Sustaining effective group-based exercise programs within community settings typically encounters twin hurdles: negative client perceptions and insufficient staff support. Despite clear evidence that group exercise significantly improves functional outcomes, these operational challenges often undermine long-term success. To systematically address the causes of non-sustainability, we employed a project management approach to research and develop a scalable group exercise model. This strategic plan focused on three critical intervention areas: comprehensive staff training, streamlined operational systems, and enhanced client experience. This model was validated over a three-month pilot program conducted across four centers in Q1 2025, which yielded substantial operational improvements. Structured, online training resources were provided to staff, dramatically boosting their confidence and efficiency. Consequently, staff capacity doubled, allowing them to confidently manage an average of 12 clients per day, a significant increase from the previous average of six. We also assessed pre- and post-rehabilitation gains among 34 clients with deconditioning. Clients were assigned to one of three cohorts: a progressive strengthening group exercise program, an individualized conventional exercise regimen, or a standard engagement program. The results were conclusive: the progressive strengthening group demonstrated the most substantial improvements across all primary functional metrics, including enhanced functional independence, gait speed, and balance. To ensure continued success post-rehab, we integrated simple wearable technology to monitor exercise intensity, enabling seniors to safely maintain moderate activity levels without direct staff supervision, thus supporting successful community integration.

Authors:
Sylvia Liew, NTUC Health Co-operative Limited, Singapore
Mildred Yong, NTUC Health Co-operative Limited, Singapore
Lynn Amelia Binte Mohammad Hanip, NTUC Health Co-operative Limited, Singapore
Christina Tang, NTUC Health Co-operative Limited, Singapore

About the Presenter(s)
As Clinical Lead for Day Rehabilitation Centre at NTUC Health. Ms Sylvia Liew combats deconditioning in seniors with an innovative blended rehabilitation model, empowering them to meet physical activity goals.

Connect on Linkedin
https://www.linkedin.com/in/sylvia-liew-038520133/

See this presentation on the full schedule – Wednesday Schedule

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