@article{ref1,
title="Feasibility and effectiveness of home-based exercise programs on physical performance and health-related quality of life of the older people dwelling on an isolated, doctor-less island",
journal="Geriatrics and gerontology international",
year="2018",
author="Akihiro, Shintaro and Taira, Yaeko and Maeda, Keita and Natsume, Keisuke and Sakakima, Harutoshi",
volume="18",
number="9",
pages="1313-1317",
abstract="AIM: To promote preventive care among older individuals dwelling on an isolated, doctor-less island, we investigated the feasibility and the efficacy of a home-based exercise program, depending on their functional status and health-related quality of life. <br><br>METHODS: A total of 23 older (mean age 72.6 years) participants were assigned to a home-based exercise program (intervention group), and 34 older (mean age 74.2 years) participants were assigned to a group without any intervention (control group). The participants of the intervention group attended the exercise program three times a week for 3 months. The exercise program consisted of various exercises involving stretching, muscle strengthening, balance retraining and walking. The physical performance, Functional Independence Measure and Short-Form 36-item health survey were used to assess the physical and the mental wellbeing of the participants. <br><br>RESULTS: There was no significant difference between the changes in physical performance at baseline and post 3 months in both groups. However, the motor and the cognitive Functional Independence Measure scores significantly improved in the intervention group post 3 months. The domains of the Short-Form 36-item health survey improved post 3 months; particularly, significant improvement was observed in the physical functions, general health, vitality, mental health and mental component summary. <br><br>CONCLUSIONS: Although an isolated island has several problems to support preventive care services, such as a lack of medical resources and availability of only a few healthcare workers, the present study provides evidence on the feasibility and efficacy of nurse-led home-based exercise programs for improving the physical and mental health of the older people dwelling on an isolated, doctor-less island. Geriatr Gerontol Int 2018; ••: ••-••.<br><br>© 2018 Japan Geriatrics Society.<p /> <p>Language: en</p>",
language="en",
issn="1444-1586",
doi="10.1111/ggi.13459",
url="http://dx.doi.org/10.1111/ggi.13459"
}