What enables older people to continue with their falls prevention exercises? A qualitative systematic review.

Authors:
Susanne Finnegan
Susanne Finnegan
Warwick Clinical Trials Unit
Julie Bruce
Julie Bruce
University of Aberdeen
United Kingdom
Kate Seers
Kate Seers
University of Warwick
United Kingdom

BMJ Open 2019 Apr 15;9(4):e026074. Epub 2019 Apr 15.

RCN RI, Royal College of Nursing Research Institute, Warwick Medical School, University of Warwick, Coventry, UK.

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 14 studies involving 425 participants, we identified three descriptive themes: identity, motivators/deterrents and 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.

Prospero Registration Number: CRD42017082637.

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2018-026074DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500202PMC
April 2019

Publication Analysis

Top Keywords

falls prevention
20
completion structured
12
participation falls
12
exercise completion
12
prevention exercise
12
structured exercise
8
exercise
8
barriers facilitators
8
exercise programme
8
facilitators continued
8
continued participation
8
thematic synthesis
8
studies exploring
8
older people
8
falls
5
prevention
5
qualitative
5
data collection
4
involving 425
4
studies involving
4

Altmetric Statistics

Similar Publications