O.1.2-1 ACTIVE-AGE@home: a home-based functional exercise program for community dwelling frail older adults: mixed method study

Abstract

Abstract Purpose The world population is ageing rapidly because of longer life expectancy and shrinking fertility rates. Not all older adults age in a healthy way. Evidence-based estimates indicate that 35-40% of the older adults are in a frail or prefrail state. Multi-component physical activity (PA) programs have shown to be effective to tackle frailty. However, only a scarce amount of the older adults succeed to overcome barriers towards PA. This pilot study aimed to examine the feasibility and acceptability of a home-based, functional PA program, ACTIVE-AGE@home, in frail community dwelling older adults. Methods In a mixed method design, a single-blind pragmatic randomized trial with two intervention groups (light (n = 29) and intensive (n = 18) version of ACTIVE-AGE@home) and one control group (n = 23) was conducted. In addition, qualitative data was collected through in-depth interviews, pre-and post-intervention, to reveal the participant’s subjective experience regarding the program. Results The arm curl test (p = 0.03), balance and gate (p = 0.052) and also independence, participation and health related quality of life (borderline significant) showed positive effects in favor for the most intensive version of ACTIVE-AGE@home compared to the control group. Nearly all participants in both intervention groups experienced positive effects regarding: fitness (90%), stability (80%), agility (70%), confidence (63%), resilient (90%) and 63% had less fear of falling. The training program was considered acceptable (95%). Conclusion Literature showed clear impact of PA on the physical, mental, emotional and social wellbeing of older adults. These findings were confirmed in this pilot study. ACTIVE-AGE@home shows great potential for further research. Therefore, starting 2023, the effectiveness and cost-effectiveness of the updated ACTIVE-AGE@home program will be tested on a bigger scale. Support/funding source The pilot study was developed by funding of the Flemish Government at Artevelde University of Applied Sciences. The updated version of ACTIVE-AGE@home (2022-2026) is funded by The Research Foundation – Flanders (FWO) as a Applied Biomedical Research with a Primary Social finality.