title: Translating Strong for Life Into the Community Care Program: Lessons Learned.
abstract: We used a randomized controlled trial to test the implementation of Strong for Life (SFL), a resistance exercise intervention, using 32 home care aides (HCAs) as exercise leaders with their 42 homebound older adult clients enrolled in the Community Care Program, a Medicaid 1915(c) waiver program. Mixed-methods were used to analyze outcomes of program satisfaction rates, training session evaluations, program fidelity, and job descriptive index scores. Results indicate that it is feasible for HCAs to implement SFL safely with clients. Participants viewed SFL as highly satisfactory and HCAs were able to adapt SFL for their clients. HCAs have high job satisfaction, and leading SFL enhances work achievement and pride. Our results show it is possible to train HCAs to implement SFL with their clients in addition to providing usual care services, participation positively affects both care partners, and this is a feasible and practical delivery model to provide exercise for adults receiving home- and community-based services.
authors.affiliation: 1 University of Illinois at Chicago, USA.|2 Northwestern University, Chicago, IL, USA.
authors.forename: Margaret K
authors.initials: MK
authors.lastname: Danilovich
authors.affiliation: 1 University of Illinois at Chicago, USA.
authors.forename: Susan L
authors.initials: SL
authors.lastname: Hughes
authors.affiliation: 2 Northwestern University, Chicago, IL, USA.
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Corcos
authors.affiliation: 1 University of Illinois at Chicago, USA.
authors.forename: David X
authors.initials: DX
authors.lastname: Marquez
authors.affiliation: 2 Northwestern University, Chicago, IL, USA.|3 Council for Jewish Elderly, Skokie, IL, USA.
authors.forename: Amy R
authors.initials: AR
authors.lastname: Eisenstein
mesh_terms: D000328:Adult; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005069:Evaluation Studies as Topic; D005081:Exercise Therapy; D005260:Female; D006699:Home Care Services / Q000592:standards*; D018576:Home Health Aides / Q000193:education*; D006801:Humans; D008297:Male; D008484:Medicaid / Q000191:economics*; D008875:Middle Aged; D055070:Resistance Training; D014481:United States
keywords: exercise; home care aides; home- and community-based services; strength training; waiver program