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 ISSN 2044-6055.

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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
Alternative Title:
Subjects:	R Medicine > RD Surgery
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing
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:	Date Event 2019 Published 15 April 2019 Available 18 February 2019 Accepted
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
Date of first compliant deposit:	4 March 2019
Date of first compliant Open Access:	5 March 2019
RIOXX Funder/Project Grant:	Project/Grant ID RIOXX Funder Name Funder ID RTF66/0116 Dunhill Medical Trust http://dx.doi.org/10.13039/501100000377
Related URLs:	Publisher

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