In:
Translational Journal of the American College of Sports Medicine, Ovid Technologies (Wolters Kluwer Health), Vol. 3, No. 3 ( 2018-2-1), p. 19-27
Abstract:
On the Move (OTM), a motor control–based group exercise program for community-dwelling older adults, has produced greater gains in mobility compared with a standard group exercise program when delivered by research leaders. The purposes of this study were as follows: 1) to examine the effectiveness of OTM versus a standard program when delivered by lay leaders and 2) to compare the outcomes of OTM when delivered by research versus lay leaders. Methods Community-dwelling, medically stable older adults who could walk household distances participated. OTM consisted of warm-up, timing and coordination, strengthening, and stretching exercises. The seated standard program consisted of warm-up, aerobic, strengthening, and stretching exercises. The primary outcome of function and disability was the Late Life Function and Disability Instrument (LLFDI), and for walking ability, the primary outcomes were the 6-min walk test and gait speed. Results One hundred twenty-six participants (mean age, 80.7 ± 7.8 yr; gait speed, 0.91 m·s −1 ) were randomized to OTM ( n = 49) or standard ( n = 77) programs. When taught by lay leaders, there were no significant between-intervention group differences in any of the outcomes ( P 〉 0.10). Comparing OTM outcomes between leaders, there was a statistical but not clinically meaningful difference in LLFDI disability (1.87 ± 0.89, P = 0.04) when taught by research versus lay leader, and moderate differences ( P = 0.06) in LLFDI overall function (1.89 ± 1.02) and gait speed (0.05 ± 0.03). Qualitative interview responses suggest that instructor-related concerns may have affected program outcomes. Conclusions When delivered by lay leaders, OTM was not more effective than a standard program for improving function, disability, and mobility in older adults. Health promotion programs designed to improve mobility in community-dwelling older adults and based on a motor control theoretical background may be best taught by rehabilitation professionals.
Type of Medium:
Online Resource
ISSN:
2379-2868
,
2379-2868
DOI:
10.1249/TJX.0000000000000053
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2018
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