216 Churchtown Walk & Talk Programme for Older Adults

TL;DR

A walking and social program for older adults improved strength and wellbeing during the pandemic.

Contribution

A community-based walk-and-talk program was developed and tested to combat deconditioning and isolation in older adults.

Findings

90% of participants showed improved muscle strength after the program.

77% of participants engaged in physical activity 5-7 days post-program.

Mental wellbeing scores increased significantly during the program.

Abstract

Many community-based services discontinued due to the Covid-19 pandemic. Local primary care teams encountered clients exhibiting deconditioning, reduced muscle strength, diminished routines, and lacking confidence in movement. Loneliness and social isolation were increasingly evident.

Development: Churchtown Walk & Talk was developed, in partnership between the health service and Making Connections (befriending and wellbeing charity), to respond to local population’s needs.

Two walking groups were piloted (n = 22), aimed at addressing the observed muscle strength deterioration and social isolation. Eligible clients opted in following formal assessment by primary care physiotherapist/occupational therapist, and participants decided the route, distance and duration of the walk. On completion, participants were accompanied to a local café for further social engagement.

90% of pilot participants showed improved muscle strength. All participants reported a positive impact on their health and wellbeing.

Implementation: Following the success of the pilots, five additional groups (n = 62) were delivered, aimed at increasing:

• PA levels

• Muscle strength to reduce frailty

• Wellbeing through socialisation

Pre/post outcomes were measured at weeks one and six, for five walking groups (n = 57).

Mean time score for Five Times Sit to Stand decreased (25.40s to 17.74s). Hand Dynamometer Grip Strength improved by 1.44kg (left hand) and 1.04kg (right hand). The mean Short Warwick Edinburgh Mental Wellbeing Scale score increased from 28.53 to 29.35.

77% of participants were engaging in PA for 5-7days post programme versus 58% pre intervention, and 90% of participants reported a positive impact on their health and wellbeing upon completion.

Following the success of the programme, further adapted groups are planned in 2024 with expansion into other healthcare networks with an identified need.

The population in Ireland is aging1, and frailty increases risk of disability; falls and cognitive decline. Interdisciplinary and multiagency collaboration for targeted local interventions may help to reduce risks for older adults. Meaningful engagement with participants allows tailored programmes which may improve engagement and outcomes.

Reference:

1. Sheehan, A. and O’Sullivan, R., (2020) Ageing and Public Health – an overview of key statistics in Ireland and Northern Ireland. Dublin: Institute of Public Health.