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Older adults' prefe...
Older adults' preferences for, adherence to and experiences of two self-management falls prevention home exercise programmes : a comparison between a digital programme and a paper booklet
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- Månsson, Linda (author)
- Umeå universitet,Avdelningen för fysioterapi
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- Lundin-Olsson, Lillemor (author)
- Umeå universitet,Avdelningen för fysioterapi
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- Skelton, Dawn A. (author)
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
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- Janols, Rebecka (author)
- Umeå universitet,Institutionen för datavetenskap
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- Lindgren, Helena (author)
- Umeå universitet,Institutionen för datavetenskap
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- Rosendahl, Erik (author)
- Umeå universitet,Avdelningen för fysioterapi
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- Sandlund, Marlene, 1972- (author)
- Umeå universitet,Avdelningen för fysioterapi
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(creator_code:org_t)
- 2020-06-15
- 2020
- English.
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In: BMC Geriatrics. - : BioMed Central. - 1471-2318. ; 20:1
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https://umu.diva-por... (primary) (Raw object)
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Abstract
Subject headings
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- Background: Fall prevention exercise programmes are known to be effective, but access to these programmes is not always possible. The use of eHealth solutions might be a way forward to increase access and reach a wider population. In this feasibility study the aim was to explore the choice of programme, adherence, and self-reported experiences comparing two exercise programmes – a digital programme and a paper booklet.Methods: A participant preference trial of two self-managed fall prevention exercise interventions. Community-dwelling adults aged 70 years and older exercised independently for four months after one introduction meeting. Baseline information was collected at study start, including a short introduction of the exercise programme, a short physical assessment, and completion of questionnaires. During the four months intervention period, participants self-reported their performed exercises in an exercise diary. At a final meeting, questionnaires about their experiences, and post-assessments, were completed. For adherence analyses data from diaries were used and four subgroups for different levels of participation were compared. Exercise maintenance was followed up with a survey 12 months after study start.Results: Sixty-seven participants, with mean age 77 ± 4 years were included, 72% were women. Forty-three percent chose the digital programme. Attrition rate was 17% in the digital programme group and 37% in the paper booklet group (p = .078). In both groups 50–59% reported exercise at least 75% of the intervention period. The only significant difference for adherence was in the subgroup that completed ≥75% of exercise duration, the digital programme users exercised more minutes per week (p = .001). Participants in both groups were content with their programme but digital programme users reported a significantly higher (p = .026) degree of being content, and feeling supported by the programme (p = .044). At 12 months follow-up 67% of participants using the digital programme continued to exercise regularly compared with 35% for the paper booklet (p = .036).Conclusions: Exercise interventions based on either a digital programme or a paper booklet can be used as a self-managed, independent fall prevention programme. There is a similar adherence in both programmes during a 4-month intervention, but the digital programme seems to facilitate long-term maintenance in regular exercise.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Keyword
- Accidental falls
- Aged
- 80 and over
- Digital health
- eHealth
- Exercise
- Falls prevention
- Independent living
- mHealth
- Self-management
Publication and Content Type
- ref (subject category)
- art (subject category)
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