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other·geriatrics, internal medicine, public health, clinical trial, family medicine·PMC10194225

Health and wellness for disadvantaged older adults: The AFRESH pilot study

PEC Innovation · 10 authors, 5 centres

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FIDELITY 100%

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AGENT 01 · STRUCTURED SUMMARY

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TL;DR

Significant improvements in grip strength, 6-minute walk distance, strength/flexibility, and sleep quality were observed, with some attenuation by the 36-week follow-up.

Full summary

288 CHARS

Significant increases were observed for grip strength, 6-minute walk test distance, RAPA strength and flexibility score, and PSQI global score, with some attenuation by 36 weeks. These results suggest AFRESH is a promising multicomponent intervention warranting larger, controlled trials.

STUDY TYPE

other

SPECIALTY

geriatrics

SUMMARISED BY

AI pipeline

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100% · A

ORIGINAL PAPER

PMC10194225

Health and wellness for disadvantaged older adults: The AFRESH pilot study

PEC Innovation

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ABSTRACT

Introduction Older adults are unaware of the biological mechanisms that contribute to the development of disabilities, chronic conditions, and frailty, yet, when made aware, desire to employ lifestyle changes to mitigate these conditions. We developed the AFRESH health and wellness program and report on pilot testing undertaken in a local older adults apartment community. Materials and methods After program development, pilot testing was conducted. Participants: Older adults ( N = 20; age 62+) residing in an apartment community. Procedures: Collection of baseline objective and self-report measures with a focus on physical activity; administration of the 10-week AFRESH program via weekly sessions; collection of follow-up data 12 and 36 weeks after baseline data collection. Data analysis: Descriptive statistics, growth curve analyses. Results Significant increases were observed for grip strength (lbs) (T1:56.2; T2:65.0 [ d = 0.77]; T3:69.4 [ d = 0.62], p = .001), the 6-min walk test (meters) (T1:327m: T2:388.7 m [ d = 0.99]; T3:363.3 m [ d = 0.60], p = .001), the Rapid Assessment of Physical Activity (RAPA) strength and flexibility score, and the Pittsburg Sleep Quality Index (PSQI) global score. These effects showed some attenuation by the final time point. Conclusion By combining novel educational content (bioenergetics), facilitation of physical activity, and habit formation, AFRESH is a multicomponent intervention that shows promise for future research.

CITATION EXPORT

Cathy A. Maxwell, Corley Roberts, Kelsey Oesmann et al.. Health and wellness for disadvantaged older adults: The AFRESH pilot study. PEC Innovation. (2022). https://doi.org/10.1016/j.pecinn.2022.100084

AUTHORS

10 · 5 CENTRES

Cathy A. Maxwell, Corley Roberts, Kelsey Oesmann, Sylvie Muhimpundu, Kristin R. Archer, Maulik R. Patel, Mogos F. Mulubrhan, James Muchira, Jeffrey Boon, Marianna LaNoue

aCatholic Charities, 2806 McGavock Pike, Nashville, TN 37214, USA
bUrban Housing Solutions, 822 Woodland St., Nashville, TN 37206, USA
cVanderbilt University Medical Center, 1215 21st Ave. South, Nashville, TN 37232, USA
dVanderbilt University Biological Sciences, Box 351634, Nashville, TN 37235, USA
eVanderbilt University School of Nursing, 461 21st Ave. South, Nashville, TN 37240, USA