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An Innovative Wellness Program Promoting Participation in Physical Activity of Community-Dwelling Frail Elderly

  • Choi, Bong-sam (Dept. of Physical Therapy, College of Health and Welfare, Woosong University)
  • Received : 2017.05.15
  • Accepted : 2017.08.07
  • Published : 2017.09.17

Abstract

Background: Given the potential benefits of wellness programs promoting physical activity of the community-dwelling frail elderly, it is recommended that comprehensive wellness programs combined with the component of physical activity. This may improve overall health and potentially lower the health care cost of the frail elderly. In general, the frail elderly residing in community or those after being discharged from hospitals are often committed to enhancing the status of participation in physical activity. Objects: The purposes of this study were to identify specific shortcomings of current wellness programs as part of continuum of community rehabilitation services and to propose alternatives for the care of the community-dwelling frail elderly. Through this study, geriatric health care professionals may be able to implement assessments and programs to successfully promote an effective continuum of care for the frail elderly. Methods: Article reviews were summarized and evaluated. Results: A model elaborating the relationship between components of successful wellness program and participation in physical activities for the community-dwelling frail elderly are recommended. First, periodic monitoring the levels of physical activity by the use of online measurement system should be considered. Second, individualized adaptive technologies for selecting optimal physical activities for the elderly may be better fit to individuals' current status of physical activity. Conclusion: The current status of physical activity in community-dwelling frail elderly can be monitored by online assessment systems. Through the innovative measurement system, elderly may assess his/her physical activity status overtime, select optimal physical activities matching the status, and create the elderly's own adaptive wellness programs that match to the status while residing in his/her community.

