Home-Based Frailty Prevention Program for Older Women Participants of Kayoi-No-Ba during the COVID-19 Pandemic: A Feasibility Study

Int J Environ Res Public Health. 2022 May 28;19(11):6609. doi: 10.3390/ijerph19116609.

Abstract

This study presents a single-arm intervention that aimed to determine the feasibility of a three-month home-based exercise program to prevent the progression of frailty during COVID-19. We recruited four groups of Kayoi-no-ba, or community salons for frailty prevention, and a total of 69 community-dwelling older women who belonged to one of the Kayoi-no-ba in a preliminary study for a follow-up study. The intervention program was developed on the basis of the 5A approach, and the focus group by the volunteer leaders of Kayoi-no-ba. We adapted the National Center for Geriatrics and Gerontology Home Exercise Program for Older People for 10-min daily home-based exercise. For feasibility outcomes, 91.3% of the participants completed the intervention program, whereas the percentage of exercise performed was 86.5% during the intervention period. For health-related outcomes, the five times sit-to-stand test exhibited significant improvement after the intervention. The results of feasibility outcomes indicate that the program may be feasible due to the high rates of completion and exercise performed. Additionally, improvement was noted for the health indicators of the five times sit-to-stand test, which may help prevent frailty. The feasibility trial has provided the necessary data to design a future-cluster randomized controlled trial.

Keywords: National Center for Geriatrics and Gerontology Home Exercise Program for Older People; five times sit-to-stand test; home-based exercise; resistance training.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • Exercise Therapy / methods
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Frailty* / prevention & control
  • Humans
  • Pandemics / prevention & control

Grants and funding

This research received guidance from the National Center Consortium in Implementation Science for Health Equity (N-EQUITY) funded by the Japan Health Research Promotion Bureau (JH) Research Fund [Number 2019-(1)-4; JH jigyo-02]. Additionally, this research was funded by Grant-in-Aid for Scientific Research [20H03954] from the Japan Society for the Promotion of Science; the Research Funding for Longevity Sciences from National Center for Geriatrics and Gerontology (21-19). The views and opinions expressed in this study are those of the authors and do not necessarily reflect the official policies or positions of the respective funding organizations.