Abstract:
PURPOSE:The aim of this study was to involve older people and physiotherapists in the development of acceptable strategies to promote uptake and adherence with an exercise-based falls prevention programme. METHOD:Focus groups were conducted with older people attending a regional falls and syncope service (3 groups, total 12 participants) and local physiotherapists (4 groups, total 18 participants). Framework analysis was undertaken to identify why uptake and adherence with an exercise-based falls prevention programme is currently poor and to provide suggestions for how it might be improved. RESULTS:The older people participated in an exercise-based falls prevention programme to remain independent in activities of daily living. They valued approaches that promoted self-efficacy and self-management. In contrast, the physiotherapists perceived that many older people were reluctant to participate in an exercise-based falls prevention programme. While it was acknowledged that older people should be encouraged to take greater responsibility for the maintenance of their own health, the physiotherapists demonstrated a conflicting desire to remain in control of the treatment programme. CONCLUSIONS:A focus on self-management support may provide the key to promoting uptake and adherence with an exercise-based falls prevention programme. Physiotherapists should move from being "experts" to "enablers" who use their professional knowledge and expertise to support older people at risk of falling to maintain optimum levels of health and independence. Implications for Rehabilitation Despite the established efficacy of exercise-based falls prevention programmes, their impact remains limited by low levels of uptake and adherence. Clinical encounters between physiotherapists and older people at risk of falling offer the opportunity for the exchange of new information to promote patient empowerment and shared decision-making. Physiotherapists need to move away from being experts who care for and do to their patients to enable us to use their professional knowledge and expertise to maintain optimum levels of health and independence for older people at risk of falling.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Robinson L,Newton JL,Jones D,Dawson Pdoi
10.3109/09638288.2013.797507subject
Has Abstractpub_date
2014-01-01 00:00:00pages
379-86issue
5eissn
0963-8288issn
1464-5165journal_volume
36pub_type
杂志文章abstract::Aim: Few studies have addressed impact of participation in exercise programs on caregivers or family members of individuals with disabilities.Purpose: To evaluate the impact of interaction rich wellness program on family members or caregivers of participants.Methods: Nine family members or caregivers were selected for...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2018.1522549
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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abstract:BACKGROUND AND PURPOSE:In 1994, the International Paralympic Committee (IPC) established the IPC Sport Science Committee in an effort to bring Paralympic Movement relevant research questions to the academic world. In 1996, the IPC Sport Science Committee put an application system in place, allowing scholars to conduct ...
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,评审
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