Jang Haeyoung, Clemson Lindy, Lovarini Meryl, Willis Karen, Lord Stephen R, Sherrington Catherine
a Faculty of Health Sciences , The University of Sydney , Sydney , Australia.
b Faculty of Health Sciences , Australian Catholic University , Melbourne , Australia.
Disabil Rehabil. 2016 Apr;38(8):724-732. doi: 10.3109/09638288.2015.1061606. Epub 2015 Jun 29.
We aim to provide a systematic review of qualitative research evidence relevant to the experiences and perceptions of program providers and participants from culturally and linguistically diverse (CALD) backgrounds regarding (i) exercise and (ii) fall prevention programs for older people.
Using a narrative synthesis approach, we reviewed published journal articles reporting qualitative data. Electronic and manual literature searches were conducted to identify 19 publications that met the inclusion criteria. Of these, 16 discussed exercise and three focused on broader fall prevention programs. However, no studies were identified that explored the perspective of the program providers.
An overarching theme emerged identifying the influence of cultural values and perceptions on program participation. Also, identified were motivational, social and environmental influences.
Exercise and fall prevention interventions need to be culturally appropriate and utilise the positive influences of social support, especially from physicians and family. While these findings can be used to inform the delivery of programs to these population groups, future studies should focus specifically on experiences and perceptions of older CALD people of fall prevention programs as well as the perspectives of program providers. Implications for Rehabilitation Program participation is influenced by cultural values and motivational, social and environmental factors. The meaning and importance of exercise can vary between and within cultures. Exercise and fall prevention interventions need to be culturally appropriate and utilise the positive influences of social support, especially from physicians and family. Providing information that falls can be prevented and the reasons why behaviours need to change will be more likely to encourage older people from CALD backgrounds to contemplate participation.
我们旨在对与来自文化和语言背景多元（CALD）的项目提供者和参与者在（i）运动以及（ii）老年人跌倒预防项目方面的经历和看法相关的定性研究证据进行系统综述。
我们采用叙述性综合方法，对报告定性数据的已发表期刊文章进行综述。通过电子和手工文献检索，确定了19篇符合纳入标准的出版物。其中，16篇讨论了运动，3篇关注更广泛的跌倒预防项目。然而，未发现有研究探讨项目提供者的观点。
出现了一个总体主题，即文化价值观和观念对项目参与的影响。此外，还确定了动机、社会和环境方面的影响。
运动和跌倒预防干预措施需要在文化上具有适宜性，并利用社会支持的积极影响，尤其是来自医生和家庭的支持。虽然这些研究结果可用于为向这些人群提供项目提供参考，但未来的研究应特别关注CALD老年人群体对跌倒预防项目的经历和看法以及项目提供者的观点。对康复的启示项目参与受文化价值观以及动机、社会和环境因素的影响。运动的意义和重要性在不同文化之间以及同一文化内部可能有所不同。运动和跌倒预防干预措施需要在文化上具有适宜性，并利用社会支持的积极影响，尤其是来自医生和家庭的支持。提供跌倒可以预防以及行为需要改变的原因等信息，更有可能鼓励来自CALD背景的老年人考虑参与。
