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Promoting physical activity in geriatric patients with cognitive impairment after discharge from ward-rehabilitation: a feasibility study

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Listed:
  • Tobias Eckert

    (AGAPLESION Bethanien Hospital Heidelberg, Geriatric Centre at the University of Heidelberg)

  • Martin Bongartz

    (AGAPLESION Bethanien Hospital Heidelberg, Geriatric Centre at the University of Heidelberg)

  • Phoebe Ullrich

    (AGAPLESION Bethanien Hospital Heidelberg, Geriatric Centre at the University of Heidelberg)

  • Bastian Abel

    (AGAPLESION Bethanien Hospital Heidelberg, Geriatric Centre at the University of Heidelberg)

  • Werner Christian

    (AGAPLESION Bethanien Hospital Heidelberg, Geriatric Centre at the University of Heidelberg
    Centre of Geriatric Medicine, University of Heidelberg)

  • Rainer Kiss

    (University of Applied Sciences)

  • Klaus Hauer

    (AGAPLESION Bethanien Hospital Heidelberg, Geriatric Centre at the University of Heidelberg)

Abstract

The aim of the present study was to examine adherence and acceptance of a home-based program to promote physical activity (PA) in older persons with cognitive impairment (CI) following inpatient rehabilitation. Sixty-three older persons (≥ 65 years) with mild to moderate CI (Mini-Mental State Examination score 17–26), allocated to the intervention group of a randomized, controlled intervention trial underwent a 12-week home-based PA intervention including (1) physical training and outdoor walking to improve functional fitness and (2) motivational strategies (goal-setting, pedometer-based self-monitoring, social support delivered by home visits, phone calls) to promote PA. Training logs were used to assess adherence to physical training, outdoor walking and to motivational strategies (goal-setting, pedometer-based self-monitoring). Acceptance (subjective feasibility and effectiveness) of the program components was assessed by a standardized questionnaire. Mean adherence rates over the intervention period were 63.6% for physical training, 57.9% for outdoor walking, and between 40.1% (achievement of walking goals), and 60.1% (pedometer-based self-monitoring) for motivational strategies. Adherence rates significantly declined from baseline to the end of intervention (T1: 43.4–76.8%, T2: 36.1–51.5%, p values

Suggested Citation

  • Tobias Eckert & Martin Bongartz & Phoebe Ullrich & Bastian Abel & Werner Christian & Rainer Kiss & Klaus Hauer, 2020. "Promoting physical activity in geriatric patients with cognitive impairment after discharge from ward-rehabilitation: a feasibility study," European Journal of Ageing, Springer, vol. 17(3), pages 309-320, September.
    • Handle: RePEc:spr:eujoag:v:17:y:2020:i:3:d:10.1007_s10433-020-00555-w
    DOI: 10.1007/s10433-020-00555-w
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    References listed on IDEAS

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    1. Nanna Notthoff & Peter Klomp & Friederike Doerwald & Susanne Scheibe, 2016. "Positive messages enhance older adults’ motivation and recognition memory for physical activity programmes," European Journal of Ageing, Springer, vol. 13(3), pages 251-257, September.
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