evelopment and Feasibility Evaluation of the Healthy Beat Accupunch (HBA) Exercise Program for the Community-Dwelling Older Adults

Autor: Han-Ya Tsai, 蔡函錏
Rok vydání: 2015
Druh dokumentu: 學位論文 ; thesis
Popis: 103
Background: Successful ageing is a societal issue that needs more attention and development urgently due to the elevated population of older adults annually. In order to reduce the societal and medical burden, many studies have proved that activity or exercising can promote the physical and mental function of the elderly. Purpose: To develop Healthy Beat Accupunch (HBA) suitable for older adults and pilot-testing the feasibility of the exercise program. Method: The study was conducted in two stages with Delphi technique used in stage I. Sixteen experts evaluated the HBA program with hard copy and the DVD demonstrated each exercise and further revised the original one to expert edition. In stage II, Quasi-experiment, single group, pretest-posttest study design was adapted. Thirty-one older adults from community care station aged more than 65 years were recruited. The HBA program was conducted 3 times a week, 40 minutes per session, and lasting for a month. In both stage I and II, the experts and older adults was given a semi-constructed questionnaire to collect their opinion on the feasibility of the program which includes simplicity, safety, applicability, and beneficiality. The opinion was divided into qualitative and quantitative part. Content analysis was used in qualitative data; mean and standard deviation were used to analyze quantitative data. Results: The HBA program was divided into 3 sections and 24 parts through the evaluation of the experts. After 12 times of HBA program training, the results of feasibility were: simplicity (8.84 ± 0.85~9.95± 1.32), safety (9.74 ± 0.18 ~ 9.77± 0.58), applicability (9.68 ± 0.43 ~ 9.90 ± 0.70), and beneficiality (9.68± 0.36 ~ 9.94 ± 0.79). After the HBA program intervention, most participants (58.16%) thought that the program should take place in a large field and the more people join it the better of the effect. The participants also suggested that the frequency of 3 times a week (77.42%), 40 minutes per session (74.19%) was suitable and the expected characteristics of the instructors were professional (24.62%), friendly (21.54%), and patient (13.85%). Conclusion: Overview of the results suggested that the experts and the community-dwelling older adults gave positive feedback to the feasibility of the HBA program, indicating that the program can be easily conducted and is safe, beneficial, and suitable for older adults aged 65 years or older. Further, the expected characteristics of the instructors being professional, careful and friendly by older adults lead the way for the instructors to cultivate professionalism. Future research is recommended to conducted experimental study with HBA program as intervention broadly and longitudinally to understand the impact of the program on physical and mental function of older adults.
Databáze: Networked Digital Library of Theses & Dissertations