Related Experiment Video
Updated: Sep 11, 2025
14:13
A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
Published on: March 7, 2020
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Optimizing a complex intervention for community-dwelling frail older adults: A factorial randomized trial within the
Xuemei Sun1, Yinyan Gao2, Jinlu Song2
1Department of General Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
International Journal of Nursing Studies
|August 16, 2025
Summary
Goal setting significantly improved frailty and adherence to resistance exercise in older adults. This optimized intervention enhances effectiveness and disseminability for community-based programs.
Area of Science:
- Gerontology
- Exercise Science
- Public Health
Background:
- Resistance exercise is effective for frail older adults but faces adherence challenges.
- Optimizing interventions is crucial for sustained health benefits in community settings.
Purpose of the Study:
- To enhance the efficiency and disseminability of a complex intervention for community-dwelling frail older adults.
- To identify key components that improve adherence and effectiveness of resistance exercise programs.
Main Methods:
- A 2x2x2 full factorial randomized trial involving 114 pre-frail or frail older adults.
- Intervention components included goal setting, feedback, and reinforcement guidance, combined with core resistance exercise and education.
- Outcomes (frailty, adherence) were measured over 12 weeks using linear mixed-effects models.
Main Results:
- Goal setting significantly improved frailty and resistance exercise adherence at 6 and 12 weeks.
- No other implementation components showed statistically significant effects.
- Goal setting demonstrated superior implementation and cost-effectiveness.
Conclusions:
- An optimized intervention combining resistance exercise, community education, and goal setting is effective for frail older adults.
- This approach enhances intervention efficiency, effectiveness, and disseminability in community settings.
- Goal setting is a key component for improving adherence and outcomes in exercise interventions for older adults.
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