Effectiveness of a training program for caregivers of institutionalized older people on sedentary behavior, physical activity, and functionality of residents
DOI:
https://doi.org/10.47197/retos.v59.108300Keywords:
Sedentary behavior, Functionality, Older adults, Caregivers, Nursing homeAbstract
Training caregivers of institutionalized older adults about an expanded care approach seems to be a way to maintain the resident's capabilities from the long-term care perspective. Objective: to analyze the effectiveness of training for caregivers of institutionalized older adults on sedentary behavior (SB), physical activity (PA) levels, and functionality of residents. Methods: Instructional training (four weeks) followed by the caregiver goal application period (12 weeks). Primary outcomes: Sedentary behavior (accelerometry) and functional mobility (Timed Up and Go). Secondary: physical function (SPPB), the performance of activities of daily living (Barthel Index), physical activity (accelerometer), handgrip strength, and anthropometric measurements. All analyses were conducted according to the intention-to-treat principle. Generalized Estimating Equations (GEE) and the Bonferroni post-hoc test were applied for comparison between time points (pre and post-intervention) and groups (p<0.05). Results: 49 older adults participated in the study, 25 of which comprised the intervention group (IG) and 24 the control group (CG). There was a group and time interaction effect, and the IG showed a reduction in SB (p=.017), increased light PA (p=.006), and total PA (p=.018). There were no changes in moderate PA and functionality. Although not statistically significant, the Barthel Index increased by 6.8 points in the IG, a clinically meaningful difference. Conclusion: The caregiver training strategy can be important in reducing SB and promoting participation in PA, which is relevant, considering the profile of the institutionalized older adult population.
Keywords: Sedentary Behavior; Physical Functional Performance; Older Adults; Caregivers; Nursing home.
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