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Table 2 Flow and content of Propa intervention

From: A tailored counseling and home-based rehabilitation program to increase physical activity and improve mobility among community-dwelling older people after hospitalization: protocol of a randomized controlled trial

 

Aim

Intervention content

Method

1. Home visit (week 1)

Introduction to the rehabilitation program, duration, GAS method and aims of the study

Current health status, chronic diseases, falls, living environment and use of a walking aid are evaluated. Goal setting is initiated

Interview, information on paper form is given on helping aids, hip pants, shoes and ancillary equipment

2. Home visit (week 2)

Muscle strength program

Individual exercise program to be implemented according to the OTAGO protocol (strength, balance, functional training)

Exercise training, counseling

3. Home visit (week 3)

Functional exercise program (e.g. walking, climbing stairs).

Goals of rehabilitation are assessed to fit the participant’s current situation

Individual exercise program to enhance functional capacity and independent ADL functions. Advice for non-medical solutions to increase pain-management skills

Exercise training, interview, counseling

4. Home visit (week 4)

Balance program with progressive balance movements on an individual level (with help of ancillary equipment if needed)

Individual exercise program to increase and maintain balance and agility

Exercise training, goal updating, counseling

1. Call (week 6)

Encouragement to pursue goals and information given if needed

Evaluation of current situation, progress with the training program and their health status

Counseling goal updating

5. Home visit (week 8)

Functional training and progression on each program. Light resistance band training.

Training program is evaluated to fit the participant’s current situation.

Exercise training, interview, goal setting

2. Call (week 10)

Encouragement to pursue goals and information given if needed

Participants are asked about their current situation, progress with the training program and their health status

Counseling

6. Home visit (week 12)

Possibility to train outside of the participants home, e.g., communal gym, swimming pool, elderly exercise group or home-based medium resistance band training

Physical activity counselling, goal setting

Exercise training, counseling, motivational interview to discover new training possibilities

3. Call (week 16)

Encouragement to pursue goals and information given if needed

Evaluation of current situation, progress with the training program and their health status

Counseling

7. Home visit (week 20)

Evaluation of rehabilitation period and plan for future

The success of the goals set beforehand are appraised and new goals set for the future. Evaluation of the physical activity plan. Motivation to continue physically active lifestyle

Counseling