Effect of an Exercise Program for Frail Older Adults

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Despite the high level of evidence for physical activity as a countermeasure for frailty, the
 current Flemish standard of care does not include structural PA interventions for
 community-dwelling frail older adults. One barrier for this, is the high cost of supervised
 physical activity programmes.
 
 Therefore, in this pragmatic randomised controlled trial, the investigators will consider the
 Flemish current standard of care for frail older adults as a control group. Intervention
 condition 1 reflects the state-of-the-art physical activity intervention provided by
 professionals and intervention condition 2 consists of the same intervention provided by
 trained volunteers. It is hypothesized that the intervention in both intervention conditions
 will have significant effects on functional ability, cognition, loneliness, self-management,
 subjective health and meaningful activities and that it can alleviate the financial burden of
 condition 1 (cost-effectiveness). The pretrajectory of this study was based on the 'British
 Medical Research Council guidance' for the development and evaluation of complex
 interventions. This resulted in a comprehensive, state-of-the art personalised physical
 activity programme for community-dwelling frail older adults: ACTIVE-AGE@home. The programme
 adheres to current guidelines for physical activity and exercise for frail older adults and
 considers low threshold and meaningful activities for the participants. The latter perfectly
 aligns with the complex bio-psychosocial components of frailty. Positive results will help
 reduce negative outcomes of frailty in older adults and will also reduce health and social
 expenditures. This study aligns with a 'prevention and health promotion' model.