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Adherence Is More Than Just Being Present: Example of a Lay-Led Home-Based Programme with Physical Exercise, Nutritional Improvement and Social Support, in Prefrail and Frail Community-Dwelling Older Adults

Author

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  • Christian Lackinger

    (Karl-Landsteiner Institute for Health Promotion Research, 3454 Sitzenberg-Reidling, Austria
    Social Insurance Fund for Public Service, Railway and Mining Industries, Gesundheitseinrichtung Sitzenberg-Reidling, 3454 Sitzenberg-Reidling, Austria)

  • Igor Grabovac

    (Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, 1080 Vienna, Austria)

  • Sandra Haider

    (Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, 1080 Vienna, Austria)

  • Ali Kapan

    (Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, 1080 Vienna, Austria)

  • Eva Winzer

    (Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, 1080 Vienna, Austria)

  • K. Viktoria Stein

    (Karl-Landsteiner Institute for Health Promotion Research, 3454 Sitzenberg-Reidling, Austria
    Social Insurance Fund for Public Service, Railway and Mining Industries, Gesundheitseinrichtung Sitzenberg-Reidling, 3454 Sitzenberg-Reidling, Austria)

  • Thomas E. Dorner

    (Karl-Landsteiner Institute for Health Promotion Research, 3454 Sitzenberg-Reidling, Austria
    Social Insurance Fund for Public Service, Railway and Mining Industries, Gesundheitseinrichtung Sitzenberg-Reidling, 3454 Sitzenberg-Reidling, Austria
    Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, 1080 Vienna, Austria)

Abstract

Background: Little is known about the implementation of lifestyle interventions in frail, community-dwelling people. This study highlights different domains of adherence to explain an effectively delivered home-based intervention. Methods: Eighty prefrail and frail persons (≥65 years) participated in a physical training, nutritional, and social support intervention over 24 weeks. A detailed log book was kept for comprehensive documentation in order to assess adherence and further organizational, exercise, and nutritional parameters. Results: Participants reached an adherence rate (performed home visits/number of planned visits) of 84.0/80.5% from week 1–12/13–24. Out of those, 59% carried out ≥75% of the offered visits. Older age was associated with a higher adherence rate. A mean of 1.5 (0.6) visits/week (2 were planned) were realized lasting for a mean of 1.5 (0.9) hours (154% of the planned duration). Per visit, 1.2 (0.6) circuits of strength training were performed (60.5% of the planned value) and 0.5 (0.3) nutritional interventions (47%). After twelve months, 4.2% still carried out the home visits regularly and 25.0% occasionally. Conclusion: Adherence is much more than “being there”. Adherence rate and category are limited parameters to describe the implementation of a complex lifestyle intervention, therefore a comprehensive documentation is needed.

Suggested Citation

  • Christian Lackinger & Igor Grabovac & Sandra Haider & Ali Kapan & Eva Winzer & K. Viktoria Stein & Thomas E. Dorner, 2021. "Adherence Is More Than Just Being Present: Example of a Lay-Led Home-Based Programme with Physical Exercise, Nutritional Improvement and Social Support, in Prefrail and Frail Community-Dwelling Older ," IJERPH, MDPI, vol. 18(8), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4192-:d:536726
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    References listed on IDEAS

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    1. Sylvia Titze & Wolfgang Schebesch-Ruf & Christian Lackinger & Lena Großschädl & Albert Strehn & Thomas E. Dorner & Josef Niebauer, 2019. "Short-and Long-Term Effectiveness of a Physical Activity Intervention with Coordinated Action between the Health Care Sector and Local Sports Clubs. A Pragmatic Trial in Austrian Adults," IJERPH, MDPI, vol. 16(13), pages 1-11, July.
    2. Sylvia Titze & Christian Lackinger & Lena Grossschaedl & Albert Strehn & Thomas E. Dorner & Josef Niebauer & Wolfgang Schebesch-Ruf, 2018. "How Does Counselling in a Stationary Health Care Setting Affect the Attendance in a Standardised Sports Club Programme? Process Evaluation of a Quasi-Experimental Study," IJERPH, MDPI, vol. 15(1), pages 1-14, January.
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    1. Sylvia Titze & Wolfgang Schebesch-Ruf & Christian Lackinger & Lena Großschädl & Albert Strehn & Thomas E. Dorner & Josef Niebauer, 2019. "Short-and Long-Term Effectiveness of a Physical Activity Intervention with Coordinated Action between the Health Care Sector and Local Sports Clubs. A Pragmatic Trial in Austrian Adults," IJERPH, MDPI, vol. 16(13), pages 1-11, July.

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