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Promoting Healthy Aging for Older People Living with Chronic Disease by Implementing Community Health Programs: A Randomized Controlled Feasibility Study

Author

Listed:
  • Anne-Marie Hill

    (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)

  • Trish Starling

    (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)

  • Wei Xin

    (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
    Curtin Medical School, Curtin University, Bentley, WA 6102, Australia)

  • Chiara Naseri

    (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
    St John of God Health Care, Midland, WA 6056, Australia)

  • Dan Xu

    (Curtin Medical School, Curtin University, Bentley, WA 6102, Australia
    Curtin School of Population Health, Faculty of Health Sciences, Curtin University, Bentley, WA 6102, Australia
    Department of Medical Education and General Practice Research, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510275, China)

  • Geraldine O’Brien

    (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)

  • Christopher Etherton-Beer

    (WA Centre for Health and Ageing, The University of Western Australia, Perth, WA 6009, Australia
    The Medical School, The University of Western Australia, Perth, WA 6009, Australia
    Geriatric and Rehabilitation Medicine, Royal Perth Hospital, Perth, WA 6000, Australia)

  • Leon Flicker

    (WA Centre for Health and Ageing, The University of Western Australia, Perth, WA 6009, Australia
    The Medical School, The University of Western Australia, Perth, WA 6009, Australia)

  • Max Bulsara

    (Institute for Health Research, University of Notre Dame, Fremantle, WA 6160, Australia)

  • Meg E. Morris

    (Academic and Research Collaborative in Health and Care Economy Research Institute, La Trobe University, Melbourne, VIC 3086, Australia
    Victorian Rehabilitation Centre, Glen Waverley, Melbourne, VIC 3150, Australia)

  • Sharmila Vaz

    (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
    Ngangk Yira Institute for Change, Murdoch University, Murdoch, WA 6150, Australia)

Abstract

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 ( p = 0.01). Tailored programs with ongoing support may be required to improve the health of older adults living with chronic disease.

Suggested Citation

  • Anne-Marie Hill & Trish Starling & Wei Xin & Chiara Naseri & Dan Xu & Geraldine O’Brien & Christopher Etherton-Beer & Leon Flicker & Max Bulsara & Meg E. Morris & Sharmila Vaz, 2024. "Promoting Healthy Aging for Older People Living with Chronic Disease by Implementing Community Health Programs: A Randomized Controlled Feasibility Study," IJERPH, MDPI, vol. 21(12), pages 1-19, December.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:12:p:1667-:d:1543188
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    References listed on IDEAS

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    1. Andrew M Briggs & Islene Araujo de Carvalho, 2018. "Actions required to implement integrated care for older people in the community using the World Health Organization's ICOPE approach: A global Delphi consensus study," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-16, October.
    2. Daniel Collado-Mateo & Ana Myriam Lavín-Pérez & Cecilia Peñacoba & Juan Del Coso & Marta Leyton-Román & Antonio Luque-Casado & Pablo Gasque & Miguel Ángel Fernández-del-Olmo & Diana Amado-Alonso, 2021. "Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review," IJERPH, MDPI, vol. 18(4), pages 1-24, February.
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