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KMID : 0608320170240030047
Physical Therapy Korea
2017 Volume.24 No. 3 p.47 ~ p.56
An Innovative Wellness Program Promoting Participation in Physical Activity of Community-Dwelling Frail Elderly
Choi Bong-Sam

Abstract
Background: Given the potential benefits of wellness programs promoting physical activity of the community-dwelling frail elderly, it is recommended that comprehensive wellness programs combined with the component of physical activity. This may improve overall health and potentially lower the health care cost of the frail elderly. In general, the frail elderly residing in community or those after being discharged from hospitals are often committed to enhancing the status of participation in physical activity.

Objects: The purposes of this study were to identify specific shortcomings of current wellness programs as part of continuum of community rehabilitation services and to propose alternatives for the care of the community-dwelling frail elderly. Through this study, geriatric health care professionals may be able to implement assessments and programs to successfully promote an effective continuum of care for the frail elderly.

Methods: Article reviews were summarized and evaluated.

Results: A model elaborating the relationship between components of successful wellness program and participation in physical activities for the community-dwelling frail elderly are recommended. First, periodic monitoring the levels of physical activity by the use of online measurement system should be considered. Second, individualized adaptive technologies for selecting optimal physical activities for the elderly may be better fit to individuals¡¯ current status of physical activity.

Conclusion: The current status of physical activity in community-dwelling frail elderly can be monitored by online assessment systems. Through the innovative measurement system, elderly may assess his/her physical activity status overtime, select optimal physical activities matching the status, and create the elderly¡¯s own adaptive wellness programs that match to the status while residing in his/her community.
KEYWORD
Assessment, Computer adaptive testing, Item response theory, Physical activity, Wellness program
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