The Leveraging Exercise to Age in Place (LEAP) Study: Engaging Older Adults in Community-Based Exercise Classes to Impact Loneliness and Social Isolation
| Autor: | Allison Moser Mays, Sonja Rosen, Sungjin Kim, Tam Au, Katrina B Rosales |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Population Ethnic group Psychological intervention 03 medical and health sciences Social support 0302 clinical medicine Intervention (counseling) medicine Humans Social isolation Regular Research Article education Exercise Aged education.field_of_study 030214 geriatrics business.industry Loneliness Los Angeles Confidence interval Psychiatry and Mental health Social Isolation Chronic Disease Female Geriatrics and Gerontology medicine.symptom business |
| Zdroj: | The American Journal of Geriatric Psychiatry |
| ISSN: | 1064-7481 |
| Popis: | Highlights • What is the primary question addressed by this study?—The question addressed by the study must limited to only one sentence. Do older adults who participate in evidence-based community health programming experience improvement in loneliness and social isolation? • What is the main finding of this study?—The finding must be limited to two sentences. Older adults who met with a health coach and participated in a single session of community health programming reported decreased loneliness and social isolation at 6 months post-participation, compared to their baseline scores. • What is the meaning of the finding?—The meaning of the finding must be limited to one sentence. Objectives Social isolation and loneliness are associated with morbidity and mortality in older adults. Limited evidence exists regarding which interventions improve connectedness in this population. Design/Setting/Participants In this pre-post study we assessed community-based group health class participants’ (age ≥50) loneliness and social isolation. Participants (n=382) were referred by a Cedars-Sinai Medical Network (Los Angeles, California) healthcare provider or self-referred from the community (July 2017-March 2020). Intervention Participants met with a program coordinator and selected Arthritis Exercise, Tai Chi for Arthritis, EnhanceFitness, or the Healthier Living Workshop. Measurements We measured social isolation using the Duke Social Support Index (DSSI) and loneliness using the UCLA 3-item Loneliness Scale at baseline, class completion, and 6 months. Results Mean age was 76.8 years (standard deviation, SD=9.1); 315 (83.1%) were female; 173 (45.9%) were Non-Hispanic white; 143 (37.9%) were Non-Hispanic Black; 173 (46.1%) lived alone; mean baseline DSSI score was 26.9 (SD=4.0) and mean baseline UCLA score was 4.8 (SD=1.8). On multivariable analysis adjusted for gender, race/ethnicity, income, self-rated health, and household size, DSSI improved by 2.4% at 6-weeks compared to baseline (estimated ratio, ER: 1.024; 95% CI:1.010-1.038; p-value=0.001), and 3.3% at 6-months (ER: 1.033; 95% CI: 1.016-1.050; p-value |
| Databáze: | OpenAIRE |
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