This five arm feasibility study aims to promote self-management in strength and balance exercises among community-living older people. The research process, implementation strategies and procedures, acceptability of the exercise programs, perceived benefits of the programs, and the ecological validity, acceptability and ability to detect change of possible outcome measurements will be evaluated before a future randomized controlled trial. A comparison of two exercise programs will be performed; a) Safe Step, a mobile technology based exercise program with motivational strategies, developed by researchers in collaboration with older adults, and b) Otago Exercise Program (OEP), home exercises presented in a booklet. The older participants will be free to select either of the intervention programs and the selection process and outcome will be studied as part of the process evaluation. The participants in three of the arms (OEP, Safe Step, and Safe Step with mentors) will be recruited through advertisements in local papers and through posters and meetings at senior citizens organisations. In the fourth and fifth arms (OEP and Safe Step) the participants will be recruited from health care centres and their registered professionals with experience of greens prescriptions (Fysisk aktivitet på recept). All five groups, with at least 10 participants in each, will be exercising for four months and will undergo testing at baseline, after two and four months and they will be asked to keep an exercise diary (digital or paper format) during the intervention.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
69
Caring Science Buildning, Umeå University
Umeå, Sweden
Adherence
adherence to the program from baseline to four months
Time frame: after 4 month
Change: Attitudes to Falls-Related Interventions Scale (AFRIS)
Time frame: baseline, two month and four month
Change: Behavioural Regulation In Exercise Questionnaire (BREQ-2)
Time frame: baseline, two month and four month
Change: Iconographical Falls Efficacy Scale (Icon-FES)
Participants' falls-efficacy in certain situations
Time frame: baseline and four month
Change: Activity Specific Balance Confidence Scale (ABC)
Participants' falls-efficacy in certain situations
Time frame: baseline and four month
Change: Late-Life Function and Disability Instrument (LLFDI)
a person's ability to do discrete actions or activities, and disability-a person's performance of socially defined life tasks
Time frame: baseline and four month
Change: Short Physical Performance Battery
Standing balance, leg muscle strength in chair stand, and gait speed
Time frame: baseline and four month
Change: 30 second chair-stand
Leg muscle strength in chair stand
Time frame: baseline and four month
Usability of the programs
Interviews and observations
Time frame: Up to four months
Uptake
Proportion of invited participants that accepted and started the program.
Time frame: baseline
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