• Aging Clin Exp Res · Apr 2021

    Randomized Controlled Trial

    Can cognitive-motor training improve physical functioning and psychosocial wellbeing in nursing home residents? A randomized controlled feasibility study as part of the PROCARE project.

    • Laura L Bischoff, Thomas Cordes, Charlotte Meixner, Daniel Schoene, Claudia Voelcker-Rehage, and Bettina Wollesen.
    • Institute of Human Movement Science, University of Hamburg, Mollerstraße 10, 20148, Hamburg, Germany. laura.bischoff@uni-hamburg.de.
    • Aging Clin Exp Res. 2021 Apr 1; 33 (4): 943-956.

    BackgroundA multi-component training program holds promises for the elderly, but still has to be tested on its feasibility and effect in nursing homes.AimsThe aim of this study was (1) to design a multi-component training program which improves physical functioning and psychosocial wellbeing and (2) to evaluate the feasibility of this intervention in nursing home residents.MethodsThis study is a two-arm, stratified-randomized controlled feasibility trail. Twenty-four nursing home residents (aged 83.7 ± 6.4, 21 women) were divided into an intervention and a waiting-list control group. The intervention group completed a multi-component training (including dual-task, dynamic balance, endurance and strength exercises) for 16 weeks (twice per week for 45-60 min). Primary outcomes were lower extremity functionality (SPPB), gait performance (GAITRite), health-related quality of life (SF-12) as well as life satisfaction (SWLS).ResultsLife satisfaction (SWLS) and physical functioning (SPPB) increased in the intervention group after training whereas the control group showed a decrease. Gait parameters could only be analyzed for n = 5 participants of the intervention group and n = 2 of the control group and showed no time differences for the intervention group. The mean number of participants was 12.5 ± 1.9 per session (attendance ranged between 66% and 90%).ConclusionA multi-component training seems (1) to lead to clinically relevant improvements in physical functioning as well as in psychosocial wellbeing and (2) to be feasible and well accepted in nursing home residents. Nevertheless, the complexity and progression of the program as well as the testing protocol have to be adapted. Further research should test the effectiveness of this adapted program in a larger sample size.

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