Development and Evaluation of the Healthy Beat Accupunch (HBA) Exercise Program for the Community Older Adults

NCT ID: NCT02567864

Last Updated: 2017-05-12

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 232 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-07-12
• Study Completion Date: 2017-05-05

Brief Summary

The goals of this research project were: 1) to develop a senior-tailored Healthy Beat Accupunch (HBA) exercise program for community-dwelling older adults, 2) to test the effects of a six-month, instructor-led HBA exercise program, and 3) to evaluate the feasibility, compliance, and long-term effects of a six-month, DVD-guide HBA exercise program.

Detailed Description

A three-year, longitudinal, triangulation research method was applied. First Year (Phase I): A preliminary HBA exercise program, including hard copy descriptions and DVD demonstrations of each exercise, was mailed to the 16 experts in the Delphi advisory panel for their critique and evaluation. First Year (Phase II): A quasi-experimental, one-group, pretest-posttest design was used to pilot-test the feasibility of the HBA exercise program on a group of 31 community-dwelling older adults in a community care station. Second Year: A cluster randomized controlled trial was used to test the effects of a six-month, instructor-led HBA exercise program on the functional fitness (cardiovascular-respiratory function, body flexibility, muscle strength, and muscle endurance) of the community-dwelling older adults. Through the use of convenience sampling strategy, eight community care stations with 232 older adults in Kaohsiung were recruited and randomly assigned based on their community care stations to a HBA experimental group or a wait-list control group. Participants in the experimental group received the HBA exercise program led by trained and certified instructors, three times per week, 40 minutes per practice for six months; participants in the wait-list control group continued with their regular daily activities. One pre-test and two post-tests, three months apart, were conducted. Third Year: Using the same method as in the second year, participants from the second year continued practicing the HBA exercise program, but guided by a DVD, for another six months. The feasibility, compliance, and effectiveness of the DVD-led HBA exercise program on the community-dwelling older adults were tested, and another two post-tests, three months apart, were conducted on the same outcome measurements as in the second year.

Conditions

Functional Fitness

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

Healthy Beat Accupunch

The HBA exercise program includes: 1) warm-up: 5 slow and gentle exercises to regulate qi, loosen up the body, and elevate the energy for a safe transition to the next phase, 2) accupunch: 14 low-to-medium speed exercises to punch the 14 meridians to enhance the cardiovascular-respiratory workout, and 3) relaxation: 5 low-speed, muscle relaxing exercises with deep breaths to sooth the body and mind. It is conducted 3 times per week and 40 minutes per practice.

Group Type: EXPERIMENTAL

Healthy Beat Accupunch exercise program

Intervention Type: OTHER

HBA has three phases and takes 40 minutes to complete.

control

The control group maintains daily activities.

Group Type: ACTIVE_COMPARATOR

control

Intervention Type: OTHER

participants maintain their daily activities.

Interventions

Healthy Beat Accupunch exercise program

HBA has three phases and takes 40 minutes to complete.

Intervention Type: OTHER

control

participants maintain their daily activities.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• community-dwelling older adults aged 65 and over
• Mandarin or Taiwanese speakers
• able to stand and walk without assistive devices
• cognitive alert and able to verbally state their name, address, and answer questions.

Exclusion Criteria

• participants with severe and acute cardiovascular, musculoskeletal, or pulmonary illnesses.

• Minimum Eligible Age: 65 Years
• Maximum Eligible Age: 100 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

National Science and Technology Council, Taiwan

OTHER_GOV

Sponsor Role: collaborator

Kaohsiung Medical University

OTHER

Sponsor Role: lead

Responsible Party

Kuei-Min Chen, Ph.D., RN.

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Kuei-Min Chen, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Kaohsiung Medical University

Locations

Kaohsiung Medical University

Kaohsiung City, , Taiwan

Countries

Taiwan

Other Identifiers

KMUH-IRB-20140089

Identifier Type: -

Identifier Source: org_study_id