title: A pilot program of physical activity promotion among clients receiving home and community care.
abstract: Three Victorian local governments cooperated in a pilot study of physical activity promotion as part of home and community care (HACC) service delivery. Thirty-one people receiving HACC volunteered to participate, including completing the Transtheoretical Stages of Change Exercise Questionnaire and the short-form Stanford Health Assessment Questionnaire (HAQ) just before and at 3 months and 6 months after starting regular self-selected physical activity. Twenty-one participants returned questionnaires at 3 months, and 17 participants returned questionnaires at 6 months. Data were analysed using paired t tests and effect sizes were calculated as mean differences. At 3 months, mean improvements were identified on 6 of the 8 HAQ-DI (disability index) subscales, and in the overall HAQ-DI score. Improvement in dressing and grooming was preserved at 6 months. At either 3 or 6 months, improvements in dressing and grooming, reach, hygiene, and daily activities, and overall HAQ-DI score exceeded the minimum clinically important difference. No improvements were statistically significant, as is likely in a pilot study with a small sample, however, these results suggest that even very small increases in physical activity may afford clinically meaningful improvements in some areas of physical function required for independent living. Australian Clinical Trials Registry registration number: ACTRN012606000242527.
authors.affiliation: Human Movement, Recreation and Performance, Victoria University, Melbourne, VIC 8001, Australia. melainie.cameron@vu.edu.au
authors.forename: Melainie
authors.initials: M
authors.lastname: Cameron
authors.forename: Natalie
authors.initials: N
authors.lastname: Chahine
authors.forename: Steve
authors.initials: S
authors.lastname: Selig
authors.forename: Pam
authors.initials: P
authors.lastname: Newton
mesh_terms: D000328:Adult; D000368:Aged; D006233:Persons with Disabilities / Q000145:classification / Q000534:rehabilitation; D015444:Exercise; D006078:Government Programs / Q000458:organization & administration*; D006293:Health Promotion / Q000458:organization & administration*; D006304:Health Status; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D009111:Local Government; D008875:Middle Aged; D017146:Models, Organizational; D017063:Outcome Assessment, Health Care; D010809:Physical Fitness; D010865:Pilot Projects; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D014739:Victoria