Translating the Lifestyle Interventions and Independence for Elders Clinical Trial to Older Adults in a Real-World Community-Based Setting

Reid, Kieran F.; Laussen, J.; Bhatia, Karan; Englund, Davis A.; Kirn, Dylan; Price, Lori Lyn; Manini, Todd M.; Liu, Christine K.; Kowaleski, C.; Fielding, Roger A.

doi:10.1093/gerona/gly152

Cited by 6 publications

(2 citation statements)

References 16 publications

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“…However, this protocolized intervention was feasible (15) and in its present form also easily transferable in Finnish health care system. Furthermore, a pilot study might have reduced uncertainties in the trial design (35)(36). As the participants were from the area of one municipality in Finland, the sample might be too homogenous considering generalization of the findings to other populations.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Preventive Home Visits on Older People’s Use of Health Care and Social Services and Related Costs

Liimatta

Lampela

Kautiainen

et al. 2019

The Journals of Gerontology: Series A

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Background We use data from a randomized controlled trial on preventive home visits exploring effectiveness on health-related quality of life. In this article, we examine the intervention’s cost-effectiveness and effects on quality-adjusted life years in older home-dwelling adults. Methods There were 422 independently home-dwelling participants in the randomized, controlled trial, all aged more than 75 years, with equal numbers in the control and intervention groups. The intervention took place in a municipality in Finland and consisted of multiprofessional preventive home visits. We gathered the data on health care and social services use from central registers and medical records during 1 year before the intervention and 2 years after the intervention. We analyzed the total health care and social services use and costs per person-years and the difference in change in health-related quality of life as measured using the 15D measure. We calculated quality-adjusted life years and incremental cost-effectiveness ratios. Results There was no significant difference in baseline use of services or in the total use and costs of health care and social services during the 2-year follow-up between the two groups. In the intervention group, health-related quality of life declined significantly more slowly compared with the control group (–0.015), but there was no significant difference in quality-adjusted life years gained between the groups. The cost-effectiveness plane showed 60% of incremental cost-effectiveness ratios lying in the dominant quadrant, representing additional effects with lower costs. Conclusions This multiprofessional preventive home visit intervention appears to have positive effects on health-related quality of life without accruing additional costs. The clinical trial registration number ACTRN12616001411437.

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Section: Discussionmentioning

confidence: 99%

The Effects of Preventive Home Visits on Older People’s Use of Health Care and Social Services and Related Costs

Liimatta

Lampela

Kautiainen

et al. 2019

The Journals of Gerontology: Series A

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“…Providing activity counts as a composite vector magnitude of three orthogonal axes, the GT3X accelerometer has been shown to be a valid and reliable measure for PA when examined against a previous accelerometer model as well as whole‐body indirect calorimetry . Analyses were restricted to participants with at least three valid monitoring days (ie, worn at least 10 hr/day) . Using modified Freedson vector magnitude counts per minute, light intensity PA cut‐points are 200‐2689, and MV intensity PA cut‐points are 2690 or greater.…”

Section: Methodsmentioning

confidence: 99%

Association between Pre‐intervention Physical Activity Level and Treatment Response to Exercise Therapy in Persons with Knee Osteoarthritis—An Exploratory Study

Chang

Lee

Song

et al. 2019

ACR Open Rheumatology

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Objective. Examine whether pre-intervention physical activity (PA) level is associated with achieving a positive treatment response of pain and/or function improvement after a 12-week exercise intervention in participants with knee osteoarthritis (OA).Methods. We performed a secondary analysis of a randomized, single-blind comparative effectiveness trial showing similar treatment effects between Tai Chi mind-body exercise and standard physical therapy intervention for knee OA. Baseline PA was assessed by a Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire and, in a subsample, by tri-axial accelerometers. The Outcome Measures in Rheumatoid Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) dichotomous responder criteria was used for clinically meaningful improvement at follow-up. Associations between baseline self-reported PA by the CHAMPS questionnaire and outcomes of responders vs. nonresponders (reference group) were assessed using logistic regressions, adjusting for demographic covariates. We compared objectively measured PA by accelerometry between responders vs. nonresponders using Wilcoxon tests.Results. Our sample consisted of 166 participants with knee OA who completed both baseline and 12-week postintervention evaluations: mean age 60.7 year (SD 10.5), body mass index 32.4 kg/m 2 (6.9), 119 (72%) women, and 138 (83%) OMERACT-OARSI responders. Neither time spent in total PA [odds ratio (OR) 1.00; 95% confidence interval (CI) 0.96, 1.03] nor time in moderate-to-vigorous PA (OR 1.01; 95% CI 0.93, 1.09) at pre-intervention were associated with being a responder. Similar findings were observed in 42 accelerometry sub-cohort participants.Conclusion. Pre-intervention PA levels (subjective report or objective measurement) were not associated with individuals achieving favorable treatment outcomes after a 12-week exercise intervention, which suggests that regardless of pre-intervention PA level, individuals will likely benefit from structured exercise interventions.

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“You Just Have to Keep It Movin’:” Perceptions of Physical Function Limitations in an African American Health Ministry

Lange‐Maia

Kim

Willingham

et al. 2023

J. Racial and Ethnic Health Disparities

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Translating the Lifestyle Interventions and Independence for Elders Clinical Trial to Older Adults in a Real-World Community-Based Setting

Cited by 6 publications

References 16 publications

The Effects of Preventive Home Visits on Older People’s Use of Health Care and Social Services and Related Costs

The Effects of Preventive Home Visits on Older People’s Use of Health Care and Social Services and Related Costs

Association between Pre‐intervention Physical Activity Level and Treatment Response to Exercise Therapy in Persons with Knee Osteoarthritis—An Exploratory Study

“You Just Have to Keep It Movin’:” Perceptions of Physical Function Limitations in an African American Health Ministry

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