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Related Experiment Video

Updated: Mar 25, 2026

Community-based Adapted Tango Dancing for Individuals with Parkinson's Disease and Older Adults
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Translating Strong for Life Into the Community Care Program: Lessons Learned.

Margaret K Danilovich1,2, Susan L Hughes1, Daniel M Corcos2

  • 11 University of Illinois at Chicago, USA.

Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society
|February 26, 2016
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Summary

Home care aides can safely lead the Strong for Life resistance exercise program for older adults. This approach is feasible, enhances job satisfaction for aides, and benefits both care partners.

Keywords:
exercisehome care aideshome- and community-based servicesstrength trainingwaiver program

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Area of Science:

  • Gerontology and Exercise Science
  • Home Healthcare Interventions
  • Public Health and Aging

Background:

  • Homebound older adults face challenges accessing regular exercise programs.
  • Home care aides (HCAs) are well-positioned to deliver health interventions in community settings.
  • The Strong for Life (SFL) program is a resistance exercise intervention designed for older adults.

Purpose of the Study:

  • To evaluate the feasibility and effectiveness of HCAs implementing the SFL resistance exercise program with homebound older adult clients.
  • To assess program satisfaction, fidelity, and impact on HCA job satisfaction.
  • To determine if HCAs can integrate SFL into usual care services.

Main Methods:

  • A randomized controlled trial involving 32 HCAs and 42 older adult clients in a Medicaid waiver program.
  • HCAs were trained to lead the SFL intervention.
  • Mixed-methods analysis included program satisfaction, training evaluations, fidelity checks, and job satisfaction surveys.

Main Results:

  • HCAs successfully and safely implemented the SFL program with their clients.
  • High participant satisfaction was reported, with HCAs adapting the program effectively.
  • HCA job satisfaction, work achievement, and pride significantly increased.

Conclusions:

  • Training HCAs to deliver the SFL exercise program is a feasible and practical model for home- and community-based services.
  • This intervention positively impacts both homebound older adults and their care providers.
  • Integrating resistance exercise into home care enhances client well-being and HCA job satisfaction.