Adherence Is More Than Just Being Present: Example of a Lay-Led Home-Based Programme with Physical Exercise, Nutritional Improvement and Social Support, in Prefrail and Frail Community-Dwelling Older Adults.

摘要: Background: Little is known about the implementation of lifestyle interventions in frail, community-dwelling people. This study highlights different domains adherence to explain an effectively delivered home-based intervention. Methods: Eighty prefrail and frail persons (≥65 years) participated a physical training, nutritional, social support intervention over 24 weeks. A detailed log book was kept for comprehensive documentation order assess further organizational, exercise, nutritional parameters. Results: Participants reached rate (performed home visits/number planned visits) 84.0/80.5% from week 1–12/13–24. Out those, 59% carried out ≥75% offered visits. Older age associated with higher rate. mean 1.5 (0.6) visits/week (2 were planned) realized lasting (0.9) hours (154% duration). Per visit, 1.2 circuits strength training performed (60.5% value) 0.5 (0.3) (47%). After twelve months, 4.2% still visits regularly 25.0% occasionally. Conclusion: Adherence much more than “being there”. category are limited parameters describe complex intervention, therefore needed.