Keywords

References

  1. Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012;2(2):1143-1211. https://doi.org/10.1002/cphy.c110025
  2. Bowling A, Dieppe P. What is successful ageing and who should define it? Brit Med J. 2005;331(7531):1548-1551. https://doi.org/10.1136/bmj.331.7531.1548
  3. Chen YM, Berkowitz B. Older adults' home- and community based care service and residential transitions: A longitudinal study. BMC Geriatr. 2012;12:44. https://doi.org/10.1186/1471-2318-12-44
  4. Choi BS. Computer adaptive testing method for measuring disability in patients with back pain. Phys Ther Korea. 2012;19(3):124-131. https://doi.org/10.12674/ptk.2012.19.3.124
  5. Clark F, Azen SP, Carlson M, et al. Embedding health-promoting changes into the daily lives of independent living older adults: Long-term follow-up of occupational therapy intervention. J Gerontol B Pschol Sci Soc Sci. 2001;56(1):P60-63. https://doi.org/10.1093/geronb/56.1.P60
  6. Clegg A, Young J, Iliffe S, et al. Frailty in elderly people. Lancet. 2013;381(9868):752-762. https://doi.org/10.1016/S0140-6736(12)62167-9
  7. Colligan EM, Tomoyasu N, Howell B. Communitybased wellness and prevention programs: The role of medicare. Front Public Health. 2015;2:1-2. https://doi.org/10.3389/fpubh.2014.00189
  8. Doble SE, Fisk JD, Fisher AG, et al. Functional competence of community-dwelling persons with multiple sclerosis using the assessment of motor and process skils. Arch Phys Med Rehabil. 1994;75(8):843-851. https://doi.org/10.1016/0003-9993(94)90107-4
  9. Espinoza SE, Jung I, Hazuda H. Frailty transitions in the san antonio longitudinal study of aging. J Am Geriatr Soc. 2012;60(4):652-660. https://doi.org/10.1111/j.1532-5415.2011.03882.x
  10. Ewen HH, Washington TR, Emerson KG, et al. Variation in older adult characteristics by residence type and use of home- and community-based services. Int J Environ Res Public Health. 2017;14(3):330 https://doi.org/10.3390/ijerph14030330
  11. Fallah N, Mitnitski A, Searle SD, et al. Transitions in frailty status in older adults in relation to mobility: A multistate modeling approach employing a deficit count. J Am Geriatr Soc. 2011;59:524-529. https://doi.org/10.1111/j.1532-5415.2011.03300.x
  12. Fox KR. The influence of physical activity on mental well-being. Public Health Nutr. 1999;2(3A):411-418.
  13. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: Evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146-156. https://doi.org/10.1093/gerona/56.3.M146
  14. Gloth FM, Scheve AA, Shah S, et al. The frail elderly functional assessment questionnaire: Its responsiveness and validity in alternative settings. Arch Phys Med Rehabil. 1999;80(12):1572-1576. https://doi.org/10.1016/S0003-9993(99)90332-5
  15. Gloth FM, Walston J, Meyer J, et al. Reliability and validity of the frail elderly functional assessment questionnaire. Am J Phys Med Rehabil. 1995;74(1):45-53. https://doi.org/10.1097/00002060-199501000-00008
  16. Goodwin RD. Association between physical activity and mental disorders among adults in the United States. Prev Med. 2003;36(6):698-703. https://doi.org/10.1016/S0091-7435(03)00042-2
  17. Haley SM, Gandek B, Siebens H, et al. Computerized adaptive testing for follow-up after discharge from inpatient rehabilitation: II. participation outcomes. Arch Phys Med Rehabil. 2008;89(2):275-283. http://doi.org/10.1016/j.apmr.2007.08.150
  18. Hamilton MT, Healy GN, Dunstan DW, et al. Too little exercise and too much sitting: Inactivity physiology and the need for new recommendations on sedentary behavior. Curr Cardiovasc Risk Rep. 2008;2(4):292-298. https://doi.org/10.1007/s12170-008-0054-8
  19. Hambleton RK. Emergence of item response modeling in instrument development and data analysis. Med Care. 2000;38(9 suppl):II60-65.
  20. Hart DL, Cook KF, Mioduski JE, et al. Simulated computerized adaptive test for patients with shoulder impairments was efficient and produced valid measures of function. J Clin Epidemiol. 2006;59(3):290-298. https://doi.org/10.1016/j.jclinepi.2005.08.006
  21. Henchoz Y, Kai-Lik S. Exercise and nonspecific low back pain: A literature review. Joint Bone Spine. 2008;75(5):533-539. https://doi.org/10.1016/j.jbspin.2008.03.003
  22. Hollis V, Madill H, Darrah J, et al. Canadian therapist's experiences of community-based rehabilitation services. Int J Ther Rehabil. 2006;13(1):7-14. https://doi.org/10.12968/ijtr.2006.13.1.21346
  23. Jackson J, Carlson M, Mandel D, et al. Occupation in lifestyle redesign: The well elderly study occupational therapy programs. Am J Occup Ther. 1998;52(5):326-336. https://doi.org/10.5014/ajot.52.5.326
  24. Kahn E, Ramsey L, Brownson R, et al. The effectiveness of interventions to increase physical activity: A systemic review. Am J Prevent Med. 2002;22(4):73-107. https://doi.org/10.1016/S0749-3797(02)00434-8
  25. Kiely DK, Cupples LA, Lipsitz LA. Validation and comparison of two frailty indexes: The mobilize boston study. J Am Geriatr Soc. 2009;57(9):1532-1539. https://doi.org/10.1111/j.1532-5415.2009.02394.x
