Factors influencing commencement and adherence to a home-based balance exercise program for reducing risk of falls: perceptions of people with Alzheimer's disease and their caregivers

Suttanon, Plaiwan; Hill, Keith; Said, Catherine M; Byrne, Karin N; Dodd, Karen

doi:10.1017/s1041610211002729

Cited by 56 publications

(95 citation statements)

References 19 publications

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“…Studies have shown that potential benefits of the program, recommendations of health professionals, support of caregivers, friends and family and activities that provide social interaction and enjoyment are factors that affect the participation of older adults in fall prevention programs. 18,19 The higher prevalence of fall prevention practices in the older adult men in this study, can probably be explained by the fact that the older adult men felt more vulnerable. This may mean that more men are interested in prevention activities, including those for falls.…”

Section: Discussionmentioning

confidence: 80%

Factors associated with fall prevention practices in older adults

Gaspar¹,

Azevedo²,

Reiners³

et al. 2017

Escola Anna Nery - Revista De Enfermagem

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Objective: To analyze the prevalence of fall prevention practices in older adults and the associated factors. Methods: A cross-sectional, analytical study with 557 older adults that were attending family health units. Data were collected using structured interviews. The dependent variable was the fall prevention practice. The associations were estimated through Poisson regression with robust variation. Results: The prevalence of fall prevention practices was 35.7%. After adjustments, the variables associated with the outcome were: gender (p = 0.003), very good/good self-assessment of health (p = 0.035), regular self-assessment of health (p = 0.012) and education (p = 0.039). Conclusion: The prevalence of fall prevention practices found was higher among older adult men with self-reported very good/good and regular health and with 5 or more years of study. This study contributes to assist the nurse in the planning of interventions to prevent falls in older adults. resumen Objetivo: Analizar la prevalencia de prácticas preventivas de caídas en ancianos, y los factores asociados. Métodos: Estudio transversal con 557 ancianos atendidos en las Unidades de Salud de la Familia. El muestreo fue probabilística estratificada proporcional. Los datos fueron colectados por medio de entrevista. La variable dependiente es la práctica preventiva de caída.Las asociaciones fueron estimadas por medio de la regresión de Poisson con variancia robusta. Resultados: La prevalencia de prácticas preventivas de caídas fue del 35,7%. Después de los ajustes, las variables que se asociaron al término fueron: género (p = 0,003); autoevaluación de salud excelente/buena (p = 0,035), regular (p = 0,012); y escolaridad (p = 0,039). Conclusión: La prevalencia de prácticas preventivas encontradas fue mayor entre los ancianos del sexo masculino, con autoevaluación de salud excelente/buena y regular, y con cinco años de estudio o más. Esta investigación contribuye en la planificación de intervenciones del enfermero para la prevención de caídas en los ancianos.Palabras clave: Accidentes por caídas; Prevención de Accidentes; Prevención de enfermedades; Acceptación de la atención de salud. EEAN.edu.br 2

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Section: Discussionmentioning

confidence: 80%

Factors associated with fall prevention practices in older adults

Gaspar¹,

Azevedo²,

Reiners³

et al. 2017

Escola Anna Nery - Revista De Enfermagem

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“…In this review, adherence to the exercise regimen for individuals with dementia ranged greatly between studies and explicit reasons why exercise adherence was low were not always reported. Suttanon et al (2012) and Suttanon et al (2013) conducted a detailed analysis, interviewing the persons with dementia and caregivers included in a randomized clinical trial investigating the effect of a home-based exercise programme for older people with AD. They found that preexisting or acute health conditions, a dislike of structured exercise, and caregiver causes (health and unavailable) were reasons for lower levels of adherence and concluded that regular support from a physiotherapist and caregiver were key elements facilitating program adherence in people with AD (Suttanon et al, 2012).…”

Section: Methodsmentioning

confidence: 99%

“…Suttanon et al (2012) and Suttanon et al (2013) conducted a detailed analysis, interviewing the persons with dementia and caregivers included in a randomized clinical trial investigating the effect of a home-based exercise programme for older people with AD. They found that preexisting or acute health conditions, a dislike of structured exercise, and caregiver causes (health and unavailable) were reasons for lower levels of adherence and concluded that regular support from a physiotherapist and caregiver were key elements facilitating program adherence in people with AD (Suttanon et al, 2012). Behavioral and cognitive strategies have been reported to increase the adherence to exercise (Woodard & Berry, 2001) and cognitive behavioral therapy has also been shown to be effective in reducing symptoms of depression and anxiety for people with dementia (Orgeta, Qazi, Spector, & Orrell, 2015).…”

