Faculty of Health Sciences, Curtin University, Perth, WA, Australia ; Research Department, Silver Chain, Perth, WA, Australia.
Clin Interv Aging. 2013;8:1591-601. doi: 10.2147/CIA.S44614. Epub 2013 Dec 2.
Restorative home care services are short-term and aimed at maximizing a person's ability to live independently. They are multidimensional and often include an exercise program to improve strength, mobility, and balance. The aim of this study was to determine whether a lifestyle exercise program would be undertaken more often and result in greater functional gains than the current structured exercise program delivered as part of a restorative home care service for older adults.
A pragmatic randomized controlled trial was conducted in an organization with an established restorative home care service. Individuals who were to have an exercise program as part of their service were randomized to receive either a lifestyle and functional exercise program called LiFE (as this was a new program, the intervention) or the structured exercise program currently being used in the service (control). Exercise data collected by the individuals throughout and pre and post intervention testing was used to measure balance, strength, mobility, falls efficacy, vitality, function, and disability.
There was no difference between the groups in the amounts of exercise undertaken during the 8-week intervention period. Outcome measurement indicated that the LiFE program was as effective, and on 40% of the measures, more effective, than the structured exercise program.
Organizations delivering restorative home care services that include an exercise component should consider whether LiFE rather than the exercise program they are currently using could help their clients achieve better outcomes.
康复居家护理服务是短期的，旨在最大限度地提高个人的独立生活能力。这些服务是多维度的，通常包括一个锻炼计划，以提高力量、移动性和平衡能力。本研究旨在确定生活方式锻炼计划是否会更频繁地进行，并比目前作为康复居家护理服务一部分提供的结构化锻炼计划带来更大的功能增益。
在一个拥有成熟康复居家护理服务的组织中进行了一项实用的随机对照试验。将接受服务中锻炼计划的个人随机分为接受称为 LiFE（由于这是一个新计划，属于干预措施）的生活方式和功能性锻炼计划或当前在服务中使用的结构化锻炼计划（对照组）。个人在整个干预期间和干预前后测试中收集的锻炼数据用于测量平衡、力量、移动性、跌倒效能、活力、功能和残疾。
在 8 周的干预期间，两组之间的锻炼量没有差异。结果测量表明，LiFE 计划与结构化锻炼计划一样有效，在 40%的测量指标上更有效。
提供包含锻炼部分的康复居家护理服务的组织应该考虑是否可以使用 LiFE 而不是他们目前使用的锻炼计划来帮助他们的客户获得更好的结果。
