Community-based Exercise Enhanced by a Self-management Programme to Promote Independent Living in Older Adults

A Pragmatic Randomised Controlled Trial

Pia Øllgaard Olsen; Mark A Tully; Borja Del Pozo Cruz; Manfred Wegner; Paolo Caserott


Age Ageing. 2022;51(7):afac137 

In This Article

Conclusions and Implications for Preventive Practice and Future Research

This study showed that a complex intervention combining exercise with a multi-factorial self-management programme embedded in nationally regulated preventive practice led to a large short-term improvement in a key measure of functional capacity and predictor of disability, which was sustained for 12 weeks after the exercise component stopped. The current results provide evidence supporting the implementation of such complex intervention in routine preventive care for community-dwelling older adults. Although conclusive evidence was not established, the results also indicate that the multi-factorial self-management programme alone may be successfully introduced to older adults unable or unwilling to participate in group-based exercise, and potentially when exercise is not feasible due to lack of resources. Longitudinal research and cost-effectiveness analysis are needed to investigate if the effects of this complex intervention translate into reduced self-reported disability and ultimately, prolonged independent living and reduced health care costs.