Promoting Seniors' Health with Home Care Aides: A Pilot


Regular physical activity benefits older adults physically and mentally. However, community-dwelling older adults who have difficulties with walking, bathing, dressing and other basic daily activities, lack access to physical activity. A growing number of seniors who need help with two or more activities of daily living (i.e., seniors with nursing home-level care needs) remain in the community and receive home care. Home care aides regularly provide routine housekeeping and personal care for an extended period of time and thus have a potential to promote their clients' physical activity. However, few existing physical activity programs are appropriate for home care aides to deliver to older clients in non-medical home care settings. The long-term goal of this project is to develop a sustainable health promotion program led by home care aides that can be used by community-based organizations (e.g., home care agencies, state departments on aging) to maintain independence among nursing home-eligible older adults living in their homes.

The primary objective of this study is to pilot a physical activity program delivered by home care aides for community-dwelling older adults in a Medicaid-funded home care program. The specific aims are: (1) to test and enhance the program feasibility, and (2) to test and enhance the feasibility of data collection and the applicability of outcome measures. The physical activity program, which consists of a brief motivational interview and three chair-bound movements, is expected to motivate nursing home-eligible seniors to increase physical activity and help maintain their independence in the community. The program, originally delivered by case managers, builds on scientific studies of physical activity and behavioral change, and will be translated into the one to be delivered by home care aides. This study will provide information necessary to design a future study to test the program's effectiveness.

Principal investigator
Funding Agency

National Institute on Aging (Grant No. R21AG042801) of the National Institutes of Health

Start date
End date
Total award

Related publications

Muramatsu N, Yin L, Berbaum ML, Marquez DX, Jurivich DA, Zanoni JP, Cruz Madrid KY, Walton SM. Promoting Seniors' Health With Home Care Aides: A Pilot. Gerontologist. 2018 Jul 13;58(4):779-788. doi: 10.1093/geront/gnx101. [See PubMed.]

Muramatsu N, Yin L, Lin TT. Building Health Promotion into the Job of Home Care Aides: Transformation of the Workplace Health Environment. Int J Environ Res Public Health. 2017 Apr 5;14(4). pii: E384. doi: 10.3390/ijerph14040384. [See PubMed.]

Muramatsu N, Madrigal J, Berbaum ML, Henderson VA, Jurivich DA, Zanoni J, Marquez DX, Cruz Madrid K. Co-learning with home care aides and their clients: collaboratively increasing individual and organizational capacities. Gerontol Geriatr Educ. 2015;36(3):261-77. [See PubMed.]