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      Exercise interveNtion outdoor proJect in the cOmmunitY for older people – the ENJOY Senior Exercise Park project translation research protocol

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          Abstract

          Background

          Creating inclusive and accessible outdoor environments that provide and encourage opportunities for older adults to engage in physical activity and social interaction is important for healthy ageing. The Senior Exercise Park is outdoor exercise equipment designed specifically for use by older people that provides physical and social benefits for older people in the community, and has the potential to be used widely as a sustainable mode of physical activity. The aim of this study is to implement and evaluate the effects of sustained engagement through the use of a community-based novel outdoor physical activity program (purpose-built exercise park) for older people on physical, mental and social health and physical activity outcomes (the ENJOY project).

          Methods

          This is a prospective pre-post design study with 12 months follow up. Adults aged ≥60 years will be recruited from the general community from the suburbs close to the Senior Exercise Parks locations in Melbourne. Participants will undergo a 12 week structured supervised physical activity program using the outdoor Senior Exercise Park equipment followed by 6 months unstructured physical activity program. Participants will be assessed at baseline, 3, 9, and 12 months. The following outcomes will be assessed: physical activity, physical function, psychosocial and mental health outcomes, falls risk and falls occurrence, participants’ feedback and satisfaction, and health care resource use.

          Discussion

          The ENJOY trial is designed to operate in a community setting with local government engagement to maximise the usage of the exercise park and provide an outdoor space for older people to be physically active. This project will evaluate the effectiveness and sustainability of the outdoor exercise park on a range of health outcomes and its long-term usability in the community.

          Trial registration

          This trial is prospectively registered with the Australian New Zealand Clinical Trials Registry. Trial registration number ACTRN12618001727235 registered 18th of October 2018.

          Electronic supplementary material

          The online version of this article (10.1186/s12889-019-7125-2) contains supplementary material, which is available to authorized users.

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          Most cited references17

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          A single European currency for EQ-5D health states. Results from a six-country study.

          The EQ-5D questionnaire is a widely used generic instrument for describing and valuing health that was developed by the EuroQol Group. A primary objective of the EuroQol Group is the investigation of values for health states in the general population in different countries. As part of the EuroQol enterprise 11 population surveys were carried out in six Western European countries (Finland, Germany, The Netherlands, Spain, Sweden and the UK) to value health states as defined by the EQ-5D using a standardised visual analogue scale (EQ-5D VAS). This contribution reports how a European set of general population preference weights was derived from the data collected in the 11 valuation studies. The scores from this set of preference weights can be applied to generate a VAS-based weighted health status index for all the potential 243 EQ-5D health states for use in multi-national studies. To estimate the preference weights a multi-level regression analysis was performed on 82,910 valuations of 44 EQ-5D health states elicited from 6,870 respondents. Stable and plausible solutions were found for the model parameters. The R(2) value was 75%. The analysis showed that the major source of variance, apart from 'random error', was variance between individuals (28.3% of the total residual variance). These results suggest that VAS values for EQ-5D health states in six Western European countries can be described by a common model.
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            Testing the Reliability and Validity of the Self-Efficacy for Exercise Scale

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              • Article: not found

              The acceptability of physical activity interventions to older adults: A systematic review and meta-synthesis.

              Physical activity can reduce the risk of chronic illnesses, frailty and deterioration of cognitive function in older adults yet few older adults meet recommended levels of physical activity. To increase engagement in physical activity, there is a need to better understand acceptability of physical activity interventions for this population.
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                Author and article information

                Contributors
                +61 3 8387 2626 , p.levinger@nari.edu.au
                m.panisset@nari.edu.au
                j.dunn@nari.edu.au
                terrence.haines@monash.edu
                b.dow@nari.edu.au
                f.batchelor@nari.edu.au
                Stuart.Biddle@usq.edu.au
                gustavo.duque@unimelb.edu.au
                keith.hill@monash.edu , keith.hill@curtin.edu.au
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                11 July 2019
                11 July 2019
                2019
                : 19
                : 933
                Affiliations
                [1 ]ISNI 0000 0004 0624 1200, GRID grid.416153.4, National Ageing Research Institute, , Royal Melbourne Hospital, ; Melbourne, Australia
                [2 ]ISNI 0000 0004 1936 7857, GRID grid.1002.3, School of Primary and Allied Health Care, , Monash University, ; Melbourne, Australia
                [3 ]ISNI 0000 0001 2179 088X, GRID grid.1008.9, Centre for Health Policy, , University of Melbourne, ; Melbourne, Australia
                [4 ]ISNI 0000 0004 0473 0844, GRID grid.1048.d, Centre for Health, Informatics, and Economic Research, Institute for Resilient Regions, , University of Southern Queensland, ; Brisbane, Australia
                [5 ]ISNI 0000 0001 2179 088X, GRID grid.1008.9, Australian Institute for Musculoskeletal Science (AIMSS), , The University of Melbourne and Western Health, ; Melbourne, Australia
                [6 ]ISNI 0000 0001 2179 088X, GRID grid.1008.9, Department of Medicine-Western Health, Melbourne Medical School, , The University of Melbourne, ; Melbourne, Australia
                [7 ]ISNI 0000 0004 0375 4078, GRID grid.1032.0, The School of Physiotherapy and Exercise Science, Curtin University, ; Perth, Australia
                [8 ]ISNI 0000 0004 1936 7857, GRID grid.1002.3, Rehabilitation, Ageing and Independent Living Centre, Monash University, ; Melbourne, Australia
                Author information
                http://orcid.org/0000-0001-6660-9183
                Article
                7125
                10.1186/s12889-019-7125-2
                6624877
                31296187
                cb867002-b75e-4a15-9108-e83f269348d5
                © The Author(s). 2019

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 22 May 2019
                : 7 June 2019
                Funding
                Funded by: Gandel Philanthropy
                Award ID: NA
                Award Recipient :
                Categories
                Study Protocol
                Custom metadata
                © The Author(s) 2019

                Public health
                senior exercise park,physical activity,exercise,falls,older people
                Public health
                senior exercise park, physical activity, exercise, falls, older people

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