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Life after falls prevention exercise – experiences of older people taking part in a clinical trial
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Finnegan, Susanne, Bruce, Julie and Seers, Kate (2021) Life after falls prevention exercise – experiences of older people taking part in a clinical trial. BMC Geriatrics, 21 . 91. doi:10.1186/s12877-021-02037-9 ISSN 1471-2318.
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Official URL: https://doi.org/10.1186/s12877-021-02037-9
Abstract
Background: There is little evidence about the lived experience of older people who have completed a falls prevention exercise programme and their life beyond their intervention.
Method: A phenomenological interview study with 23 participants (12 females), mean age 81 years (range 74-93 years), residing in their own homes across England, who had participated in a falls prevention exercise intervention within the Prevention of Falls Injury Trial (PreFIT). The aims were to explore their experiences of:
i. being in a clinical trial involving exercise.
ii. exercise once their falls prevention intervention had finished.
Interpretative data analysis was informed by van Manen’s (1997) framework for phenomenological data.
Results: Analysis of interviews about experiences of participating in PreFIT and what happened once the falls intervention ended identified five themes: Happy to help; Exercise behaviours; “It keeps me going”; “It wasn’t a real fall”; and Loss. Participants did not continue their specific exercises after they had completed the intervention. They preferred walking as their main exercise, and none reported preventing falls as a motivator to continue exercising. Participant experiences suggest that they have their own ideas about what constitutes a fall and there is disparity between their interpretation and the definition used by healthcare professionals and researchers.
Conclusion: Despite good intentions and perceived benefits, on-going participation in falls prevention exercises beyond a structured, supervised intervention was not a priority for these older people. Promoting continuation of falls prevention exercises post-intervention is just as challenging as promoting uptake to and adherence during exercise programmes.
| Item Type: | Journal Article | |||||||||
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| Subjects: | R Medicine > RC Internal medicine R Medicine > RD Surgery |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit 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 |
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| Library of Congress Subject Headings (LCSH): | Exercise therapy for older people, Joints -- Wounds and injuries., Physical therapy., Bones -- Wounds and injuries, Falls (Accidents) in old age, Clinical trials | |||||||||
| Journal or Publication Title: | BMC Geriatrics | |||||||||
| Publisher: | BioMed Central Ltd. | |||||||||
| ISSN: | 1471-2318 | |||||||||
| Official Date: | 31 January 2021 | |||||||||
| Dates: |
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| Volume: | 21 | |||||||||
| Article Number: | 91 | |||||||||
| DOI: | 10.1186/s12877-021-02037-9 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||
| Date of first compliant deposit: | 22 January 2021 | |||||||||
| Date of first compliant Open Access: | 9 February 2021 | |||||||||
| RIOXX Funder/Project Grant: |
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