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Article

Adherence Is More Than Just Being Present: Example of a Lay-Led Home-Based Programme with Physical Exercise, Nutritional Improvement and Social Support, in Prefrail and Frail Community-Dwelling Older Adults

1
Karl-Landsteiner Institute for Health Promotion Research, 3454 Sitzenberg-Reidling, Austria
2
Social Insurance Fund for Public Service, Railway and Mining Industries, Gesundheitseinrichtung Sitzenberg-Reidling, 3454 Sitzenberg-Reidling, Austria
3
Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, 1080 Vienna, Austria
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(8), 4192; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18084192
Received: 2 March 2021 / Revised: 7 April 2021 / Accepted: 10 April 2021 / Published: 15 April 2021
(This article belongs to the Special Issue Physical Exercise and Chronic Diseases Prevention)
Background: Little is known about the implementation of lifestyle interventions in frail, community-dwelling people. This study highlights different domains of adherence to explain an effectively delivered home-based intervention. Methods: Eighty prefrail and frail persons (≥65 years) participated in a physical training, nutritional, and social support intervention over 24 weeks. A detailed log book was kept for comprehensive documentation in order to assess adherence and further organizational, exercise, and nutritional parameters. Results: Participants reached an adherence rate (performed home visits/number of planned visits) of 84.0/80.5% from week 1–12/13–24. Out of those, 59% carried out ≥75% of the offered visits. Older age was associated with a higher adherence rate. A mean of 1.5 (0.6) visits/week (2 were planned) were realized lasting for a mean of 1.5 (0.9) hours (154% of the planned duration). Per visit, 1.2 (0.6) circuits of strength training were performed (60.5% of the planned value) and 0.5 (0.3) nutritional interventions (47%). After twelve months, 4.2% still carried out the home visits regularly and 25.0% occasionally. Conclusion: Adherence is much more than “being there”. Adherence rate and category are limited parameters to describe the implementation of a complex lifestyle intervention, therefore a comprehensive documentation is needed. View Full-Text
Keywords: complex intervention study; adherence; lay-led intervention; community-dwelling people; frailty; buddy complex intervention study; adherence; lay-led intervention; community-dwelling people; frailty; buddy
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MDPI and ACS Style

Lackinger, C.; Grabovac, I.; Haider, S.; Kapan, A.; Winzer, E.; Stein, K.V.; Dorner, T.E. Adherence Is More Than Just Being Present: Example of a Lay-Led Home-Based Programme with Physical Exercise, Nutritional Improvement and Social Support, in Prefrail and Frail Community-Dwelling Older Adults. Int. J. Environ. Res. Public Health 2021, 18, 4192. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18084192

AMA Style

Lackinger C, Grabovac I, Haider S, Kapan A, Winzer E, Stein KV, Dorner TE. Adherence Is More Than Just Being Present: Example of a Lay-Led Home-Based Programme with Physical Exercise, Nutritional Improvement and Social Support, in Prefrail and Frail Community-Dwelling Older Adults. International Journal of Environmental Research and Public Health. 2021; 18(8):4192. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18084192

Chicago/Turabian Style

Lackinger, Christian, Igor Grabovac, Sandra Haider, Ali Kapan, Eva Winzer, K. V. Stein, and Thomas E. Dorner 2021. "Adherence Is More Than Just Being Present: Example of a Lay-Led Home-Based Programme with Physical Exercise, Nutritional Improvement and Social Support, in Prefrail and Frail Community-Dwelling Older Adults" International Journal of Environmental Research and Public Health 18, no. 8: 4192. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18084192

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