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Self-Perceived Health and Sleep Quality of Community Older Adults after Acupunch Exercises

2018; Elsevier BV; Volume: 26; Issue: 5 Linguagem: Inglês

10.1016/j.jagp.2018.01.199

1545-7214

Chih‐Yin Hsiao, Kuei‐Min Chen, Han-Ya Tsai, Hsin‐Ting Huang, Yin‐Yin Cheng, Athena Yi‐Jung Tsai,

Education and Learning Interventions

•The Healthy Beat Acupunch (HBA) regimen improved the self-perceived physical and mental health, sleep quality, and daytime dysfunction of community older adults. •Significant effects were observed within 6 months of the Healthy Beat Acupunch regimen and were maintained in the next 6 months. •The instructor-led method followed by the DVD-guided method of delivering the exercise program was effective and feasible for implementing long-term programs for community older adults. •The directors and staff of community care centers can recruit volunteers to be trained as HBA instructors and conduct HBA exercises weekly in the centers. Objectives To test the long-term effects of the 12-month Healthy Beat Acupunch (HBA) exercise program on the self-perceived health and sleep quality of older adults in community care centers, and to compare the effects of two delivery methods: instructor-led HBA for the first 6 months and DVD-guided HBA for another 6 months. Design Cluster-randomized controlled trial. Setting Eight community care centers. Participants In total, 232 participants were recruited from eight community care centers, and cluster-randomized to the experimental (4 centers, N = 113) and control (4 centers, N = 119) groups. Intervention The experimental group received the instructor-led HBA program 3 times weekly for the first 6 months, followed by the DVD-guided HBA program for another 6 months. Measurements Self-perceived health and sleep quality were assessed using the Short Form Health Survey and the Pittsburgh Sleep Quality Index, respectively, at baseline and every 3 months for 1 year. Results The experimental group reported more favorable self-perceived physical and mental health, higher subjective sleep quality, and less daytime dysfunction than did the control group. Effect sizes of physical health and sleep quality increased from the instructor-led stage to the DVD-guided stage; the effect size of physical health showed the most significant change, increasing from 0.38 in the instructor-led stage to 0.55 in the DVD-guided stage. Conclusions The exercise program consisting of the instructor-led class, followed by the DVD-guided class, was an effective and feasible longitudinal program for older adults in community care centers. To test the long-term effects of the 12-month Healthy Beat Acupunch (HBA) exercise program on the self-perceived health and sleep quality of older adults in community care centers, and to compare the effects of two delivery methods: instructor-led HBA for the first 6 months and DVD-guided HBA for another 6 months. Cluster-randomized controlled trial. Eight community care centers. In total, 232 participants were recruited from eight community care centers, and cluster-randomized to the experimental (4 centers, N = 113) and control (4 centers, N = 119) groups. The experimental group received the instructor-led HBA program 3 times weekly for the first 6 months, followed by the DVD-guided HBA program for another 6 months. Self-perceived health and sleep quality were assessed using the Short Form Health Survey and the Pittsburgh Sleep Quality Index, respectively, at baseline and every 3 months for 1 year. The experimental group reported more favorable self-perceived physical and mental health, higher subjective sleep quality, and less daytime dysfunction than did the control group. Effect sizes of physical health and sleep quality increased from the instructor-led stage to the DVD-guided stage; the effect size of physical health showed the most significant change, increasing from 0.38 in the instructor-led stage to 0.55 in the DVD-guided stage. The exercise program consisting of the instructor-led class, followed by the DVD-guided class, was an effective and feasible longitudinal program for older adults in community care centers.