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Chair based exercise in community settings: a cluster randomised feasibility study.

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Chair-based exercises (CBE) are suitable for older adults. A feasibility study found that while the consensus CBE program was acceptable, trial recruitment and retention need improvement for physical health outcomes.

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Area of Science:

  • Gerontology
  • Geriatric Medicine
  • Exercise Science

Background:

  • Standard exercise programs can be too strenuous for some older adults.
  • Chair-based exercises (CBE) offer a seated alternative to promote physical activity.
  • A consensus CBE program (CCBE) was previously developed using a modified Delphi process.

Purpose of the Study:

  • To test the feasibility and acceptability of the CCBE intervention.
  • To explore optimal evaluation methods for a definitive trial.
  • To assess the feasibility of conducting a trial across diverse community settings.

Main Methods:

  • A feasibility study with a cluster randomized controlled trial component was conducted.
  • 12 community settings (day centers, care homes, community groups) were randomized to CCBE, group reminiscence, or usual care.
  • Data collected included recruitment interest, eligibility, randomization, adverse events, retention, outcome completion, missing data, and intervention delivery.

Main Results:

  • 48% of contacted centers expressed interest, with 12 recruited.
  • 73% of screened older adults consented, and 83 were randomized.
  • High dropout rate (40%) observed, primarily due to non-attendance; CCBE was largely acceptable to participants and staff.

Conclusions:

  • Good interest was shown in CBE, and the intervention was well-received.
  • Trial design and governance require revision to enhance recruitment and retention.
  • Further development of the CCBE delivery model is needed for physiological changes, but the current model is feasible for psychological outcomes.