Discussion: Conclusions and Practical Applications
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These employees were leading the exercise sessions twice a week. A difference in personality between the EST and ST facility activities directors could have influenced participation by the individuals. Interestingly, in a follow-up questionnaire, 57% of the EST participants reported their activities director had a poor attitude and did not care about the program. None of the participants in the ST group mentioned any negative traits of their activities director. It is also possible that the personality of the activities directors has created socially cohesive groups. The effect of social interactions was not measured in this study and, therefore, we cannot determine how social factors may have influenced attendance. QOL, fatigue, and depression are all transient and are influenced on how the participants feel at the moment they are being assessed. There are uncontrolled factors that may impact the quality and state of their answers. Finally, the strength knowledge test used in this study was created by the investigators and was not previously tested and validated.
Conclusions and practical applications
In conclusion, this study has shown that attendance rates increased in the strength training plus education group. Although small increases in resistance knowledge were observed in the education group, this difference was significant after 8 weeks. The results also revealed that functional ability improved with mild resistance training using progressive bands and chair exercises. Although fatigue and depression did not increase significantly for the EST and ST groups, QOL did, and it approached the reference group. The human body is able to adapt to a stimulus regardless of chronological age. Participation in physical activity decreases the rate of decline in function accompanied by age. The
EDUCATIONAL GERONTOLOGY 349
results of the present study provide a glimpse of the effectiveness of educating this population in order to increase adherence to strength-training recommendations. It is possible that educational interventions paired with strength-training programs may produce greater adherence rates than exercise alone. Ability to maintain adherence to strength training following the completion of a study is a vital area that needs to be studied. Further research is needed to evaluate the effects of a long-term educational program on knowledge, adherence, and functional ability. In addition, it is important to examine the effect of social factors on long-term participation to a strength-training program. Finally, creating a program focusing on educating and training the activities coordinators as well as the residents may have a greater impact on exercise adherence.
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