Warwick Clinical Trials Unit, University of Warwick, Coventry, UK.
RCN RI, Royal College of Nursing Research Institute, Warwick Medical School, University of Warwick, Coventry, UK.
BMJ Open. 2019 Apr 15;9(4):e026074. doi: 10.1136/bmjopen-2018-026074.
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.
A systematic literature review with thematic synthesis of qualitative studies exploring older adults' experiences of continued participation in falls prevention exercise.
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.
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.
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.
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.
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.
CRD42017082637.
综述探索完成结构化运动方案后继续参与防跌倒运动的障碍和促进因素的定性文献。
对探索老年人继续参与防跌倒运动体验的定性研究进行系统的文献综述和主题综合。
从建库到 2017 年 11 月，在 MEDLINE、PSYCHinfo、AMED、ASSIA、CINAHL 和 EMBASE 中进行了全面检索。通过检索参考文献和相关研究的引文跟踪，确定了其他研究。
定性或混合方法研究，探讨社区居住的老年人（65 岁及以上）参与防跌倒运动方案的经验，包括他们在完成结构化运动方案后继续参与运动的经验。
提取并独立检查关键特征，包括目的、参与者特征、数据收集方法、定性方法的基础和分析方法。使用主题综合来整合研究结果。
从涉及 425 名参与者的 14 项研究中，我们确定了三个描述性主题：身份、动机/阻碍因素和干预性质，以及一个总体分析主题：能动性。
老年人在完成结构化防跌倒运动方案后继续或停止运动有其自身的个体和有意义的理由。在干预阶段，探索这些继续运动的障碍和促进因素至关重要。重要的是，医疗保健专业人员要了解老年人的理由，并为个人提供最佳的循证实践和支持，以确保从结构化干预顺利过渡到长期的与运动相关的行为。
PROSPERO 注册号：CRD42017082637。
