Thiel A, Sudeck G, Niess A, Eschweiler G W, Altmeier D, Haigis D, Pomiersky R, Schmid J, Frahsa A
Institute of Sport Science, Eberhard Karls University of Tübingen, Tübingen, Germany.
Interfaculty Research Institute for Sport and Physical Activity, University of Tübingen, Tübingen, Germany.
Contemp Clin Trials Commun. 2021 Aug 1;23:100828. doi: 10.1016/j.conctc.2021.100828. eCollection 2021 Sep.
Physical activity (PA) is a major contributor to healthy aging. However, physical inactivity is prevalent among the elderly in Germany, particularly in institutionalized settings such as nursing homes. This paper aims to describe the study objectives, design, methods, assessment types, collection schedules and considerations for analyzing the data within the BaSAlt study on facilitators and barriers for PA promotion in nursing homes.
We designed the BaSAlt study as a participatory intervention study with multiple measurement points in six to eight nursing homes with a total of approx. 200 residents using four main modules: (1) setting-level analysis of physical activity patterns, physical activity-related climate and physical activity-related interaction with 'significant others,' and organizational facilitators and barriers to physical activity, (2) physical-activity related individual-level analysis of objective and self-reported physical activity and sedentary behavior, a geriatric assessment with established procedures, assessment of people's activity and health biographies (biographical mapping) as well as their motivational, subjective well-being and distress status, and (3) a counseling module that integrates counseling at the setting level as well as individual physical activity counseling for residents. In module (4) evaluation, the effects of integrated counseling with regard to the implementation of PA promotion strategies are analyzed.
This study will extend our knowledge of physical activity promotion in German nursing homes. Its findings will inform governmental authorities, care professionals, and academics on how to reach a particular group, characterized by inactivity, multimorbidity, and a high prevalence of dementia, residing in nursing homes, a setting that will gain further relevance in the future.
体育活动是健康老龄化的一个主要因素。然而，身体不活动在德国老年人中很普遍，尤其是在养老院等机构化环境中。本文旨在描述在巴塞尔特研究中促进养老院体育活动的促进因素和障碍的研究目标、设计、方法、评估类型、收集时间表以及数据分析的注意事项。
我们将巴塞尔特研究设计为一项参与性干预研究，在六到八所养老院设置多个测量点，共有约200名居民参与，使用四个主要模块：（1）对体育活动模式、与体育活动相关的氛围以及与“重要他人”的体育活动相关互动进行机构层面分析，以及体育活动的组织促进因素和障碍；（2）对客观和自我报告的体育活动及久坐行为进行与体育活动相关的个体层面分析，采用既定程序进行老年评估，评估人们的活动和健康经历（传记映射）以及他们的动机、主观幸福感和痛苦状态；（3）一个咨询模块，包括机构层面的咨询以及针对居民的个体体育活动咨询。在模块（4）评估中，分析综合咨询对体育活动促进策略实施的效果。
本研究将扩展我们对德国养老院体育活动促进的认识。其研究结果将为政府当局、护理专业人员和学者提供信息，说明如何接触到居住在养老院的特定群体，该群体的特点是不活动、患有多种疾病且痴呆症患病率高，而养老院在未来将变得更加重要。
