Additionally, there are interpersonal barriers that may be holding the individual back, this would involve there not being suitable guidance available to them. Often older adults may lose touch of the significance of participating in physical activity, they may not know where to begin, what they are capable of and how to complete the fundamental exercises. Therefore, structured activities in nursing home settings are vital. Providing guidance around physical activities will increase the likelihood of them participating and encourage them to get involved for both the physical benefits and social aspect of it. Environmental factors may be a major barrier if there is a lack of facilities within the setting. Timing is also crucial as if the timing is not appropriate to their daily routine it will discourage them from participating. (epidemiol health 2016) 

The programme will have two classes a week for six weeks. Each class will be 30 minutes long. The 30 minutes will include;

·         5 to 10-minute warm-up

·         10 minutes of training

·         Followed by a water break

·         5 or 10 minutes more training

·         The classes will finish with a warm down and an opportunity for a Q&A.

There are five themes for each week’s class. Each week will be different types of training that will build and maintain the older adult’s muscle mass, maintain the older adult’s stability and balance, encourage independence, prevent falls, and help improve the physical and mental health of older adults.

In the final week, the older adults will take part in an activator pole dance class. This gives the older adult’s a goal to work towards for week 6, it will also be extremely enjoyable for them to be up dancing and being active.

The different types of training will be;

known to combat frailty and weakness. These exercises build strength and muscle mass and preserve bone density. It can reduce chronic conditions such as osteoporosis and chronic diseases such as arthritis, type 2 diabetes, and heart disease. It also has other health benefits such as improved sleep and a reduced chance of depression (Seguin R, 2003).

Strength exercises for older adults-

Multi-sensory training:
needed to maintain the function of sensory systems such as hand and feet movement, memory, visual, and auditory (De Oliveira T.C.G, 2014). Multi-sensory training helps prevent dementia in older adults, prevents fractures, and falls (Marcon Alfieri F,2012).

Multi-sensory exercises in older adults-

Chair-based exercise: 
This is a safe exercise that includes mobile and immobile residents. Chair-based exercise Improves physical and cognitive functions and enhances well- being (Cordes, T., Schoene, D., Kemmler, W., & Wollesen, B. (2020).

Chair-based exercise includes:

Balance Drills
As people grow older, their muscles and bones naturally wear down. Performing balance drills Improve stability and coordination throughout the body (C., Health, E., Disease, H., Disease, L., Management, P., & Conditions, S. et al., 2021).

Older individuals are at risk for accidents such as slips and falls, therefore balance drills help prevent injuries as it helps them stay upright when you do activities such as walking and dancing. It is important to have another person, a chair, or even a wall when performing these drills for safety.

Examples of balance drills include:

Gait Training:
a form of physical therapy that improves one’s ability to stand and walk.

Benefits of gait training include improvement of balance and posture, strengthening muscles and joints, building endurance, development of muscle memory, and retraining the legs for repetitive motion ("Gait Training | Definition and Patient Education", 2021).

Gait training exercises include walking on a treadmill, lifting your legs, sitting down, standing up, and stepping over objects.

 Activator Pole dance class:

On week 6 the older adults will participate in an activator pole dance class. Activator poles were adapted to improve mobility and promote balance. They are suitable for all ages and people at different mobility levels. Activator pole classes can be done through seated activities, indoor stepping and they also promote social interaction. Music will be played throughout the class to encourage better movement and enjoyment (Activator Poles, n.d).

Policy

Environment 

To Implement this intervention, we first must look at the pre-conditions, this is whereby the need (aim/goals, resources, etc) for this intervention is identified, its target population as well as the implementation barriers.

Secondly, the pre-implementation stage. This stage will focus on logistic planning for the intervention, such as raising awareness about the intervention and receiving funding from charities and families of the residents for required resources. The pre-implementation stage will also explain the core elements for the intervention and include training for the staff required to run the intervention.

Lastly, implementation. In this stage, the individual, policy, and environmental parts of the intervention will be implemented. On the completion of the individual, policy, and environmental parts of the intervention being in place, the active aging programme can commence.