Category: Geriatric Rehabilitation; Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)
Translating and implementing research exercise programs that fit into the context of community service provisions is critical to prevent late-life disability. The purpose of this study was to examine the feasibility of a staff-led 3-Step Workout for Life using a logic model.
A logic model that portrayed resources, activities, outputs, outcomes, and impact was developed to guide this one-year pilot implementation study, which consisted of two phases. During the development phase, the academic investigator and community fitness staff together modified the screening and intervention protocol. During the implementation phase, the community staff recruited and screened residents, and delivered modified 3-Step Workout for Life. Pre and posttest data were analyzed with the Wilcoxon Signed Rank Test.
Setting : A local senior living community
Participants (or Animals, Specimens, Cadavers) :
Seventeen residents who were inactive, showed muscle weakness, and experienced difficulty in performing activities of daily living (mean age = 80 years) were enrolled, 14 completed the program.
3-Step Workout for Life, a 10-week task-oriented exercise program, which included group resistance exercise in the gym and individualized activities of daily living exercise at home.
Main Outcome Measure(s) :
The motor skills score of the Assessment of Motor and Process Skills was selected to evaluate the performance-based outcome of activities of daily living. The performance score of the Canadian Occupational Performance Measure was selected to evaluate the self-reported outcome of activities of daily living.
The self-report outcome improved significantly (Z = 3.11, p < .01), while the performance-based outcome approached marginal significance (Z = 1.93, p = .05).
This study supported the feasibility of implementing 3-Step Workout for Life to promote independence for residents at risk of late-life disability in a senior living community.
Chiung-ju (CJ) Liu– Associate Professor, University of Florida Department of Occupational Therapy, Gainesville, Florida
Judy Donovan– Fitness Director, Crestwood Village, Indianapolis, Indiana
Charly Wolford– Clinical doctoral student, Indiana University Department of Occupational Therapy, Indianapolis, Indiana