Translating and Evaluating a Physical Activity Program for Aboriginal Elders on Noongar Boodjar (Country) - A...

Area of Science:

• Indigenous Health
• Gerontology
• Exercise Science

Background:

• Older Aboriginal people experience unique health challenges.
• Culturally relevant interventions are crucial for engaging Indigenous populations.
• Physical activity is vital for maintaining function in older adults.

Purpose of the Study:

• To translate and evaluate a Physical Activity (PA) program for older Aboriginal Elders.
• To assess the program's impact on physical function and related health outcomes.
• To ensure the program's cultural appropriateness for participants on Noongar Boodjar (Country).

Main Methods:

• Longitudinal study using Indigenous methodology with two groups of Aboriginal Elders (metropolitan and regional).
• Participants engaged in the Ironbark PA program: weekly strength, balance exercises, and yarning circles.
• Physical function, functional ability, cardiovascular risk factors, falls efficacy, and quality of life were measured over 24 months.

Main Results:

• Significant improvements in physical function (SPPB, gait speed) observed at 12 months compared to baseline.
• Sustained improvements in gait speed were evident at 24 months, despite a 6-month program gap.
• Cardiovascular risk factors showed non-significant improvements; participants reported high program satisfaction and cultural appropriateness.

Conclusions:

• Culturally appropriate PA programs can lead to sustained improvements in physical function for older Aboriginal people.
• The Ironbark PA program provided a safe, secure, and chosen environment for evidence-based physical activity.
• This study underscores the effectiveness of culturally tailored interventions in promoting health and well-being in Indigenous older adults.