Predicting the progressive resistance and balance training response of community-dwelling older adults accessing aged care support services: A stepped-wedge randomised controlled trial

Article

Keogh, Justin W. L., Henwood, Tim, Hetherington, Sharon, Gardiner, Paul A., Tuckett, Anthony G., Rouse, Kevin and Swinton, Paul. 2022. "Predicting the progressive resistance and balance training response of community-dwelling older adults accessing aged care support services: A stepped-wedge randomised controlled trial." Australasian Journal on Ageing. 41 (4), pp. 530-541. https://doi.org/10.1111/ajag.13039
Article Title

Predicting the progressive resistance and balance training response of community-dwelling older adults accessing aged care support services: A stepped-wedge randomised controlled trial

ERA Journal ID15758
Article CategoryArticle
AuthorsKeogh, Justin W. L. (Author), Henwood, Tim (Author), Hetherington, Sharon (Author), Gardiner, Paul A. (Author), Tuckett, Anthony G. (Author), Rouse, Kevin (Author) and Swinton, Paul (Author)
Journal TitleAustralasian Journal on Ageing
Journal Citation41 (4), pp. 530-541
Number of Pages12
Year2022
PublisherJohn Wiley & Sons
Place of PublicationAustralia
ISSN1440-6381
1741-6612
Digital Object Identifier (DOI)https://doi.org/10.1111/ajag.13039
Web Address (URL)https://onlinelibrary.wiley.com/doi/full/10.1111/ajag.13039
Abstract

Objective: To quantify the variation in body composition, physical function and cognitive health changes resulting from the Muscling Up Against Disability (MUAD) resistance and balance training program and the potential for baseline characteristics to predict the magnitude of training-related response. Methods: The study represented a secondary analysis of a stepped-wedge randomised controlled trial involving 245 community-dwelling adults receiving Australian Government–funded aged care services who performed 26 weeks of supervised progressive resistance and balance training (PRBT). The primary outcome was the proportion of response that described the number of individuals expected to make any positive change due to the intervention and not external factors. Results: For all outcomes, the observed average change in the PRBT group was more favourable than the control. Analyses identified that most participants completing the PRBT program would be expected to respond positively to the intervention (86%–99%) with respect to their physical performance (SPPB summary, grip strength, chair stand and isometric knee strength). A smaller proportion completing the PRBT program group would be expected to respond positively in aspects of body composition (45%–60%) or cognitive function (44%–84%). The strongest predictors of positive change were baseline physical function, whereby those with the poorest baseline function experienced the greatest benefits. Conclusions: This study strongly supports the promotion of PRBT as a standard component of any care plan for community-dwelling older adults, especially those with low levels of physical function.

Keywordsactivities of daily living; exercise therapy; physical fitness; resistance training; sarcopenia
ANZSRC Field of Research 2020420603. Health promotion
320210. Geriatrics and gerontology
420702. Exercise physiology
Byline AffiliationsBond University
Southern Cross Care, Australia
Chermside Senior Citizens Centre, Australia
School of Health and Wellbeing
University of Queensland
Robert Gordon University, United Kingdom
Institution of OriginUniversity of Southern Queensland
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Henwood, Tim, Eley, Robert, Parker, Deborah, Tuckett, Anthony and Hegney, Desley. 2009. "Regional differences among employed nurses: a Queensland study." Australian Journal of Rural Health. 17 (4), pp. 201-207. https://doi.org/10.1111/j.1440-1584.2009.01072.x
The top eight issues Queensland Australia's aged-care nurses and assistants-in-nursing worried about outside their workplace: a qualitative snapshot
Tuckett, Anthony, Hegney, Desley, Parker, Deborah, Eley, Robert M. and Dickie, Robyn. 2011. "The top eight issues Queensland Australia's aged-care nurses and assistants-in-nursing worried about outside their workplace: a qualitative snapshot." International Journal of Nursing Practice. 17 (5), pp. 444-454. https://doi.org/10.1111/j.1440-172X.2011.01966.x
Construct validity and reliability of the practice environment scale of the nursing work index for Queensland nurses
Parker, Deborah, Tuckett, Anthony, Eley, Robert and Hegney, Desley. 2010. "Construct validity and reliability of the practice environment scale of the nursing work index for Queensland nurses." International Journal of Nursing Practice. 16 (4), pp. 352-358. https://doi.org/10.1111/j.1440-172X.2010.01851.x
Workplace violence: differences in perceptions of nursing work between those exposed and those not exposed: a cross-sector analysis
Hegney, Desley, Tuckett, Anthony, Parker, Deborah and Eley, Robert. 2010. "Workplace violence: differences in perceptions of nursing work between those exposed and those not exposed: a cross-sector analysis ." International Journal of Nursing Practice. 16 (2), pp. 188-202. https://doi.org/10.1111/j.1440-172X.2010.01829.x
Access to and support for continuing professional education amongst Queensland nurses: 2004 and 2007
Hegney, Desley, Tuckett, Anthony, Parker, Deborah and Eley, Robert. 2010. "Access to and support for continuing professional education amongst Queensland nurses: 2004 and 2007." Nurse Education Today. 30 (2), pp. 142-149. https://doi.org/10.1016/j.nedt.2009.06.015
Career breaks and intentions for retirement by Queensland's nurses - a sign of the times?
Eley, Robert, Parker, Deborah, Tuckett, Anthony and Hegney, Desley. 2010. "Career breaks and intentions for retirement by Queensland's nurses - a sign of the times? " Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 17 (1), pp. 38-42. https://doi.org/10.1016/j.colegn.2009.10.004