Katerina Machacova, Hana Polanska, Michal Steffl, Alzbeta Bartova, Blanka Novotna, Iva Holmerova
{"title":"革命还是空头承诺？老年人永久在线锻炼计划的随机对照试验6个月和12个月的随访。","authors":"Katerina Machacova, Hana Polanska, Michal Steffl, Alzbeta Bartova, Blanka Novotna, Iva Holmerova","doi":"10.2147/CIA.S530709","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Maintaining long-term engagement in physical activity programs among older adults remains challenging. This study examines actual and potential sustainability and adherence to a home-based online exercise program at six- and twelve-month follow-ups, while also analyzing perceived barriers, facilitators, and benefits.</p><p><strong>Methods: </strong>This follow-up study included 82 independent, home-dwelling older adults (mean age 73.7 ± 3.4; 77% female) who had previously completed a 12-week randomized controlled trial. 6- and 12-months sustainability and adherence were assessed using a custom-designed online questionnaire. Actual sustainability measured ongoing participation, while potential sustainability reflected willingness to engage in regular exercise. Participants were classified as regular, irregular, or non-exercisers, with follow-up closed-ended, semi-open, and open-ended questions exploring influencing factors. Adherence was categorized as high, moderate, or none, based on participation frequency and consistency. Data analysis combined quantitative (descriptive statistics) and qualitative (thematic analysis) approaches.</p><p><strong>Results: </strong>At six months, 79.3% of participants remained engaged, decreasing to 70.7% at twelve months, while potential sustainability remained high at 89% and 78.1%, respectively. High adherence was observed in 51.3% at six months and 47.8% at twelve months. Barriers included a lack of motivation and time, while social support and external incentives facilitated adherence. Most reported benefits among exercisers at the six- and twelve-month follow-ups were improved well-being (43/42), flexibility (41/37), and energy (20/20).</p><p><strong>Conclusion: </strong>This study confirms that long-term sustainability and adherence to home-based online exercise programs are achievable. The findings underscore the importance of understanding and flexible engagement models and highlight the potential for integrating similar strategies into future exercise programs for older adults.</p>","PeriodicalId":48841,"journal":{"name":"Clinical Interventions in Aging","volume":"20 ","pages":"1519-1535"},"PeriodicalIF":3.7000,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12433213/pdf/","citationCount":"0","resultStr":"{\"title\":\"Revolution or Empty Promise? 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Actual sustainability measured ongoing participation, while potential sustainability reflected willingness to engage in regular exercise. Participants were classified as regular, irregular, or non-exercisers, with follow-up closed-ended, semi-open, and open-ended questions exploring influencing factors. Adherence was categorized as high, moderate, or none, based on participation frequency and consistency. Data analysis combined quantitative (descriptive statistics) and qualitative (thematic analysis) approaches.</p><p><strong>Results: </strong>At six months, 79.3% of participants remained engaged, decreasing to 70.7% at twelve months, while potential sustainability remained high at 89% and 78.1%, respectively. High adherence was observed in 51.3% at six months and 47.8% at twelve months. Barriers included a lack of motivation and time, while social support and external incentives facilitated adherence. 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Revolution or Empty Promise? A 6- and 12-Month Follow-Up to an RCT of the Online Exercise Program PERMANENTO in Older Adults.
Background: Maintaining long-term engagement in physical activity programs among older adults remains challenging. This study examines actual and potential sustainability and adherence to a home-based online exercise program at six- and twelve-month follow-ups, while also analyzing perceived barriers, facilitators, and benefits.
Methods: This follow-up study included 82 independent, home-dwelling older adults (mean age 73.7 ± 3.4; 77% female) who had previously completed a 12-week randomized controlled trial. 6- and 12-months sustainability and adherence were assessed using a custom-designed online questionnaire. Actual sustainability measured ongoing participation, while potential sustainability reflected willingness to engage in regular exercise. Participants were classified as regular, irregular, or non-exercisers, with follow-up closed-ended, semi-open, and open-ended questions exploring influencing factors. Adherence was categorized as high, moderate, or none, based on participation frequency and consistency. Data analysis combined quantitative (descriptive statistics) and qualitative (thematic analysis) approaches.
Results: At six months, 79.3% of participants remained engaged, decreasing to 70.7% at twelve months, while potential sustainability remained high at 89% and 78.1%, respectively. High adherence was observed in 51.3% at six months and 47.8% at twelve months. Barriers included a lack of motivation and time, while social support and external incentives facilitated adherence. Most reported benefits among exercisers at the six- and twelve-month follow-ups were improved well-being (43/42), flexibility (41/37), and energy (20/20).
Conclusion: This study confirms that long-term sustainability and adherence to home-based online exercise programs are achievable. The findings underscore the importance of understanding and flexible engagement models and highlight the potential for integrating similar strategies into future exercise programs for older adults.
期刊介绍：
Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.
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