Psychosocial outcomes following dual-task high-velocity exercise training in older adults: A secondary analysis of an 18-month cluster randomised controlled trial
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2026
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Abstract
Abstract Objectives Power and resistance training can improve older adults’ perceived health, and while cognitive training has mixed benefits, combined effects remain uncertain. This secondary analysis of an 18-month cluster randomised controlled trial investigated whether dual-task functional power training (DT-FPT) improves psychosocial outcomes in older adults at risk for falls. Methods Twenty-two independent-living retirement communities (300 residents, ≥65 years) were randomised to 12 months of group-based DT-FPT (6 months supervised + 6 months maintenance; 2/week, 45-60 minutes) performed with cognitive and/or motor tasks or control (CON), followed by a 6-month follow-up. Health-related quality of life (HR-QoL; SF-36v2), life satisfaction (Personal Wellbeing Index), and psychological distress (Depression Anxiety and Stress Scale [DASS-21]) were assessed at baseline, 6, 12, and 18 months, generating subscale, summary, and composite scores. Results Overall, 227 (76%) participants provided data at the 18-month follow-up; mean exercise adherence was 50% at 6 months and 40% at 12 months. At 6 months, DT-FPT showed net benefits compared to CON for physical functioning (1.77 points [95% CI: 0.03, 3.51]; p = 0.047), role-physical (2.71 [0.35, 5.08]; p = 0.025), and role-emotional (2.25 [0.09, 4.40]; p = 0.041) HR-QoL domains. No changes were observed in life satisfaction or psychological distress, but CON showed lower Anxiety DASS-21 subscale scores than DT-FPT at 12 months (-2.0 [-3.22, -0.76]; p = 0.001) and 18 months (-0.93 [-1.84, -0.02]; p = 0.045). Discussion DT-FPT delivered to older, retirement-living adults at risk of falls may improve select HR-QoL domains, potentially reducing perceived physical limitations in daily activities, but shows no sustained effects or impact on life satisfaction.
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| Authors | Jamie L Tait, Rachel L Duckham, Timo Rantalainen, Catherine M Milte, Luana C Main, Caryl A Nowson, Kerrie M Sanders, Dennis R Taaffe, Keith D Hill, Gavin Abbott, Robin M Daly |
| Journal | the journals of gerontology series b, psychological sciences and social sciences |
| Year | 2026 |
| DOI |
10.1093/geronb/gbag140
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| URL | |
| Keywords | Keywords not found |
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