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A randomised feasibility study assessing an intervention to keep adults physically active after falls management

Sarah Audsley1, Denise Kendrick1, Pip Logan2

  • 11Division of Primary Care, University of Nottingham, Nottingham, NG7 2RD UK.

Pilot and Feasibility Studies
|March 13, 2020
PubMed
Summary

The Keeping Adults Physically Active (KAPA) intervention was found acceptable for older adults exiting falls prevention programs. Participants reported increased physical activity due to KAPA

Keywords:
Falls preventionFeasibility studyOlder adultsPhysical activity

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Area of Science:

  • Gerontology
  • Public Health
  • Exercise Science

Background:

  • Physical inactivity is a major contributor to disability and falls in older adults.
  • Falls prevention exercise (FaME) programs improve function but require sustained physical activity for lasting benefits.
  • Maintaining physical activity post-program is crucial to prevent relapse in physical function and increased fall rates.

Purpose of the Study:

  • To investigate the feasibility and acceptability of the Keeping Adults Physically Active (KAPA) intervention.
  • To assess the potential of KAPA to maintain physical activity in older adults after completing a FaME program.

Main Methods:

  • A two-arm, cluster-randomised, multi-site feasibility study comparing KAPA with usual care.
  • The KAPA intervention included motivational interviewing, participant manuals, exercise booklets, diaries, and pedometers.
  • Recruitment, retention, attendance, self-reported physical activity, and interviews were used to evaluate feasibility and acceptability in 50 community-dwelling adults aged 65+.

Main Results:

  • High recruitment (74.6%) and retention (92.3%) rates were achieved.
  • Participants responded positively to KAPA components like peer support and activity monitoring tools, although written tasks were less favored.
  • A slight increase in moderate to vigorous physical activity was observed in the KAPA arm (56.3% to 62.5%) compared to usual care (41.4% to 52.0%).

Conclusions:

  • The KAPA intervention is acceptable to older adults post-FaME program.
  • Components such as the exercise booklet, peer support, and physical activity monitoring tools appear to encourage sustained activity.
  • A full-scale trial is warranted to confirm the efficacy of KAPA in significantly maintaining physical activity.