Change in Daily Steps and Self-efficacy of Online Interactive Exercise Classes for Community-dwelling Older Adults in Japan: A Preliminary Study

Authors

  • Mami Ishizuka-Inoue Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto, Japan
  • Kanako Shimoura Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto, Japan
  • Reika Yamashita Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto, Japan
  • Miyu Onishi Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto, Japan
  • Takanobu Saito Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto, Japan
  • Momoko Nagai-Tanima Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto, Japan
  • Tomoki Aoyama Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto, Japan

DOI:

https://doi.org/10.5195/ijt.2022.6492

Keywords:

Elderly, Exercise programs, Preliminary Study, Self-efficacy, Telehealth

Abstract

Aims: This study aimed to (1) examine the feasibility of an online interactive exercise class for community-dwelling older adults and (2) preliminarily examine changes in physical activity and self-efficacy. Methods: Participants were 25 community-dwelling older adults aged 65 years or older, but due to 5 dropouts, the final number of participants for analysis was 20 (mean age 76.9 ± 5.7 years). The intervention program was conducted for 40 minutes each session, twice a week for four consecutive weeks, using the LINE group call (LINE Corporation, Japan). An online questionnaire was used to assess participant characteristics, modified Fall Efficacy Scale score, modified Gait Efficacy Scale (m-GES) score, self-rated health, and daily steps, which were compared pre- and post-intervention using the Wilcoxon signed-rank sum and chi-square tests. Results: The Wilcoxon signed-rank sum test showed significant improvement in the m-GES score and daily steps. The chi-square test showed that self-rated health was significantly greater in the maintenance/increase group. Conclusions: Online interactive exercise classes are feasible for community-dwelling older individuals. These results also suggest the possibility of using telehealth to improve physical activity and self-efficacy.

  

References

Barenfeld, E., Dahlin-Ivanoff, S., Wallin, L., & Gustafsson, S. (2018). Promoting aging migrants' capabilities: A randomized controlled trial concerning activities of daily living and self-rated health. AIMS Public Health, 5(2), 173–188. https://doi.org/10.3934/publichealth.2018.2.173

Behm, L., Wilhelmson, K., Falk, K., Eklund, K., Zidén, L., & Dahlin-Ivanoff, S. (2014). Positive health outcomes following health-promoting and disease-preventive interventions for independent very old persons: Long-term results of the three-armed RCT Elderly Persons in the Risk Zone. Archives of Gerontology and Geriatrics, 58(3), 376–383. https://doi.org/10.1016/j.archger.2013.12.010

Chaudhry, U., Wahlich, C., Fortescue, R., Cook, D. G., Knightly, R., & Harris, T. (2020). The effects of step-count monitoring interventions on physical activity: Systematic review and meta-analysis of community-based randomised controlled trials in adults. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 129. https://doi.org/10.1186/s12966-020-01020-8

Dennett, A., Harding, K. E., Reimert, J., Morris, R., Parente, P., & Taylor, N. F. (2021). Telerehabilitation's safety, feasibility, and exercise uptake in cancer survivors: Process evaluation. JMIR Cancer, 7(4), e33130. https://doi.org/10.2196/33130

Dohrn, I. M., Hagströmer, M., Hellénius, M. L., & Ståhle, A. (2017). Short- and long-term effects of balance training on physical activity in older adults with osteoporosis: A randomized controlled trial. Journal of Geriatric Physical Therapy, 40(2), 102–111. https://doi.org/10.1519/JPT.0000000000000077

Fletcher, P. C., & Hirdes, J. P. (2004). Restriction in activity associated with fear of falling among community-based seniors using home care services. Age and Ageing, 33(3), 273–279. https://doi.org/10.1093/ageing/afh077

Flynn, A., Preston, E., Dennis, S., Canning, C. G., & Allen, N. E. (2021). Home-based exercise monitored with telehealth is feasible and acceptable compared to centre-based exercise in Parkinson's disease: A randomised pilot study. Clinical Rehabilitation, 35(5), 728–739. https://doi.org/10.1177/0269215520976265

