physical Functioning and Health of Older Adults Receiving Home and Community-Based Services

Overview

Journal Aging Soc

Date 2016 Oct 4

PMID 27695646

Citations 3

Authors

Margaret Danilovich

Daniel Corcos

Amy Eisenstein

David Marquez

Susan Hughes

Affiliations

Soon will be listed here.

Abstract

Background/objectives: To test the effects of Strong for Life (SFL) on the physical performance and self-rated health of older adults receiving Home and Community-Based Services (HCBS).

Design: Randomized, two-group trial with pre-post measures.

Setting: In-home exercise program.

Participants: Clients aged 65-95 (n=42) and their Home Care Aide (HCA) (n=32) were randomly assigned to a usual care and SFL intervention or usual care control group.

Intervention: Clients were instructed in SFL by their HCA and completed SFL 3 times per week for 12-weeks.

Measurements: Outcomes included grip and quadriceps strength, Timed Up and Go, gait speed, Self-Efficacy for Exercise, pain, and PROMIS-global health measured at baseline and immediately following the intervention. Clients completed opened ended survey items on SFL program evaluation.

Results: Effect sizes were moderate for grip strength (= .38), pain (= .34), and PROMIS-global health (= .27). Small effect sizes were found for all other measures. Median quadriceps and TUG scores differentially improved among intervention participants versus controls. No adverse health events and high program satisfaction were reported. Frailty prevalence in the control group increased between baseline and post-test while frailty prevalence in the intervention group decreased during the same time period.

Conclusion: Strong for Life has the potential to improve the strength, mobility, health, and frailty of older adults receiving HCBS. This study provides initial evidence of the impact of SFL for older adults receiving HCBS, as well as the safety of the intervention evidenced by the lack of reported adverse events.

Citing Articles

Effectiveness of a resistance training program on physical function, muscle strength, and body composition in community-dwelling older adults receiving home care: a cluster-randomized controlled trial.

Bardstu H, Andersen V, Fimland M, Aasdahl L, Raastad T, Cumming K Eur Rev Aging Phys Act. 2020; 17:11.

PMID: 32782626 PMC: 7414534. DOI: 10.1186/s11556-020-00243-9.

Effects of resistance training on self-reported disability in older adults with functional limitations or disability - a systematic review and meta-analysis.

Ollgaard Olsen P, Termannsen A, Bramming M, Tully M, Caserotti P Eur Rev Aging Phys Act. 2019; 16:24.

PMID: 31867068 PMC: 6898935. DOI: 10.1186/s11556-019-0230-5.

Physical activity programs for older people in the community receiving home care services: systematic review and meta-analysis.

Burton E, Farrier K, Galvin R, Johnson S, Horgan N, Warters A Clin Interv Aging. 2019; 14:1045-1064.

PMID: 31239654 PMC: 6559239. DOI: 10.2147/CIA.S205019.

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