Translating Strong for Life into the Community Care Program: Lessons Learned

Margaret K. Danilovich*, Susan L. Hughes, Daniel M. Corcos, David X. Marquez, Amy R. Eisenstein

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

We used a randomized controlled trial to test the implementation of Strong for Life (SFL), a resistance exercise intervention, using 32 home care aides (HCAs) as exercise leaders with their 42 homebound older adult clients enrolled in the Community Care Program, a Medicaid 1915(c) waiver program. Mixed-methods were used to analyze outcomes of program satisfaction rates, training session evaluations, program fidelity, and job descriptive index scores. Results indicate that it is feasible for HCAs to implement SFL safely with clients. Participants viewed SFL as highly satisfactory and HCAs were able to adapt SFL for their clients. HCAs have high job satisfaction, and leading SFL enhances work achievement and pride. Our results show it is possible to train HCAs to implement SFL with their clients in addition to providing usual care services, participation positively affects both care partners, and this is a feasible and practical delivery model to provide exercise for adults receiving home- and community-based services.

Original languageEnglish (US)
Pages (from-to)553-569
Number of pages17
JournalJournal of Applied Gerontology
Volume36
Issue number5
DOIs
StatePublished - May 1 2017

Keywords

  • exercise
  • home care aides
  • home- and community-based services
  • strength training
  • waiver program

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

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