243999 Impact of dissemination of the manual-based community-based senior exercise program: Clustered a randomized controlled trial

Sunday, October 30, 2011

Seung-youn Hong, PhD, MEd , Division of Silver Industry, Kangnam University, ROK, Yongin, Kyunggi-don, South Korea
With a fast growing aging population, various strategies have been introduced to make this population more active. National Health Insurance Corporation has been providing Nation-wide free community-based exercise program for seniors, in which. more than 92,000 seniors participated. To make this program more effectively, '15-min plus' multi-component exercise manual was developed.

PURPOSE To evaluate the effectiveness of dissemination of '15-min plus' exercise manual, including four major components of exercise(aerobic, resistance, flexibility, and balance) for older adults

METHOD Fifty-two sites over the country were randomly assigned either into manual-based intervention group(IG) or usual exercise control group(CG). Both groups were guided to do moderate intensity multi-component exercise, three times a week for 12 weeks. Pre and post test results were compared between groups after 12 weeks with functional test and physiological changes Basic descriptive statistics, t-test, mixed analysis were conducted to analyze data with the p-value of 0.05.

RESULT Among 912 seniors recruited from 52sites, 579 seniors(IG:n=272, CG:n=307: mean age:=76.4) completed pre-post assessments. Systolic and diastolic blood pressure, weight, percent fat, BMI, functional fitness and depression were significantly improved in both IG and CG(p<.05) without between group differences. However, performance in chair-stand(F=6.99, p<.01), 4m walking speed(F=5.55, p<.05), self-rated health(F=23.61, p<.0001), perceived functional status(F=5.47, p<.001), self-efficacy for physical activity(F=26.77, p<.001) for IG has more significantly improved than that of CG.

CONCLUSION & DISCUSSION We conclude that senior exercise program disseminated with a standard manual was more effective than that without manual, especially when the program targets sedentary older adults in the community-setting

Learning Areas:
Chronic disease management and prevention
Public health administration or related administration
Public health or related organizational policy, standards, or other guidelines
Public health or related research

Learning Objectives:
To evaluate the effectiveness of dissemination of ’15-min plus’ exercise manual, which is simple but containing four major components of exercise(aerobic, resistance, flexibility, and balance) for older adults

Keywords: Physical Activity, Community-Based Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am in charge of planning, testing and implementing exercise program manual that I am going to present in APHA
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.