  26. Kohl HW, Craig CL, Lambert EV, et al. The pandemic of physical inactivity: Global action for public health. Lancet. 2012;380(9838):294-305. https://doi.org/10.1016/S0140-6736(12)60898-8
  27. Kuczmarksi MF, Cotugna N. Outcome evaluation of a 3-year senior health and wellness initiative. J Community Health. 2009;34(1):33-39. https://doi.org/10.1007/s10900-008-9124-6
  28. Lachenmayr S, Mackenzie G. Building a foundation for systems change: Increasing access to physical activity programs for older adults. Health Promot Pract. 2004;5(4):451-458. https://doi.org/10.1177/1524839903257312
  29. Larson EB, Wang L, Bowen JD, et al. Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Ann Intern Med. 2006;144(2):73-81. https://doi.org/10.7326/0003-4819-144-2-200601170-00004
  30. Mann M, Edwards D, Manville Baum C. OASIS: A new concept for promoting the quality of life for older adults. Am J Occup Ther. 1986;40(1):784-786. https://doi.org/10.5014/ajot.40.11.784
  31. Matuska K, Giles-Heinz A, Flinn N, et al. Outcome of a pilot occupational therapy wellness program for older adults. Am J Occup Ther. 2003;57(2):220-224. https://doi.org/10.5014/ajot.57.2.220
  32. Murtagh EM, Murphy MH, Murphy NM, et al. Prevalence and correlates of physical inactivity in community-dwelling older adults in ireland. PloS One. 2015;10(2):1-11. https://doi.org/10.1371/journal.pone.0118293
  33. Nicolaidis C, McKeever C, Meucci S. A community-based wellness program to reduce depression in african americans: Results from a pilot intervention. Prog Community Health Partnersh. 2013;7(2):145-152. https://doi.org/10.1353/cpr.2013.0017
  34. Palmore E. Predictors of successful aging. Gerontologist 1979;19(5 Pt 1):427-431. https://doi.org/10.1093/geront/19.5_Part_1.427
  35. Park KM, Steelman LA. Organizational wellness programs: A meta analysis. J Occup Health Psychol. 2008;13:58-68. https://doi.org/10.1037/1076-8998.13.1.58
  36. Phelan EA, Anderson LA, Lacroix AZ, et al. Older adults' views of "successful aging"--how do they compare with researchers' definitions? J Am Geriatr Soc. 2004;52(2):211-216. https://doi.org/10.1111/j.1532-5415.2004.52056.x
  37. Rowe J, Kahn R. Successful Aging: The MacArthur Foundation Study. 1st ed. Dell Publishing, Random House Inc, New York. 1998:17-22.
  38. Snodgrass SJ, Rivett DA, Mackenzie LA. Perceptions of older people about falls injury prevention and physical activity. Aust J aging. 2005;24(2):114-118. https://doi.org/10.1111/j.1741-6612.2005.00086.x
  39. Song M, Seo K, Choi S, et al. Seniors centre-based health intervention programmes in the united states and south korea: A systematic review. Int J Nurs Pract. 2017:e12568.
  40. Soriano TA, DeCherrie LV, Thomas DC. Falls in the community-dwelling older adult: A review for primary-care providers. Clin Interv Aging. 2007;2(4):545-553.
  41. Spirduso W, Cronin D. Exercise dose-response effects on quality of life and independent living in older adults. Med Sci Sport Exer. 2001;333(6):598-608.
  42. Stubbs B, Eggermont L, Soundy A, et al. What are the factors associated with physical activity (PA) participation in community dwelling adults with dementia? A systemic review of PA correlates. Arch Gerontol Geriat. 2014;59(2):195-203. https://doi.org/10.1016/j.archger.2014.06.006
  43. Sturgeon S. Health promotion challenges: Promoting mental health as an essential aspect of health promotion. Health Promot Int. 2007;21(suppl 1):36-41.
  44. Sun F, Norman IJ, While AE. Physical activity in older people: a systematic review. BMC Public Health 2013;13(1):449. https://doi.org/10.1186/1471-2458-13-449
  45. U.N. Department of Economic and Social Affairs, Population Division. World Population aging 2015:211-215.
  46. U.S. Department of Health and Human Services. Healthy People 2010: Understanding and improving health, 2000:27-30.
  47. Velozo CA, Kielhofner G, Lai JS. The use of rasch analysis to produce scale-free measurement of functional ability. Am J Occup Ther. 1999;53(1):83-90. https://doi.org/10.5014/ajot.53.1.83
  48. Washburn RA, Smith KW, Jette AM, et al. The physical activity scale for the elderly (PASE): Development and evaluation. J Clin Epidemiol. 1993;46(2):153-162. https://doi.org/10.1016/0895-4356(93)90053-4
  49. Werkman A, Schuit AJ, Kwak, L, et al. Study protocol of a cluster randomized controlled trial investigating the effectiveness of a tailored energy balance program for recent retirees. BMC Public Health. 2006;6(1):293. https://doi.org/10.1186/1471-2458-6-293
  50. Woo J, Yu R, Wong M, et al. Frailty screening in the community using the frail scale. J Am Med Dir Assoc. 2015;16(5):412-419. https://doi.org/10.1016/j.jamda.2015.01.087
  51. World Health Organization. Health promotion international. An official Journal of the International Union for Health Promotion and Education. 2006;21(suppl 1):10-14.