Hakim, A. A., Petrovitch, H., Burchfiel, C. M., Ross, G. W., Rodriguez, B. L., White, L. R., Yano, K., Curb, J. D., & Abbott, R. D. (1998). Effects of walking on mortality among nonsmoking retired men. New England Journal of Medicine, 338(2), 94–99. https://doi.org/10.1056/NEJM199801083380204

Hayashi, T., Kondo, K., Kanamori, S., Tsuji, T., Saito, M., Ochi, A., & Ota, S. (2018). Differences in falls between older adult participants in group exercise and those who exercise alone: A cross-sectional study using Japan Gerontological Evaluation Study (JAGES) Data. International Journal of Environmental Research and Public Health, 15(7), 1413. https://doi.org/10.3390/ijerph15071413

Hill, K. D., Schwarz, J. A., Kalogeropoulos, A. J., & Gibson, S. J. (1996). Fear of falling revisited. Archives of Physical Medicine and Rehabilitation, 77(10), 1025–1029. https://doi.org/10.1016/s0003-9993(96)90063-5

Kera, T., Kawai, H., Ejiri, M., Takahashi, J., Nishida, K., Harai, A., Hirano, H., Watanabe, Y., Fujiwara, Y., Ihara, K., Kim, H., & Obuchi, S. (2021). Change in subjective health status among frail older Japanese people owing to the coronavirus disease pandemic and characteristics of their responses. Geriatrics & Gerontology International, 21(11), 1053–1059. https://doi.org/10.1111/ggi.14276

Kondo, S., Miyamae, T., & Ishibashi, Y. (1999). Fear of falling in the elderly. (In Japanese) Sogo Rehabilitation, 27(8), 775–780. https://doi.org/10.11477/mf.1552109037

Makizako, H., Shimada, H., Yosida, D., Anan, Y., Ito, T., Doi, T., Tsutsumimoto, K., Uemura, K., Brach, JS., & Suzuki, T. (2013). Reliability and validity of the Japanese version of the modified gait efficacy scale. Journal of the Japanese Physical Therapy Association, 40(2), 87–95 https://doi.org/10.15063/rigaku.KJ00008636885

Ministry of Health, Labour and Welfare. (2013). Health Japan 21 (the second term). https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kenkounippon21.html.

Ministry of Health, Labour and Welfare.(2020). Results of the survey on the implementation status of the comprehensive project for long-term care prevention and daily life support (community support project) in fiscal year 2020. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000141576_00008.html.

Ministry of Health, Labour and Welfare, (2022a). Manual for the prevention of nursing care (4th Ed.). https://www.mhlw.go.jp/topics/2009/05/tp0501-1.html.

Ministry of Health, Labour and Welfare, (2022b). Local gymnastics map. https://kayoinoba.mhlw.go.jp/taisomap.html.

Murphy, S. L., Williams, C. S., & Gill, T. M. (2002). Characteristics associated with fear of falling and activity restriction in community-living older persons. Journal of the American Geriatrics Society, 50(3), 516–520. https://doi.org/10.1046/j.1532-5415.2002.50119.x

Newell, A. M., VanSwearingen, J. M., Hile, E., & Brach, J. S. (2012). The modified Gait Efficacy Scale: Establishing the psychometric properties in older adults. Physical Therapy, 92(2), 318–328. https://doi.org/10.2522/ptj.20110053

Nishiguchi, S., Yamada, M., Tanigawa, T., Sekiyama, K., Kawagoe, T., Suzuki, M., Yoshikawa, S., Abe, N., Otsuka, Y., Nakai, R., Aoyama, T., & Tsuboyama, T. (2015). A 12-week physical and cognitive exercise program can improve cognitive function and neural efficiency in community-dwelling older adults: A randomized controlled trial. Journal of the American Geriatrics Society, 63(7), 1355–1363. https://doi.org/10.1111/jgs.13481

