Feasibility study design and methods for a home-based, square-stepping exercise program among older adults with...

Area of Science:

• Neurology
• Geriatrics
• Rehabilitation Medicine

Background:

• Multiple sclerosis (MS) significantly impacts older adults, affecting mobility and quality of life.
• Home-based exercise interventions are needed to manage MS-related disability in aging populations.
• Feasibility of novel exercise programs for older adults with MS requires thorough investigation.

Purpose of the Study:

• To assess the feasibility of a home-based square-stepping exercise (SSE) program for older adults with MS.
• To evaluate process, resource, management, and scientific outcomes of the intervention.
• To inform future efficacy and effectiveness trials of home-based exercise for MS.

Main Methods:

• A randomized controlled trial (RCT) design was employed.
• Participants (aged 60+) with mild-to-moderate MS disability were randomized to SSE or an attention control group.
• The 12-week intervention included supervised sessions, home practice with monitoring (pedometer, logbook, Skype calls).

Main Results:

• Feasibility was assessed across four key domains: process, resources, management, and scientific outcomes.
• Data collection involved pre- and post-intervention assessments.
• Compliance monitoring included direct observation, self-report, and technology-assisted methods.

Conclusions:

• This feasibility study provides crucial data for designing future large-scale RCTs.
• The findings will guide the optimization of home-based SSE programs for older adults with MS.
• Successful implementation of this program could lead to improved management of MS in older populations.