A novel approach to the issue of physical inactivity in older age

Abstract

ObjectiveWell-designed exercise can prevent falls in older people but previous research indicates that promoting general physical activity may increase falls. This study aimed to evaluate uptake and adherence to a physical activity promotion and fall prevention intervention among community-dwelling people aged 60+ years. MethodsThis was a process evaluation of intervention group data from an ongoing randomised controlled trial. Participants were 38 Australian community-dwelling older people assigned to intervention group who had completed 3months of a physical activity and fall prevention intervention. Study measures included baseline daily step count assessed by Actigraph accelerometers, 12week follow-up step count assessed by Fitbit pedometers and rating of participant engagement with the health coaching intervention. Results35 participants remained in the study at week 12 and were analysed. Mean daily steps significantly increased in week 12 compared with steps at baseline (change in mean=1101 steps, 95% CI: 285–1917, p=0.01). Health coaching engagement was rated as high for 19 people (54%), medium for 12 (34%) and low for 4 people (12%). All participants used the Fitbit to provide feedback about daily activity. ConclusionThe excellent intervention compliance and promising physical activity results demonstrate the acceptability and feasibility of this novel intervention.