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A multicomponent exercise intervention to improve physical functioning, cognition and psychosocial well-being in elderly nursing home residents: a study protocol of a randomized controlled trial in the PROCARE (prevention and occupational health in long-term care) project.
BMC Geriatrics ( IF 4.1 ) Pub Date : 2019-12-23 , DOI: 10.1186/s12877-019-1386-6
Thomas Cordes 1 , Laura L Bischoff 1 , Daniel Schoene 2 , Nadja Schott 3 , Claudia Voelcker-Rehage 4 , Charlotte Meixner 1 , Luisa-Marie Appelles 5 , Michael Bebenek 2 , Andre Berwinkel 6 , Claudia Hildebrand 5 , Thomas Jöllenbeck 6 , Bettina Johnen 3 , Wolfgang Kemmler 2 , Thomas Klotzbier 3 , Heide Korbus 3 , Julian Rudisch 4 , Lutz Vogt 7 , Matthias Weigelt 6 , Rita Wittelsberger 5 , Katharina Zwingmann 4 , Bettina Wollesen 1
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BACKGROUND Older adults, who are living in nursing homes that provide a high level of long-term nursing care, are characterized by multimorbidity and a high prevalence of dependency in activities of daily living. Results of recent studies indicate positive effects of structured exercise programs during long-term care for physical functioning, cognition, and psychosocial well-being. However, for frail elderly the evidence remains inconsistent. There are no evidence-based guidelines for exercises for nursing home residents that consider their individual deficits and capacities. Therefore, high-quality studies are required to examine the efficacy of exercise interventions for this multimorbid target group. The purpose of this study is to determine the feasibility and efficacy of a multicomponent exercise intervention for nursing home residents that aims to improve physical and cognitive functioning as well as quality of life. METHODS A two-arm single-blinded multicenter randomized controlled trial will be conducted, including 48 nursing homes in eight regions of Germany with an estimated sample size of 1120 individuals. Participants will be randomly assigned to either a training or a waiting time control group. For a period of 16 weeks the training group will meet twice a week for group-based sessions (45-60 min each), which will contain exercises to improve physical functioning (strength, endurance, balance, flexibility) and cognitive-motor skills (dual-task). The intervention is organized as a progressive challenge which is successively adapted to the residents' capacities. Physical functioning, cognitive performance, and quality of life will be assessed in both study groups at baseline (pre-test), after 16-weeks (post-treatment), and after 32-weeks (retention test, intervention group only). DISCUSSION This study will provide information about the efficacy of a multicomponent exercise program in nursing homes (performance, recruitment). Results from this trial will contribute to the evidence of multicomponent exercises, which specifically focus on cognitive-motor approaches in the maintenance of mental and physical functioning. In addition, it will help to encourage older adults to actively engage in social life. Furthermore, the findings will lead to recommendations for health promotion interventions for frail nursing home residents. TRIAL REGISTRATION The trial was prospectively registered at DRKS.de with the registration number DRKS00014957 on October 9, 2018.

中文翻译:

旨在改善老年疗养院居民身体机能、认知和社会心理健康的多成分运动干预:PROCARE(长期护理中的预防和职业健康)项目随机对照试验的研究方案。

背景技术生活在提供高水平长期护理的疗养院的老年人的特点是患有多种疾病并且日常生活活动依赖程度高。最近的研究结果表明,结构化锻炼计划在长期护理过程中对身体机能、认知和心理健康产生积极影响。然而,对于体弱的老年人来说,证据仍然不一致。目前还没有针对疗养院居民的锻炼指南,考虑到他们的个人缺陷和能力。因此,需要高质量的研究来检验运动干预措施对这一多病态目标群体的有效性。本研究的目的是确定对疗养院居民进行多成分运动干预的可行性和有效性,旨在改善身体和认知功能以及生活质量。方法 将进行一项双臂单盲多中心随机对照试验,包括德国 8 个地区的 48 家疗养院,估计样本量为 1120 人。参与者将被随机分配到训练组或等待时间对照组。在 16 周的时间内,训练小组每周举行两次小组会议(每次 45-60 分钟),其中包括改善身体机能(力量、耐力、平衡、灵活性)和认知运动技能(双任务)。干预措施被组织为一项渐进式挑战,并逐渐适应居民的能力。两个研究组将在基线(测试前)、16 周后(治疗后)和 32 周后(保留测试,仅干预组)评估身体机能、认知表现和生活质量。讨论 本研究将提供有关疗养院多成分运动计划效果的信息(表现、招募)。该试验的结果将有助于证明多成分练习,该练习特别关注维持心理和身体功能的认知运动方法。此外,这将有助于鼓励老年人积极参与社交生活。此外,研究结果将为体弱的疗养院居民提供健康促进干预措施的建议。试验注册 该试验于 2018 年 10 月 9 日在 DRKS.de 前瞻性注册,注册号为 DRKS00014957。
更新日期:2019-12-25
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