Implementation of preventive strength training in residential geriatric care: a multi-centre study protocol with one year of interventions on multiple levels

<p>Abstract</p> <p>Background</p> <p>There is scientific evidence that preventive physical exercise is effective even in high age. In contrast, there are few opportunities of preventive exercise for highly aged people endangered by or actually in need of care. For example, they would not be able to easily go to training facilities; standard exercises may be too intensive and therefore be harmful to them; orientation disorders like dementia would exacerbate individuals and groups in following instructions and keeping exercises going. In order to develop appropriate interventions, these and other issues were assigned to different levels: the individual-social level (ISL), the organisational-institutional level (OIL) and the political-cultural level (PCL). Consequently, this conceptional framework was utilised for development, implementation and evaluation of a new strength and balance exercise programme for old people endangered by or actually in need of daily care. The present paper contains the development of this programme labeled "fit for 100", and a study protocol of an interventional single-arm multi-centre trial.</p> <p>Methods</p> <p>The intervention consisted of (a) two group training sessions every week over one year, mainly resistance exercises, accompanied by sensorimotor and communicative group exercises and games (ISL), (b) a sustainable implementation concept, starting new groups by instructors belonging to the project, followed by training and supervision of local staff, who stepwise take over the group (OIL), (c) informing and convincing activities in professional, administrative and governmental contexts, public relation activities, and establishing an advisory council with renowned experts and public figures (PCL). Participating institutions of geriatric care were selected through several steps of quality criteria assessment. Primary outcome measures were continuous documentation of individual participation (ISL), number of groups continued without external financial support (at the end of the project, and after one year) (OIL). Secondary outcome was measured by sensorimotor tests and care-related assessments in the beginning and every 16 weeks (ISL), by qualitative outcome descriptions 12 months after group implementation (OIL) and by analysis of media response and structured interviews with stakeholders, also after 12 months (PCL).</p> <p>Conclusion</p> <p>Exemplarily, preventive exercise has been established for a neglected target population. The multi-level approach used here seems to be helpful to overcome institutional and individual (attitude) barriers.</p> <p>Trial registration</p> <p>Current Controlled Trials ISRCTN55213782</p

Bergbau und verarbeitendes Gewerbe in Nordrhein-Westfalen Betriebe und Beschaeftigte in den Gemeinden 1979-1986

Bibliothek Weltwirtschaft Kiel C 151063 / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEDEGerman

Agrarberichterstattung 1979. T. 4 Sozialoekonomische Gliederung und Buchfuehrung der land- und forstwirtschaftlichen Betriebe

Bibliothek Weltwirtschaft Kiel C111,416 / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEDEGerman

Entwicklungen in Nordrhein-Westfalen. Statistischer Jahresbericht 1999

SIGLEAvailable from TIB Hannover / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekDEGerman

Berufsbildungsstatistik 1979

SIGLEBibliothek Weltwirtschaft Kiel Y27,798 / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekDEGerman

Das Bildungswesen in Nordrhein-Westfalen 1978. T. 3 Hochschulen im Wintersemester 1978/79

Bibliothek Weltwirtschaft Kiel Y11,674 / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEDEGerman

Bergbau und Verarbeitendes Gewerbe in Nordrhein-Westfalen 1992

Die vorliegende Veroeffentlichung ist eine umfangreiche Datensammlung zum Wirtschaftsgeschehen der letzten Jahre in den Wirtschaftszweigen Bergbau und Verarbeitendes Gewerbe fuer das Land Nordrhein-Westfalen. In Tabellenform und als Graphiken werden die Unternehmensergebnisse und die Betriebsergebnisse fuer Betriebe mit im allgemeinen 20 und mehr taetigen Personen, die Indizes fuer Nettoproduktion, Arbeitsproduktivitaet und Auftragseingang sowie die Produktionserhebung dargestellt. (orig.)The publication is a comprehensive collection of data on the economic events of the last years in the mining and processing industries in North-Rhine Westphalia. Operational results for businesses of, generally, 20 or more active persons are shown in tabular form and as graphs, along with indicators of net production, work productivity and orders received as well as rises in production. (orig.)SIGLEAvailable from TIB Hannover: RA 3644(696) / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekDEGerman

Das Bekleidungsgewerbe in Nordrhein-Westfalen 1978-1983

Bibliothek Weltwirtschaft Kiel C130,582 / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEDEGerman

Die Landwirtschaft in Nordrhein-Westfalen 1980

SIGLEDEGerman

Kreisstandardzahlen 1987 Statistische Angaben fuer kreisfreie Staedte und Kreise des Landes Nordrhein-Westfalen

Copy held by FIZ Karlsruhe; available from UB/TIB Hannover / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEDEGerman