J Korean Acad Community Health Nurs.  2019 Jun;30(2):243-255. 10.12799/jkachn.2019.30.2.243.

Effects of Multifactorial and Follow-up Programs Applying a Capacity Building Strategy: Focusing on Older Adults Living in a Urban-rural Complex Area

• Han SY
• Ko Y
• Kim HR
• Kim J

• KMID: 2451460
• DOI: http://doi.org/10.12799/jkachn.2019.30.2.243

Abstract

PURPOSE
The purpose of this study is to examine effects of a multifactorial program for preventing the frailty of older adults and effects of a follow-up program applying a capacity building strategy.
METHODS
A quasi-experimental pretest-posttest design was used for the nonequivalent control group. The follow-up group (n=75) and non-follow-up group (n=68) received the same multifactorial program comprising muscle strength exercise, cognitive training, and psychosocial programs for 12 weeks. After completion of multifactorial program, the follow-up group took follow-up programs applying the capacity building strategy for following 12 weeks. The data of physical function, cognitive function, and psychological function, and self-rated health were collected from both groups three times: before intervention, after intervention, and 12 weeks after intervention. The data were analyzed using χ2 test and t-test.
RESULTS
In comparison with the non-follow-up group, the scores of Timed Up & Go Test, and physical activities energy expenditure were significantly improved in the follow-up group.
CONCLUSION
These results indicate that a multifactorial program with follow-up adapting the strategies of capacity building for the older adults group is feasible to prevent the physical frailty in community.

Keyword

Aged; Frailty; Capacity building; Exercise; Cognition

MeSH Terms

Adult*
Capacity Building*
Cognition
Energy Metabolism
Follow-Up Studies*
Humans
Motor Activity
Muscle Strength

Reference

1. Ahmed N, Mandel R, Fain MJ. Frailty: An emerging geriatric syndrome. The American Journal of Medicine. 2007; 120(9):748–753. DOI: 10.1016/j.amjmed.2006.10.018.

2. Fried LP, Tangen CM, Walson JN, Hirsch C, Gottdiender J, Seeman T, et al. Frailty in older adults: Evidence for a phenotype. The Journals of Gerontology: Series A. 2001; 56(3):M146–M157. DOI: 10.1093/gerona/56.3.M146.

3. Jung HW, Kim SW, Ahn S, Lim JY, Han JW, Kim TH, et al. Prevalence and outcomes of frailty in Korean elderly population: Comparisons of a multidimensional frailty index with two phenotype models. Public Library of Science One. 2014; 9(2):e87958. DOI: 10.1371/journal.pone.0087958.

4. Kwon S. Effects of low-density exercise in the frail elderly. The Journal of Digital Policy & Management. 2013; 11(11):643–650. DOI: 10.14400/JDPM.2013.11.11.543.

5. Kim Y. The effect of group therapy on self-esteem and depression of the elderly in day care center. Korean Journal of Counseling. 2011; 12(5):1527–1544.

6. Lee IS, Ko Y, Lee KO, Yim ES. Evaluation of the effects of a frailty preventing multi-factorial program concentrated on local communities for high-risk younger and older elderly people. Journal of Korean Academy of Community Health Nursing. 2012; 23(2):201–211. DOI: 10.12799/jkachn.2012.23.2.201.

7. Jang KO. Effects of elderly people's frail prevention program on subjective health status, depression, physical fitness and quality of life for in senior center participation of the elderly. Journal of the Korea Academia-Industrial cooperation Societ. Journal of the Korea Academia-Industrial cooperation Society. 2017; 18(5):47–58. DOI: 10.5762/KAIS.2017.18.5.47.

8. Apostolo J, Cooke R, Bonrowicz-Campro E, Santana S, Marcucci M, Cano A, et al. Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults: A systematic review. JBI Database of Systematic Reviews and Implementation Reports. 2018; 16(1):140–232. DOI: 10.11124/JBISRIR-2017-003382.

9. De labra C, Guimaraes-Pinheeiro C, Maseda A, Lorenzo T, Millan-Calenti JC. Effects of physical exercise interventions in frail older adults: A systematic review of randomized controlled trials. BMC Geriatrics. 2015; 15:154. DOI: 10.1186/s12877-015-0155-4.

10. Zech A, Drey M, Freiberger E, Hentschke C, Bauer JM, Sieber CC, et al. Residual effects of muscle strength and muscle power training and detraining on physical function in community-dwelling prefrail older adults: A randomized controlled trial. BMC Geriatrics. 2012; 12:68. DOI: 10.1186/1471-2318-12-68.

