Keogh Justin W L, Henwood Tim, Gardiner Paul, Tuckett Anthony, Hodgkinson Brent, Rouse Kevin
Faculty of Health Sciences and Medicine, Bond University, Robina, Australia; Human Potential Centre, AUT University, Auckland, New Zealand; Cluster for Health Improvement, Faculty of Science, Health, Education and Engineering, University of the Sunshine Coast, Queensland, Australia.
Faculty of Health Sciences and Medicine, Bond University, Robina, Australia; AgeFIT Solutions, Brisbane, Australia; The University of Queensland, School of Human Movement and Nutrition Sciences, Brisbane, Australia.
Arch Gerontol Geriatr. 2017 Jan-Feb;68:97-105. doi: 10.1016/j.archger.2016.10.001. Epub 2016 Oct 6.
Progressive resistance plus balance training (PRBT) has been demonstrated as effective in reducing later life physical disability, falls risk and poor health, even among those with complex health care needs. However, few studies have examined the influence of PRBT on health service utilisation, cognitive wellbeing and training modality acceptance or undertaken a cost benefit analysis. This project will investigate the broad scope benefits of PRBT participation among community-dwelling older Australians receiving Government supported aged care packages for their complex health care needs. Using a modified stepped-wedge design, 248 community-dwelling adults 65 years and older with some level of government support aged care have been randomised into the study. Those randomised to exercise undertake six months of twice weekly machine-based, moderate to high intensity, supervised PRBT, followed by a six month unsupervised, unsupported follow-up. Controls spend six months undertaking usual activities, before entering the PRBT and follow-up phases. Data are collected at baseline and after each of the six month phases. Measures include level of and change in health and care needs, body composition, muscle capacity, falls, sleep, quality of life, nutritional and mental health status. In addition, acceptance and engagement is determined through telephone and focus group interviews complementing a multi-model health cost benefit evaluation. It is hypothesised this study will demonstrate the feasibility and efficacy of PRBT in improving primary and secondary health outcomes for older adults with aged care needs, and will support the value of this modality of exercise as an integral evidence-based service model of care.
渐进性抗阻训练与平衡训练（PRBT）已被证明能有效降低老年人的身体残疾、跌倒风险和健康状况不佳，即使是那些有复杂医疗需求的人。然而，很少有研究考察PRBT对医疗服务利用、认知健康和训练方式接受度的影响，或进行成本效益分析。本项目将调查参与PRBT对澳大利亚社区居住的老年人的广泛益处，这些老年人因复杂的医疗需求而接受政府支持的老年护理套餐。采用改良的阶梯楔形设计，248名65岁及以上、获得一定政府支持的社区居住成年人被随机纳入研究。随机分组进行锻炼的人进行为期六个月的基于器械的、中等到高强度的、有监督的PRBT，每周两次，随后是为期六个月的无监督、无支持的随访。对照组在进入PRBT和随访阶段之前，先进行六个月的日常活动。在基线和每个六个月阶段结束后收集数据。测量指标包括健康和护理需求的水平及变化、身体成分、肌肉能力、跌倒情况、睡眠、生活质量、营养和心理健康状况。此外，通过电话和焦点小组访谈来确定接受度和参与度，以补充多模式健康成本效益评估。研究假设，本研究将证明PRBT在改善有老年护理需求的老年人的初级和二级健康结局方面的可行性和有效性，并将支持这种运动方式作为一种基于证据且不可或缺的护理服务模式的价值。
