Evaluation of an implementation project: The exercise physiology in aged care program.

Area of Science:

• Gerontology
• Dementia Care
• Exercise Physiology

Background:

• Maintaining physical activity is crucial for older adults' well-being and benefits.
• Vulnerable older adults with dementia in residential aged care facilities often experience functional decline.
• Structured exercise programs can potentially mitigate decline and improve quality of life.

Purpose of the Study:

• To evaluate a 12-week Accredited Exercise Physiologist-led program for vulnerable older adults with dementia.
• To assess the program's impact on physical function, cognitive function, and habitual physical activity.
• To understand the perspectives of partners-in-care (family and staff) on the program's value and impact.

Main Methods:

• A randomized controlled trial involving 59 participants in South Australia.
• Intervention group received an exercise program; control group did not.
• Physical and cognitive function, and habitual activity were measured at baseline and post-intervention. Partner-in-care surveys were also conducted.

Main Results:

• Evidence of maintained physical function (timed-up-and-go, handgrip strength) was observed.
• No significant differences in objectively measured habitual activity or cognitive function between groups.
• Partners-in-care reported greater perceived improvement than deterioration across factors, with changed expectations about who could benefit.

Conclusions:

• The exercise program demonstrated potential for maintaining physical function in older adults with dementia.
• Consideration should be given to implementing such programs in residential aged care settings.
• The positive perceptions from partners-in-care highlight the program's perceived value and impact.