Faculty of Health Sciences, Curtin University, Perth, Australia.
BMC Health Serv Res. 2013 Oct 18;13:419. doi: 10.1186/1472-6963-13-419.
Restorative home care services help older people maximise their independence using a multi-dimensional approach. They usually include an exercise program designed to improve the older person's strength, balance and function. The types of programs currently offered require allocation of time during the day to complete specific exercises. This is not how the majority of home care clients prefer to be active and may be one of the reasons that few older people do the exercises regularly and continue the exercises post discharge.This paper describes the study protocol to test whether a Lifestyle Functional Exercise (LiFE) program: 1) is undertaken more often; 2) is more likely to be continued over the longer term; and, 3) will result in greater functional gains compared to a standard exercise program for older people receiving a restorative home care service.
A pragmatic randomised controlled trial (RCT) design was employed with two study arms: LiFE program (intervention) and the current exercise program (control).
Silver Chain, a health and community care organisation in Perth, Western Australia.
One hundred and fifty restorative home care clients, aged 65 years and older.
The primary outcome is a composite measure incorporating balance, strength and mobility. Other outcome measures include: physical functioning, falls efficacy, and levels of disability and functioning.
If LiFE is more effective than the current exercise program, the evidence will be presented to the service management accompanied by the recommendation that it be adopted as the generic exercise program to be used within the restorative home care service.
Australian and New Zealand Clinical Trials Registry ACTRN12611000788976.
康复家庭护理服务采用多维度方法帮助老年人最大限度地提高独立性。它们通常包括旨在提高老年人力量、平衡和功能的锻炼计划。目前提供的各种计划需要在白天分配时间来完成特定的锻炼。这不是大多数家庭护理客户喜欢的活动方式，这可能也是为什么很少有老年人定期进行锻炼并在出院后继续锻炼的原因之一。本文介绍了一项研究方案，以测试生活功能性锻炼 (LiFE) 计划是否：1）更频繁地进行；2）更有可能在长期内持续进行；并且，3）与接受康复家庭护理服务的老年人的标准锻炼计划相比，将带来更大的功能收益。
采用实用随机对照试验 (RCT) 设计，有两个研究组：LiFE 计划（干预组）和当前的锻炼计划（对照组）。
西澳大利亚珀斯的 Silver Chain，一家健康和社区护理组织。
150 名 65 岁及以上的康复家庭护理客户。
主要结果是一项包含平衡、力量和活动能力的综合测量。其他结果测量包括：身体功能、跌倒效能以及残疾和功能水平。
如果 LiFE 比当前的锻炼计划更有效，将向服务管理层提交证据，并建议将其作为康复家庭护理服务中使用的通用锻炼计划采用。
澳大利亚和新西兰临床试验注册 ACTRN12611000788976。
