The goals of this research project were: 1) to develop a senior-tailored Healthy Beat Accupunch (HBA) exercise program for community-dwelling older adults, 2) to test the effects of a six-month, instructor-led HBA exercise program, and 3) to evaluate the feasibility, compliance, and long-term effects of a six-month, DVD-guide HBA exercise program.
A three-year, longitudinal, triangulation research method was applied. First Year (Phase I): A preliminary HBA exercise program, including hard copy descriptions and DVD demonstrations of each exercise, was mailed to the 16 experts in the Delphi advisory panel for their critique and evaluation. First Year (Phase II): A quasi-experimental, one-group, pretest-posttest design was used to pilot-test the feasibility of the HBA exercise program on a group of 31 community-dwelling older adults in a community care station. Second Year: A cluster randomized controlled trial was used to test the effects of a six-month, instructor-led HBA exercise program on the functional fitness (cardiovascular-respiratory function, body flexibility, muscle strength, and muscle endurance) of the community-dwelling older adults. Through the use of convenience sampling strategy, eight community care stations with 232 older adults in Kaohsiung were recruited and randomly assigned based on their community care stations to a HBA experimental group or a wait-list control group. Participants in the experimental group received the HBA exercise program led by trained and certified instructors, three times per week, 40 minutes per practice for six months; participants in the wait-list control group continued with their regular daily activities. One pre-test and two post-tests, three months apart, were conducted. Third Year: Using the same method as in the second year, participants from the second year continued practicing the HBA exercise program, but guided by a DVD, for another six months. The feasibility, compliance, and effectiveness of the DVD-led HBA exercise program on the community-dwelling older adults were tested, and another two post-tests, three months apart, were conducted on the same outcome measurements as in the second year.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
232
HBA has three phases and takes 40 minutes to complete.
participants maintain their daily activities.
Kaohsiung Medical University
Kaohsiung City, Taiwan
Digital Sphygmomanometer
Blood Pressure
Time frame: 12 months
TruZoneTM Peak Flow Meter
Lung Capacity
Time frame: 12 months
Two-minute Step Test
Aerobic Endurance
Time frame: 12 months
Back Scratch Test
Upper Body Flexibility
Time frame: 12 months
Chair Sit-and-Reach Test
Lower Body Flexibility
Time frame: 12 months
Digital Handgrip Dynamometer
Hand-Grip Strength
Time frame: 12 months
Arm Curl Test
Upper Limbs Muscle Endurance
Time frame: 12 months
Chair Sit-to-Stand Test
Lower Limbs Muscle Endurance
Time frame: 12 months
Barthel Index
ADL
Time frame: 12 months
chronic pain
pain scale
Time frame: 12 months
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