What Are the Characteristics of Home Exercise Programs That Older Adults Prefer?

Simek, Emily; McPhate, Lucy; Finch, Caroline F.; Day, Lesley Margaret; Haines, Terrence Peter

doi:10.1097/phm.0000000000000275

Cited by 18 publications

(12 citation statements)

References 36 publications

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“…In another study, home based exercise programs including telephone or home visit support applied by a physiotherapist were found to be partially compliant in a greater proportion of elderly population. [16] In our study, we did not use this type of control method for assessing the compliance of elderly patients.…”

Section: Discussionmentioning

confidence: 98%

“…A recent systematic review of randomized controlled trials of home exercise programs found that a range of 15-29% of elderly populations were fully compliant to their prescribed home based exercise program. [16] One study found that compliance rates for home exercise programs in elderly people at high risk of locomotor dysfunction ranged from 82.1 to 85.4%. [17] In our study, we found that 62.5% of the elderly patients with knee OA study were compliant with home based exercise program.…”

Section: Discussionmentioning

confidence: 99%

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Compliance to home-based exercise therapy in elderly patients with knee osteoarthritis

Ay¹,

Evcik²,

Gökçe-Kutsal³

et al. 2016

Turk J Phys Med Rehab

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Osteoarthritis (OA) is the most common chronic joint disorder causing pain and deformities and is an important cause of morbidity in elderly people. The knee is one of the most commonly involved joints and causes significant functional limitations. [1] The therapeutic management for OA patients is often divided into three main categories: nonpharmacological, pharmacological and surgical methods. Non-pharmacological treatment modalities recommended by European League Against Diz osteoartriti olan yaşlı hastaların ev egzersiz tedavisine uyumu ABSTRACT Objectives: This study aims to evaluate the compliance to home-based exercise regimen by elderly patients with osteoarthritis of the knee. Patients and methods: Between May 2012 and May 2013 year, a total of 72 patients (54 females, 18 males) over 65 years old with knee osteoarthritis admitted to the Physical Medicine and Rehabilitation outpatient clinic were included in the study. The patients were given a home-based exercise program. They were recommended to perform the exercises 10 times twice a day, for a month. We evaluated the patients' demographic data, comorbid diseases, whether they exercised previously and compliance to exercise. Results: All patients' home exercise program compliance was 62.5%. Males were more compliant than female patients and high education and comorbidity were also associated with poor compliance. Conclusion: The compliance of the geriatric patients to home-based exercise program is difficult and multiple variables affect the compliance.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Compliance to home-based exercise therapy in elderly patients with knee osteoarthritis

Ay¹,

Evcik²,

Gökçe-Kutsal³

et al. 2016

Turk J Phys Med Rehab

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“…A systematic review of perspectives on fall prevention programs found that older adults were more likely to participate in exercise interventions if they believed that these would maintain or improve their health [61]. Similarly, a study looking at perceived benefits of and barriers to adherence to home-based exercise programs also found program adherence to be influenced by the perceived effect of programs on physical and mental health [62]. Furthermore, HPM construct of perceived benefits to action also suggests that individuals are more likely to commit and engage in behaviors, such as exercise, when they anticipate personally valued benefits [53].…”

Section: Discussionmentioning

confidence: 99%

An Interactive Home-Based Cognitive-Motor Step Training Program to Reduce Fall Risk in Older Adults: Qualitative Descriptive Study of Older Adults’ Experiences and Requirements

Valenzuela¹,

Razee²,

Schoene³

et al. 2018

JMIR Aging

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Background Falls are a major contributor to the burden of disease in older adults. Home-based exercise programs are effective in reducing the rate and risk of falls in older adults. However, adherence to home-based exercise programs is low, limiting the efficacy of interventions. The implementation of technology-based exercise programs for older adults to use at home may increase exercise adherence and, thus, the effectiveness of fall prevention interventions. More information about older adults’ experiences when using technologies at home is needed to enable the design of programs that are tailored to older adults’ needs. Objective This study aimed to (1) explore older adults’ experiences using SureStep , an interactive cognitive-motor step training program to reduce fall risk unsupervised at home; (2) explore program features that older adults found encouraged program uptake and adherence; (3) identify usability issues encountered by older adults when using the program; and (4) provide guidance for the design of a future technology-based exercise program tailored to older adults to use at home as a fall prevention strategy. Methods This study was part of a larger randomized controlled trial. The qualitative portion of the study and the focus of this paper used a qualitative descriptive design. Data collectors conducted structured, open-ended in-person interviews with study participants who were randomly allocated to use SureStep at home for 4 months. All interviews were audiotaped and ranged from 45 to 60 min. Thematic analysis was used to analyze collected data. This study was guided by Pender’s Health Promotion Model. Results Overall, 24 older adults aged 70 to 97 years were interviewed. Findings suggest older adults are open to use technology-based exercise programs at home, and in the context of optimizing adherence to home-based exercise programs for the prevention of falls, findings suggest that program developers should develop exercise programs in ways that provide older adults with a fun and enjoyable experience (thus increasing intrinsic motivation to exercise), focus on improving outcomes that are significant to older adults (thus increasing self-determined extrinsic motivation), offer challenging yet attainable exercises (thus increasing perceived self-competence), provide positive feedback on performance (thus increasing self-efficacy), and are easy to use (thus reducing perceived barriers to technology use). Conclusions This study provides important considerations when designing technology-based programs so they are tailored to the needs of older adults, increasing both usability and acceptability of programs and potentially enhancing exercise participation and long-term adherence to fall prevention interventions. Program uptake and adherence seem to be influenced by (1) older adults’ perceived benefits of underta...

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“…Although group exercise can be beneficial for older adults wishing to improve balance, flexibility, and strength (Hughes et al, 2004;Yan, Wilber, Aguirre, & Trejo, 2009), it remains unclear if and how peripheral others influence motivation. Importantly, there has been limited research on socially embedded exercise motivation examining self-focused versus other-oriented goals (e.g., McPhate et al, 2016;Simek et al, 2015).…”

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confidence: 99%

Me Time, or We Time? Age Differences in Motivation for Exercise

et al. 2018

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SST provides a framework for exploring age-related shifts in exercise motivation. Additionally, the positivity effect was reflected in how older adults evaluated the influence of peripheral others. Motivational messages could be tailored to increase health behavior changes by focusing on instrumental exercise goals for younger adults and exercise focused on meaningful relationships for older adults.

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What Are the Characteristics of Home Exercise Programs That Older Adults Prefer?

Cited by 18 publications

References 36 publications

Compliance to home-based exercise therapy in elderly patients with knee osteoarthritis

Compliance to home-based exercise therapy in elderly patients with knee osteoarthritis

An Interactive Home-Based Cognitive-Motor Step Training Program to Reduce Fall Risk in Older Adults: Qualitative Descriptive Study of Older Adults’ Experiences and Requirements

Me Time, or We Time? Age Differences in Motivation for Exercise

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