Fit for 100: Physical activity offered for very aged persons (Fit für 100: Bewegungsangebote für Hochaltrige)

ISRCTN ISRCTN55213782
DOI https://doi.org/10.1186/ISRCTN55213782
Secondary identifying numbers G 24-64-V42A-2534 (01.06.05-31.05.07); G 24-64-V42A-2947 (01.06.07-29.02.08)
Submission date
23/02/2009
Registration date
16/03/2009
Last edited
12/03/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Prof Heinz Mechling
Scientific

German Sport University Cologne
Institute of Sport Gerontology
Am Sportpark Muengersdorf 6
Cologne
50933
Germany

Phone +49 221 4982 6148
Email mechling@dshs-koeln.de

Study information

Study designInterventional single-arm multi-centre trial
Primary study designInterventional
Secondary study designMulti-centre
Study setting(s)Other
Study typePrevention
Scientific titleMulti-level development and evaluation of a preventive strength training programme in residential care: an interventional single-arm multi-centre trial
Study acronymff100 (fit for 100 [fit für 100])
Study objectivesIntroduction
There is scientific evidence that preventive physical exercise is effective even in high age. The present study focuses on the application and implementation of this knowledge for very aged people living in residential care.

Steps of realisation
1. To conceptualise a scholarly based strength and balance training programme targeting on very old persons endangered by, or actually in, need of care
2. To conduct this programme for the purpose of research and for developing sustainable good practice models.
3. To initiate broad diffusion and establishment of the program in institutions providing geriatric care.

Conceptual framework
1. Different levels of issues and interventions are playing roles, when preventive training in residential care is to be developed and implemented:
a. Individual-social level
b. Organisational-institutional level
c. Political-cultural level

2. Consequently, these levels are also considered in the evaluation of the programme. The evaluation is based on the RE-AIM framework (Glasgow, 2002), including the dimensions Reach, Efficacy/effectiveness, Adoption, Implementation and Maintenance (RE-AIM).
Ethics approval(s)Ethics Committee of the German Sports University Cologne, approved on 12/01/2009.
Health condition(s) or problem(s) studiedResidential geriatric care, frailty, dementia
InterventionThis is a multi-centre study with one year of interventions on multiple levels and four accompanying points of measurement, and a 12 month follow-up.

1. Individual level: Exercises 2 x 60 min training every week over one year, in group sessions (8-12 persons per group).
1.1. The principal part contains ten resistance exercises, covering the main muscle groups
1.2. One to two sets with 10 repetitions (weights can be increased now and then), one minute pauses between sets and exercises
1.3. Sensorimotor and communicative group exercises and games during the opening and closing phases of each group session
1.4. Alternative exercise for persons with no ability to stand

2. Institutional level: Sustainable implementation of training groups:
2.1. Demonstrative and motivating start by instructors belonging to the project
2.2. Training of institutional staff, who stepwise takes over the group
2.3. Supervision and coaching by project staff
2.4. Continuing information of the management and director of the institution, discussion on conditions and possibilities to resume training group after the end of the project

3. Political-cultural level:
3.1. Informing and convincing activities in professional, administrative and governmental contexts (institutionalised meetings and committees, specialised conferences, fairs)
3.2. Public relation activities (press, TV, internet)
3.3. Publication of a manual for implementing new training groups, organisation of a conference
3.4. Establishing an advisory council with renowned experts and public figures

Contact for Scientific Queries:
Dr Michael Brach
University Muenster
Institute of Sport Science
Horstmarer Landweg 62b
48149 Muenster
Germany
Tel: +49 251 83-32326
Fax: +49 251 83-32303
Email: michael.brach@wwu.de
Intervention typeOther
Primary outcome measureIndividual level:
1. Continuous documentation (every session) of individual participation and individual dumb bell and ankle weights

Institutional level:
2. Number of groups continued without external financial support:
2.1. After the end of the project
2.2. After one year (follow up)
Secondary outcome measures1. Individual level: Data collection at four times (in the beginning and every 16 weeks):
1.1. Sensorimotor tests:
1.1.1. Timed soda pop test (turning beverage cans)
1.1.2. Five timed chair stands
1.1.3. Ten-second semi tandem balance stand
1.1.4. Rotational flexibility and shoulder flexibility
1.1.5. Grip strength
1.2. Care related assessment:
1.2.1. Subjective well-being
1.2.2. Mini mental state examination (MMSE)
1.2.3. Barthel index
1.2.4. Instrumental activities of daily living (IADL)
2. Institutional and political-cultural level: Qualitative outcome description after 12 months by quantitative and qualitative analysis of media response and structured interviews with stakeholders
Overall study start date01/06/2005
Completion date31/05/2008

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participants9 institutions (72-108 participants)
Key inclusion criteriaPolitical-cultural level:
1. Different administrative districts must be represented
2. Pre-selection of five regions by the Seniors' Agency of North-Rhine Westphalia

Institutional level:
1. Each geriatric residence found in the preselected regions was included in a 3-stage selection and negotiation process
2. Selection criteria focused on general professional quality and readiness for a commitment to the project, in order to raise the probability of gaining sustainable models of good practice

Individual level:
1. Participants (men and women above 80 years of age) should be able to stand with assistance and to understand instructions.
2. Group integration of a small number of persons with no ability to stand (alternative exercises) or with orientation disorders (additional assistant) is possible
3. Participation of own volition
4. Doctor's approval
Key exclusion criteriaInstitutional level:
1. Rate of educated nurses lower than 55%
2. Less than 60 ambulating residents
3. No staff to guide residents to/from the exercises
4. No staff to take part in the project training
5. Not enough room for regular group exercise

Individual level:
1. Residents not able to take part in a group activity
2. Refusal for medical condition
Date of first enrolment01/06/2005
Date of final enrolment31/05/2008

Locations

Countries of recruitment

  • Germany

Study participating centre

German Sport University Cologne
Cologne
50933
Germany

Sponsor information

Institute of Sport Gerontology (Germany)
University/education

German Sport University Cologne
Am Sportpark Muengersdorf 6
Cologne
50933
Germany

Phone +49 221 4982 6149
Email s.henrichs@dshs-koeln.de
Website http://www.ibusg.de
ROR logo "ROR" https://ror.org/0189raq88

Funders

Funder type

Government

Ministry of Work, Health and Social Affairs of the state North-Rhine Westphalia (Germany) (ref: G 24-64-V42A-2534 [01/06/05-31/05/07]; G 24-64-V42A-2947 [01/06/07-29/02/08])

No information available

German Sport University Cologne (Germany)

No information available

University of Bonn (Germany)

No information available

Seniors' Agency of North-Rhine Westphalia (Germany)

No information available

State Sport Federation of North-Rhine Westphalia (Germany)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan