Promoting physical activity in geriatric patients with cognitive impairment after discharge from ward-rehabilitation: a feasibility study

Tobias Eckert (), Martin Bongartz (), Phoebe Ullrich (), Bastian Abel (), Werner Christian (), Rainer Kiss () and Klaus Hauer ()
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Tobias Eckert: AGAPLESION Bethanien Hospital Heidelberg, Geriatric Centre at the University of Heidelberg
Martin Bongartz: AGAPLESION Bethanien Hospital Heidelberg, Geriatric Centre at the University of Heidelberg
Phoebe Ullrich: AGAPLESION Bethanien Hospital Heidelberg, Geriatric Centre at the University of Heidelberg
Bastian Abel: AGAPLESION Bethanien Hospital Heidelberg, Geriatric Centre at the University of Heidelberg
Werner Christian: AGAPLESION Bethanien Hospital Heidelberg, Geriatric Centre at the University of Heidelberg
Rainer Kiss: University of Applied Sciences
Klaus Hauer: AGAPLESION Bethanien Hospital Heidelberg, Geriatric Centre at the University of Heidelberg

European Journal of Ageing, 2020, vol. 17, issue 3, No 6, 309-320

Abstract: Abstract The aim of the present study was to examine adherence and acceptance of a home-based program to promote physical activity (PA) in older persons with cognitive impairment (CI) following inpatient rehabilitation. Sixty-three older persons (≥ 65 years) with mild to moderate CI (Mini-Mental State Examination score 17–26), allocated to the intervention group of a randomized, controlled intervention trial underwent a 12-week home-based PA intervention including (1) physical training and outdoor walking to improve functional fitness and (2) motivational strategies (goal-setting, pedometer-based self-monitoring, social support delivered by home visits, phone calls) to promote PA. Training logs were used to assess adherence to physical training, outdoor walking and to motivational strategies (goal-setting, pedometer-based self-monitoring). Acceptance (subjective feasibility and effectiveness) of the program components was assessed by a standardized questionnaire. Mean adherence rates over the intervention period were 63.6% for physical training, 57.9% for outdoor walking, and between 40.1% (achievement of walking goals), and 60.1% (pedometer-based self-monitoring) for motivational strategies. Adherence rates significantly declined from baseline to the end of intervention (T1: 43.4–76.8%, T2: 36.1–51.5%, p values

Keywords: Adherence; Feasibility; Physical activity; Geriatrics; Transitional care; Cognitive impairment (search for similar items in EconPapers)
Date: 2020
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DOI: 10.1007/s10433-020-00555-w

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