The Impact of Strong for Life on the Physical Functioning and Health of Older Adults Receiving Home and Community-Based Services

By Margaret Danilovich, Daniel Corcos, Amy Eisenstein, David Marquez and Susan Hughes.

Published by The International Journal of Aging and Society

Format Price
Article: Print $US10.00
Published online: September 28, 2016 $US5.00

The purpose of this study was to test the effects of Strong for Life (SFL) on the physical performance and self-rated health of older adults receiving Home and Community-Based Services (HCBS). We used a randomized, two-group trial with pre-post measures to deliver the in-home exercise program. Clients aged 65–95 (n=42) and their Home Care Aide (HCA) (n=32) were randomly assigned to a usual care and SFL intervention or usual care control group. Clients were instructed in SFL by their HCA and completed SFL three times per week for twelve-weeks. Outcomes included grip and quadriceps strength, Timed Up and Go, gait speed, Self-Efficacy for Exercise, pain, and PROMIS-global health measured at baseline and immediately following the intervention. Clients completed opened-ended survey items on SFL program evaluation. Effect sizes were moderate for grip strength (d= .38), pain (d= .34), and PROMIS-global health (d= .27). Small effect sizes were found for all other measures. Median quadriceps and TUG scores differentially improved among intervention participants versus controls. No adverse health events and high program satisfaction were reported. Frailty prevalence in the control group increased between baseline and posttest while frailty prevalence in the intervention group decreased during the same time period. Strong for Life has the potential to improve the strength, mobility, health, and frailty of older adults receiving HCBS. This study provides initial evidence of the impact of SFL for older adults receiving HCBS, as well as the safety of the intervention evidenced by the lack of reported adverse events.

Keywords: Resistance Exercise, Older Adults, Home and Community-based Services

The International Journal of Aging and Society, Volume 7, Issue 2, pp.1-10. Article: Print (Spiral Bound). Published online: September 28, 2016 (Article: Electronic (PDF File; 865.892KB)).

Dr. Margaret Danilovich

Instructor, Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, Illinois, USA

Daniel Corcos

Professor, Feinberg School of Medicine, Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, USA

Amy Eisenstein

Director of Research, CJE SeniorLife, Skokie, IL, USA

David Marquez

Associate Professor, Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, IL, USA

Susan Hughes

Professor, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA