Developing a chair-based exercise programme for older people in community settings
What we are doing:
A community delivered chair-based exercise intervention – Progressive Assisted Chair Exercise (PACE) was developed.
Multiple research methods were undertaken to develop the PACE intervention with a clear rationale for how it was anticipated to work. This included an expert consensus development process, a systematic review of randomised controlled trial literature, and identification of literature on the physiological and behaviour change principles of exercise for older people. The PACE intervention was then tested in a pre and post cohort study in an NHS community service to establish the feasibility of the intervention and whether it resulted in the anticipated outcomes. The acceptability of the intervention was explored through focus groups with older people.
Why we are doing it:
Exercise has well-known health benefits for older people, however, for some older people with compromised health and mobility participating in exercise is challenging. Chair-based exercise is a pragmatic and accessible form of exercise that may be offered in this context, however, there is a lack of good-quality evidence and a lack of standardisation in delivery.
What the benefits will be:
- Clearer understanding of what should be included in a chair-based exercise programme, who should be participating and how it should be delivered to maximise health benefits.
- To ensure chair-based exercise is not seen as a default option for all older people.
- To support progression to evidence-based standing programmes.
Who we are working with:
Older people, NHS organisations, social care