Section: Methodsmentioning

confidence: 99%

Exercise Training for Persons with Alzheimer's Disease and Caregivers: A Review of Dyadic Exercise Interventions

Lamotte

Shah

Lazarov

et al. 2016

Journal of Motor Behavior

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Alzheimer’s disease (AD) is the most common form of dementia and the prevalence will increase dramatically in the next decades. Although exercise has shown benefits for people with dementia due to AD as well as their caregivers, the impact of a dyadic exercise intervention including both groups as study participants remains to be determined. The authors review the current clinical evidence for dyadic exercise interventions, which are exercise regimens applied to both the person with dementia and the caregiver. A total of 4 controlled trials were reviewed. This review shows that dyadic exercise interventions are feasible and may produce a positive effect on functional independence and caregiver burden. However, there was insufficient evidence to support a benefit of dyadic exercise intervention on cognitive performance and on behavioral and neuropsychiatric symptoms in participants with dementia due to AD. A dyadic exercise intervention improves functional independence and caregiver burden. However, there is a need for well-designed randomized controlled clinical trials to confirm these benefits and to investigate several important points such as the effects of a dyadic exercise intervention on cognitive and noncognitive outcomes of AD, the optimal intensity of exercise training, and the cost effectiveness of such a program.

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“…Caregivers provide encouragement to undertake risk reduction strategies (29), particularly important for a person with dementia with variable memory capacity. They also physically assist with exercise programs (10) and play a role in negotiating hazard reduction and risk-taking behaviors (31). The caregiver’s role in falls prevention is increasingly important as the dementia process continues and, while this role is often reliant on a caregiver’s personal characteristics, it may actually relate more to active engagement of the caregiver and method of intervention delivery (15).…”

Section: Discussionmentioning

confidence: 99%

“The Right Way at the Right Time”: Insights on the Uptake of Falls Prevention Strategies from People with Dementia and Their Caregivers

Meyer

Dow

Tinney

et al. 2016

Front. Public Health

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Strong evidence exists for effective falls prevention strategies for community-dwelling older people. Understanding the translation of these strategies into practice for people with dementia has had limited research focus. People with dementia desire to have their voice heard, to engage meaningfully in the health-care decision-making process, making it a priority for researchers and practitioners to better understand how to engage them in this process. This paper reports on the qualitative aspects of a series of studies, which aimed to identify the views of people with dementia and their caregivers regarding perceptions of falls prevention and the successes and challenges of adopting falls prevention strategies. Twenty five people with dementia and their caregivers were interviewed in their homes at baseline, and 24 caregivers and 16 people with dementia were interviewed at completion of a 6-month individualized falls prevention intervention. Interviews were audio-recorded, transcribed verbatim, and thematically analyzed. Five themes were identified at baseline: perceptions of falls; caregivers navigating the new and the unpredictable; recognition of decline; health services – the need for an appropriate message; and negotiating respectful relationships. At 6 months, caregivers and people with dementia decided on “what we need to know” with firm views that the information regarding falls risk reduction needed to be in “the right way … at the right time.” Rather than caregivers and people with dementia being only recipients of knowledge, they felt they were “more than just empty vessels to be filled” drawing on a “variety of resources” within their circle of influence to be able to positively “adapt to change.” The voices of people with dementia and their caregivers add an important dimension to understanding the translation of falls prevention knowledge for this population. Insights from this study will enable community care health professionals to understand that people with dementia and their caregivers can, and wish to, contribute to implementing falls prevention strategies through their resourcefulness and inclusion in the therapeutic partnership.

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Factors influencing commencement and adherence to a home-based balance exercise program for reducing risk of falls: perceptions of people with Alzheimer's disease and their caregivers

Abstract: A home-based exercise program with regular support from a physiotherapist and caregiver are key elements facilitating continuing program adherence in people with AD.

Cited by 56 publications

References 19 publications

Factors associated with fall prevention practices in older adults

Factors associated with fall prevention practices in older adults

Exercise Training for Persons with Alzheimer's Disease and Caregivers: A Review of Dyadic Exercise Interventions

“The Right Way at the Right Time”: Insights on the Uptake of Falls Prevention Strategies from People with Dementia and Their Caregivers

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