11. Smith-Ray R, Hughes SL, Prohaska TR, Little DM, Jurivich DA, Hedeker D. Impact of cognitive training on balance and gait in older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2015; 70(3):357–366. DOI: 10.1093/geronb/gbt097.

12. Ng TP, Feng L, Nyunt MSZ, Feng L, Niti M, Taan BY, et al. Nutritional, physical, cognitive, and combination interventions and frailty reversal among older adults: A randomized controlled trial. The American Journal of Medicine. 2015; 128(11):1225–1236. DOI: 10.1016/j.amjmed.2015.06.017.

13. Seino S, Nishi M, Murayama H, Narita M, Tokoyama Y, Nofuji Y, et al. Effects of multifactorial intervention comprising resistance exercise, nutritional and psychosocial programs on frailty and functional health in community-dwelling older adults: A randomized, controlled, cross-over trial. Geriatrics & Gerontology International. 2017; 17(11):2034–2045. DOI: 10.1111/ggi.13016.

14. Simmons A, Reynolds RC, Swinburn B. Defining community capacity building: Is it possible? Preventive Medicine. 2011; 52(3-4):193–199. DOI: 10.1016/j.ypmed.2011.02.003.

15. Ubert T, Forberger S, Gansefort D, Zeeb H, Brand T. Community capacity building for physical activity promotion among older adults - A literature review. International Journal of Environmental Research and Public Health. 2017; 14(9):E1058. DOI: 10.3390/ijerph14091058.

16. Wurzer B, Waters DL, Hale LA, de la Barra SL. Long-term participation in peer-led fall prevention classes predicts lower fall incidence. Achieves of Physical Medicine and Rehabilitation. 2014; 95(6):1060–1066. DOI: 10.1016/j.apmr.2014.01.018.

17. Waters DL, Hale LA, Robertson L, Hale BA, Herbison P. Evaluation of a peer-led falls prevention for older adults. Achieves of Physical Medicine and Rehabilitation. 2011; 92(10):1581–1586. DOI: 10.1016/j.apmr.2011.05.014.

18. Clare L, Woods RT, Moniz Cook ED, Orrell M, Spector A. Cognitive rehabilitation and cognitive training for early-stage Alzhhimer's disease and vascular dementia (Review). Cochrane Database Systematic Review. 2003; (4):CD003260.

19. Son J, Kim S, Won C, Choi H, Kim B, Park M. Physical frailty predicts medical expenses in community-dwelling, elderly patients: Three-year prospective findings from living profiles of older people surveys in Korea. European Geriatric Medicine. 2015; 6(5):412–416. DOI: 10.1016/j.eurger.2015.05.003.

20. Springstroh KA, Gal NJ, Ford AL, Whiting SJ, Dahl WJ. Evaluation of handgrip strength and nutritional risk of congregate nutrition program participants in Florida. Journal of Nutrition in Gerontology and Geriatrics. 2016; 35(3):193–208. DOI: 10.1080/21551197.2016.1209146.

21. Podsiadlo D, Richardson S. The timed “Up & Go”: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society. 1991; 39(2):142–148. DOI: 10.1111/j.1532-5415.1991.tb01616.x.

22. Kim GW, Kim MH, Kim BG, Kim JR, Kim TH, Moon SW, et al. Standardization of diagnostic tools for dementia. Research Report. Gyeonggido, Seongnam: Bundang Seoul National University Hospital;2009. 12. Report No.: 11-1351000-000589-01.

23. Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association. 1996; 35(2):298–307.

24. Yoshinaga N, Nakamura Y, Tanoue H, MacLiam F, Aoisi K, Shiraishi Y. Is modified brief assertiveness training for nurses effective? a single-group study with long-term follow-up. Journal of Nursing Management. 2017; 26:59–65. DOI: 10.1111/jonm.12521.

25. Willis SL, Tennstedt SL, Marsiske M, Ball K, Elias J, Koepke KM, et al. Long-term effects of cognitive training on everyday functional outcomes in older adults. The Journal of the American Medical Association. 2006; 296(23):2805–2814. DOI: 10.1001/jama.296.23.2805.

26. Ko Y, Lee I. Factors affecting the self-rated health of vulnerable population. Journal of Korean Academy Community Health Nursing. 2009; 20(1):31–40.

27. Labonte R, Woodard GB, Chad K, Laverack G. Community capacity building: A parallel track for health promotion programs. Canadian Journal of Public Health. 2002; 93(3):181–182.