Healthy Moves for Aging Well
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Healthy Moves for Aging Well

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Download the program summary.

Visit Partners in Care's website.

Developed by: Partners in Care Foundation
Program Administrator: June Simmons
Year Program First Implemented: 2002

Overview:

Healthy Moves for Aging Well is a simple and safe in-home physical activity intervention developed and tested by Partners in Care to enhance the activity level of frail, high-risk sedentary seniors living at home. The model was developed for community-based care management programs arranging and delivering services to seniors in the home. Healthy Moves is an additional service that can be added to the care manager's scope of work without significant additional time or expenses. Two levels of exercises are offered through this program: chair bound and advanced exercises.

Supporting Evidence:

Healthy Moves integrates best practice information from two evidence-based components: physical activity and behavior change. The physical activity component of Healthy Moves is drawn from the evidence-based work of fitness experts Dr. Jessie Jones and Dr. Roberta Rikli of California State University in Fullerton, California. They conducted a nationwide research study testing six exercises linked to activities of daily living on 7,183 older adults ages 60 to 94 representing 267 various sites in 21 different states. The study developed a standardized test, known nationally as The Senior Fitness Test, for assessing the fitness levels of older adults. They reported that increased physical activity reduces the loss of function over the years, 10% each decade after the age of 60. Physically active individuals drop their rate of decline in half.

The evidence for changing behavior is from the research of Prochaska and DiClemente. These two accomplished researchers developed and tested the Stages of Change model, also known as Motivational Interviewing and Brief Negotiation. The Brief Negotiation method is an innovative approach for increasing older adults’ intrinsic motivation for making and sustaining changes in physical activity in brief clinical encounters.

Program evaluation, completed by the Andrus Gerontology Center at the University of Southern California, was conducted using within group pre-post impact evaluation data. Healthy Moves participants (n=865) experienced improvement in both arm curls and step-in-place, as well as a decrease in depression (measured by the Geriatric Depression Scale). Self-reported level of pain was also reduced. Among Healthy Moves participants, a statistically significant reduction in number of falls was also realized.

Reference:  

Yan T, Wilber KH, Wieckowski J, Simmons JW. Results From the Healthy Moves for Aging Well Program: Changes of the Health Outcomes. Home Health Care Services Quarterly. (2009) 28 (1-3): 100-111. [Online]: http://www.informaworld.com/smpp/content~db=all~content=a915794567.

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