[The "Lübeck Worlds of Movement Model"-multidimensional prevention in inpatient care institutions through a program...

In inpatient care there is a need for prevention and health promotion offers that are specific to the target group. In the course of implementing the Prevention Act, those interventions should be chosen for sustainable implementation that are conceptually sound, standardized, workable, low-threshold, and demonstrably effective.The "Lübeck Worlds of Movement Model" is a physically, cognitively, and socially activating prevention program for elderly people in need of care that was developed by the Lübeck Geriatrics Research Group (FGL). It has been implemented in inpatient care facilities since the end of 2015. It takes multimorbidity into account in a multidimensional intervention approach and is characterized by comprehensive motor-cognitive promotion as well as long-term attractiveness.In accordance with sports science principles, exercises were integrated into a "world of movement," making each training session a "cognitive excursion." Twice weekly, one-hour group training is supplemented by individual training to achieve the recommended minimum of 150 min of moderate exercise weekly. The topic-related content encourages seniors to share and exchange stories.So far, standardized planning and documentation sheets have been developed to design training sessions for 17 worlds of movement. More than a thousand of these completed sheets have been sent to the FGL by coaches after completion of the training and addition of comments. Based on these records and on-site feedback, continuous further development of the model is intended, considering findings made in the fields of sports science, nursing science, and geriatrics/gerontology. This includes the extension of the range of topics as well as further differentiation of the offer according to the individual capability of every participating senior citizen.