Effects of Health Education Intervention through Active Learning for Preventing Frailty in Older Adults

DOI 1 Citations Open Access
  • UEMURA Kazuki
    Department of Liberal Arts and Sciences, Toyama Prefectural University
  • YAMADA Minoru
    Graduate School of Comprehensive Human Sciences, University of Tsukuba
  • OKAMOTO Hiroshi
    Department of Liberal Arts and Sciences, Toyama Prefectural University

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Other Title
  • フレイル予防に向けたアクティブ・ラーニング型健康教育介入の効果
  • ─高齢者を対象としたランダム化比較試験─
  • A Randomized Controlled Trial

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Abstract

<p>Purpose: This randomized controlled trial aimed to investigate the effects of health education intervention through active learning targeting frailty prevention for mental health, physical function, and lifestyle factors in community-dwelling older adults.</p><p>Methods: Eighty-four older adults were randomly assigned to health education intervention group versus the no-treatment control group. Intervention group attended a 90-minute active learning program about physical, nutritional, and cognitive activity once a week for 24 weeks. Active learning included exploratory learning, group work, and self-planning for behavioral change, which promoted healthy lifestyles. Outcome measures included mental health (Apathy Scale and Geriatric Depression Scale-15), physical function (gait speed, chair stand test, and grip strength), lifestyle factors (amounts of physical activity, dietary variety score, and self-efficacy for health promotion scale), and pre-frailty status based on Fried’s frailty phenotype.</p><p>Results: A total of 79 participants (94%) completed the study. Significant group × time interactions were observed for Apathy Scale, gait speed, chair stand test, amounts of physical activity, the dietary variety score, and self-efficacy for health promotion scale (p < 0.05). The rate of pre-frailty significantly decreased only in the intervention group.</p><p>Conclusions: This study suggests that health education intervention through active learning improves apathy symptoms, lifestyle, physical function, and frailty status, which can contribute to frailty prevention.</p>

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