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What enables older people to continue with their falls prevention exercises? A qualitative systematic review
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Finnegan, Susanne, Bruce, J. (Julie) and Seers, Kate (2019) What enables older people to continue with their falls prevention exercises? A qualitative systematic review. BMJ Open, 9 . e026074. doi:10.1136/bmjopen-2018-026074
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Official URL: http://www.doi.org/10.1136/bmjopen-2018-026074
Abstract
Objectives
To review the qualitative literature that explores the barriers and facilitators to continued participation in falls prevention exercise after completion of a structured exercise programme
Design
A systematic literature review with thematic synthesis of qualitative studies exploring older adults’ experiences of continued participation in falls prevention exercise
Data sources
Comprehensive searches were conducted in MEDLINE, PSYCHinfo, AMED, ASSIA, CINAHL and EMBASE from inception until November 2017. Additional studies were identified via searches of reference lists and citation tracking of relevant studies
Eligibility criteria
Qualitative or mixed methods studies exploring experiences of community-dwelling older adults (65 years and over) participation in a falls prevention exercise programme including their experience of ongoing participation in exercise after the completion of a structured exercise programme.
Data extraction and synthesis
Key characteristics including aim, participant characteristics, method of data collection, underpinning qualitative methodology and analytical approach were extracted and independently checked. Thematic synthesis was used to integrate findings
Results
From studies involving 425 participants, we identified three descriptive themes: identity, motivators/deterrentsand nature of the intervention and one overarching analytical theme: agency.
Conclusions
Older people have their own individual and meaningful rationale for either continuing or stopping exercise after completion of a structured falls prevention exercise programme. Exploring these barriers and facilitators to continued exercise is key during the intervention phase. It is important that health care professionals get to know the older person’s rationale and offer the best evidence-based practice and support to individuals, to ensure a smooth transition from their structured intervention towards longer-term exercise-related behaviour
| Item Type: | Journal Article | ||||||||
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| Alternative Title: | |||||||||
| Subjects: | R Medicine > RD Surgery | ||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School Faculty of Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing |
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| Library of Congress Subject Headings (LCSH): | Frail elderly -- Health aspects, Falls (Accidents) in old age -- Physical therapy | ||||||||
| Journal or Publication Title: | BMJ Open | ||||||||
| Publisher: | BMJ | ||||||||
| ISSN: | 2044-6055 | ||||||||
| Official Date: | 2019 | ||||||||
| Dates: |
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| Volume: | 9 | ||||||||
| Article Number: | e026074 | ||||||||
| DOI: | 10.1136/bmjopen-2018-026074 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| RIOXX Funder/Project Grant: |
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