J Korean Acad Community Health Nurs.  2019 Jun;30(2):243-255. 10.12799/jkachn.2019.30.2.243.

Effects of Multifactorial and Follow-up Programs Applying a Capacity Building Strategy: Focusing on Older Adults Living in a Urban-rural Complex Area

  • 1Assistant Professor, Department of Nursing Science, Sun Moon University, Asan, Korea.
  • 2Associate Professor, College of Nursing, Gachon University, Incheon, Korea. camassia@naver.com
  • 3Doctoral Student, Graduated school, College of Nursing, Gachon University, Incheon, Korea.
  • 4Lecturer, College of Nursing, Gachon University, Incheon, Korea.


The purpose of this study is to examine effects of a multifactorial program for preventing the frailty of older adults and effects of a follow-up program applying a capacity building strategy.
A quasi-experimental pretest-posttest design was used for the nonequivalent control group. The follow-up group (n=75) and non-follow-up group (n=68) received the same multifactorial program comprising muscle strength exercise, cognitive training, and psychosocial programs for 12 weeks. After completion of multifactorial program, the follow-up group took follow-up programs applying the capacity building strategy for following 12 weeks. The data of physical function, cognitive function, and psychological function, and self-rated health were collected from both groups three times: before intervention, after intervention, and 12 weeks after intervention. The data were analyzed using χ2 test and t-test.
In comparison with the non-follow-up group, the scores of Timed Up & Go Test, and physical activities energy expenditure were significantly improved in the follow-up group.
These results indicate that a multifactorial program with follow-up adapting the strategies of capacity building for the older adults group is feasible to prevent the physical frailty in community.


Aged; Frailty; Capacity building; Exercise; Cognition

MeSH Terms

Capacity Building*
Energy Metabolism
Follow-Up Studies*
Motor Activity
Muscle Strength


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