Effectiveness of an individually tailored home-based exercise rogramme for pre-frail older adults, driven by a tablet application and mobility monitoring: a pilot study

European Review of Aging and Physical Activity

Hilde A. E. Geraedts¹  Wiebren Zijlstra²  Iman Khaghani Far³  Francisco Ibarra⁴  Hidde Dijkstra⁵  Martin Stevens⁵  Wei Zhang⁶ 

[1] Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands;Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands;Institute of Movement and Sport Gerontology, German Sport University Cologne, Cologne, Germany;Department of Information Engineering and Computer Science, University of Trento, Trento, TN, Italy;Department of Information Engineering and Computer Science, University of Trento, Trento, TN, Italy;Department of Electronics and Informatics, “Nuestra Señora de la Asunción” Catholic University, Asunción, Paraguay;Department of Orthopaedics, University of Groningen, University Medical Center Groningen, P.O. BOX 30.001, 9700 RB, Groningen, The Netherlands;Philips Research Europe, Eindhoven, The Netherlands;

关键词: Body-worn sensors;    Home-based exercise programs;    Remote physical activity monitoring;    Older adults;    Daily physical activity;   

DOI  :  10.1186/s11556-021-00264-y

来源: Springer

【 摘 要 】

ObjectivesTo gain first insight into the effectiveness of a home-based exercise programme for pre-frail older adults with independent use of novel ICT technology.MethodsA pilot study. Forty pre-frail older adults joined a six-month home-based exercise programme using a tablet PC for exercise administration and feedback, and a necklace-worn motion sensor for daily physical activity registration. Participants received weekly telephone supervision during the first 3 months and exercised independently without supervision from a coach during the last 3 months. Functional performance and daily physical activity were assessed at baseline, after three and 6 months.ResultsTwenty-one participants completed the programme. Overall, functional performance showed positive results varying from (very) small to large effects (Cohen’s d 0.04–0.81), mainly during the supervised part of the intervention. Regarding daily physical activity, a slight improvement with (very) small effects (Cohen’s d 0.07–0.38), was observed for both self-reported and objectively measured physical activity during the supervised period. However, during the unsupervised period this pattern only continued for self-reported physical activity.ConclusionThis pilot study showed positive results varying from (very) small to large effects in levels and maintenance of functional performance and daily physical activity, especially during the supervised first 3 months.Remote supervision seems to importantly affect effectiveness of a home-based exercise programme. Effectiveness of the programme and the exact contribution of its components should be further quantified in a randomized controlled trial.Practice implicationsHome-based exercising using novel technology may be promising for functional performance and physical activity improvement in (pre-frail) older adults.Trial registrationNetherlands Trial Register (NTR); trial number NL4049. The study was prospectively registered (registration date 14/11/2013).

【 授权许可】

CC BY