title: Examining evidence based resistance plus balance training in community-dwelling older adults with complex health care needs: Trial protocol for the Muscling Up Against Disability project.
abstract: Progressive resistance plus balance training (PRBT) has been demonstrated as effective in reducing later life physical disability, falls risk and poor health, even among those with complex health care needs. However, few studies have examined the influence of PRBT on health service utilisation, cognitive wellbeing and training modality acceptance or undertaken a cost benefit analysis. This project will investigate the broad scope benefits of PRBT participation among community-dwelling older Australians receiving Government supported aged care packages for their complex health care needs. Using a modified stepped-wedge design, 248 community-dwelling adults 65 years and older with some level of government support aged care have been randomised into the study. Those randomised to exercise undertake six months of twice weekly machine-based, moderate to high intensity, supervised PRBT, followed by a six month unsupervised, unsupported follow-up. Controls spend six months undertaking usual activities, before entering the PRBT and follow-up phases. Data are collected at baseline and after each of the six month phases. Measures include level of and change in health and care needs, body composition, muscle capacity, falls, sleep, quality of life, nutritional and mental health status. In addition, acceptance and engagement is determined through telephone and focus group interviews complementing a multi-model health cost benefit evaluation. It is hypothesised this study will demonstrate the feasibility and efficacy of PRBT in improving primary and secondary health outcomes for older adults with aged care needs, and will support the value of this modality of exercise as an integral evidence-based service model of care.
authors.affiliation: Faculty of Health Sciences and Medicine, Bond University, Robina, Australia; Human Potential Centre, AUT University, Auckland, New Zealand; Cluster for Health Improvement, Faculty of Science, Health, Education and Engineering, University of the Sunshine Coast, Queensland, Australia. Electronic address: jkeogh@bond.edu.au.
authors.forename: Justin W L
authors.initials: JW
authors.lastname: Keogh
authors.affiliation: Faculty of Health Sciences and Medicine, Bond University, Robina, Australia; AgeFIT Solutions, Brisbane, Australia; The University of Queensland, School of Human Movement and Nutrition Sciences, Brisbane, Australia. Electronic address: tim@agefitsolutions.com.au.
authors.forename: Tim
authors.initials: T
authors.lastname: Henwood
authors.affiliation: The University of Queensland, School of Public Health, Brisbane, QLD, Australia; The University of Queensland, Mater Research Institute, Brisbane, QLD, Australia. Electronic address: p.gardiner@sph.uq.edu.au.
authors.forename: Paul
authors.initials: P
authors.lastname: Gardiner
authors.affiliation: The University of Queensland, School of Nursing, Midwifery and Social Work, Brisbane, Australia; College of Nursing, Yonsei University, Seoul, South Korea; School of Nursing, University of British Columbia, Vancouver, Canada. Electronic address: a.tuckett@uq.edu.au.
authors.forename: Anthony
authors.initials: A
authors.lastname: Tuckett
authors.affiliation: The Chermside Senior Citizens Centre, Burnie Brae, Australia. Electronic address: Hodgkinson.b@burniebrae.org.au.
authors.forename: Brent
authors.initials: B
authors.lastname: Hodgkinson
authors.affiliation: The Chermside Senior Citizens Centre, Burnie Brae, Australia. Electronic address: rouse.k@burniebrae.org.au.
authors.forename: Kevin
authors.initials: K
authors.lastname: Rouse
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D000369:Aged, 80 and over; D001315:Australia; D002985:Clinical Protocols; D003362:Cost-Benefit Analysis; D005260:Female; D005500:Follow-Up Studies; D006293:Health Promotion / Q000191:economics / Q000379:methods*; D006299:Health Services for the Aged; D006801:Humans; D057187:Independent Living; D008297:Male; D004856:Postural Balance; D011788:Quality of Life; D055070:Resistance Training / Q000191:economics / Q000379:methods*
keywords: Aged care; Disability; Exercise; Health care costs; Older adults; Resistance training