Nyman, S. R., & Victor, C. R. (2012). Older people's participation in and engagement with falls prevention interventions in community settings: An augment to the Cochrane systematic review. Age and Ageing, 41(1), 16–23. https://doi.org/10.1093/ageing/afr103

Province, M. A., Hadley, E. C., Hornbrook, M. C., Lipsitz, L. A., Miller, J. P., Mulrow, C. D., Ory, M. G., Sattin, R. W., Tinetti, M. E., & Wolf, S. L. (1995). The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. Journal of the American Medical Association, 273(17), 1341–1347. https://doi.org/10.1001/jama.1995.03520410035023

Quigley, P. A., Bulat, T., Schulz, B., Friedman, Y., Hart-Hughes, S., Richardson, J. K., & Barnett, S. (2014). Exercise interventions, gait, and balance in older subjects with distal symmetric polyneuropathy: A three-group randomized clinical trial. American Journal of Physical Medicine & Rehabilitation, 93(1), 1–16. https://doi.org/10.1097/PHM.0000000000000052

SantaBarbara, N., Rezai, R., Terry, E., Shedd, K., & Comulada, W. S. (2022). Preliminary efficacy and acceptability of an online exercise and nutrition workplace wellness program: A brief report. Workplace Health & Safety, 70(2), 90–96. https://doi.org/10.1177/21650799211037528

Suzuki, T., Kim, H., Yoshida, H., & Ishizaki, T. (2004). Randomized controlled trial of exercise intervention for the prevention of falls in community-dwelling elderly Japanese women. Journal of Bone and Mineral Metabolism, 22(6), 602–611. https://doi.org/10.1007/s00774-004-0530-2

Tekin, F., & Cetisli-Korkmaz, N. (2022). Effectiveness of a telerehabilitative home exercise program on elder adults' physical performance, depression and fear of falling. Perceptual and Motor Skills, 129(3), 714–730. https://doi.org/10.1177/00315125221087026

Tinetti, M. E., Mendes de Leon, C. F., Doucette, J. T., & Baker, D. I. (1994). Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. Journal of Gerontology, 49(3), M140–M147. https://doi.org/10.1093/geronj/49.3.M140

Uchida, K., Hashidate, H., Sugawara, K., Nakata, T., Kurosawa, C., Minamimura, Y., Matsuo, Y., & Yatsunami, M. (2020). Unsupervised low-intensity home exercises as an effective intervention for improving physical activity and physical capacity in the community-dwelling elderly. Journal of Physical Therapy Science, 32(3), 215–222. https://doi.org/10.1589/jpts.32.215

Yamada, M., & Arai, H. (2015). Predictive value of frailty scores for healthy life expectancy in community-dwelling older Japanese adults. Journal of the American Medical Directors Association, 16(11), 1002.e7–1002.e1.002E11. https://doi.org/10.1016/j.jamda.2015.08.001

Downloads

Published

2022-12-13

How to Cite

Ishizuka-Inoue, M., Shimoura, K., Yamashita, R., Onishi, M., Saito, T., Nagai-Tanima, M., & Aoyama, T. (2022). Change in Daily Steps and Self-efficacy of Online Interactive Exercise Classes for Community-dwelling Older Adults in Japan: A Preliminary Study. International Journal of Telerehabilitation, 14(2). https://doi.org/10.5195/ijt.2022.6492

Issue

Vol. 14 No. 2 (2022)

Section

Clinical Research

License

Copyright (c) 2022 Mami Ishizuka-Inoue, Kanako Shimoura, Reika Yamashita, Miyu Onishi, Takanobu Saito, Momoko Nagai-Tanima, Tomoki Aoyama

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
  2. Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
  3. The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
    1. Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
    with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
  4. The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
  5. Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
  6. Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
  7. The Author represents and warrants that:
    1. the Work is the Author’s original work;
    2. the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
    3. the Work is not pending review or under consideration by another publisher;
    4. the Work has not previously been published;
    5. the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
    6. the Work contains no libel, invasion of privacy, or other unlawful matter.
  8. The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.

Revised 7/16/2018. Revision Description: Removed outdated link.