Hill Anne-Marie, Starling Trish, Xin Wei, Naseri Chiara, Xu Dan, O'Brien Geraldine, Etherton-Beer Christopher, Flicker Leon, Bulsara Max, Morris Meg E, Vaz Sharmila
School of Allied Health, The University of Western Australia, Perth, WA 6009, Australia.
WA Centre for Health and Ageing, The University of Western Australia, Perth, WA 6009, Australia.
Int J Environ Res Public Health. 2024 Dec 13;21(12):1667. doi: 10.3390/ijerph21121667.
The rising prevalence of chronic diseases could be mitigated by expanding community programs. This study aimed to evaluate the feasibility of delivering a community wellness program for older adults living with chronic disease. A two-group randomized controlled study, with blinded assessments, enrolling adults (≥50 years) with chronic disease, was conducted at a Western Australian community hub. Participants randomly allocated to the intervention participated in exercise groups and a wellness activity twice a week. Both the intervention and control groups received a Fitbit™ and workbook. The primary outcomes were recruitment, retention, acceptability, and suitability. The secondary outcomes measured at baseline and 12 weeks included physical function and physical activity (step count). There were 126 older adults approached, of whom 22 (17.5%) were recruited. Eighteen participants (mean age = 70.8 ± 8.1, n = 8 intervention, n = 10 control) completed 12 weeks. Two intervention participants (25% adherence) completed over 70% of sessions and eight participants (44.4% retention) accepted an ongoing 3-month program. Health problems (30.2%) were barriers to both recruitment and adherence. There were no significant between-group differences in physical function. Physical activity was significantly higher in the intervention group compared to the control group ( = 0.01). Tailored programs with ongoing support may be required to improve the health of older adults living with chronic disease.
扩大社区项目可以缓解慢性病患病率上升的问题。本研究旨在评估为患有慢性病的老年人开展社区健康项目的可行性。在西澳大利亚的一个社区中心进行了一项两组随机对照研究，对患有慢性病的成年人（≥50岁）进行盲法评估。随机分配到干预组的参与者每周参加两次运动小组和一次健康活动。干预组和对照组均获得一个Fitbit™和一本工作手册。主要结局指标为招募率、留存率、可接受性和适宜性。在基线和12周时测量的次要结局指标包括身体功能和身体活动（步数）。共接触了126名老年人，其中22人（17.5%）被招募。18名参与者（平均年龄=70.8±8.1，n=8干预组，n=10对照组）完成了12周的研究。两名干预组参与者（依从率25%）完成了超过70%的课程，八名参与者（留存率44.4%）接受了为期3个月的持续项目。健康问题（30.2%）是招募和依从性的障碍。两组在身体功能方面无显著差异。干预组的身体活动水平显著高于对照组（P=0.01）。可能需要有持续支持的定制项目来改善患有慢性病的老年人的健康状况。
