Conde Monserrat, Hendry Gordon, Skelton Dawn A
School of Health & Life Sciences, Institute of Applied Health Research, Glasgow Caledonian University, Glasgow, UK.
J Frailty Sarcopenia Falls. 2019 Sep 1;4(3):78-90. doi: 10.22540/JFSF-04-078. eCollection 2019 Sep.
Despite growing evidence that foot and ankle exercise programmes are effective for falls prevention, little is known about older adults' views and preferences of programme components for long-term maintenance. The aims of this study were to explore the experiences and acceptability of Scottish and Portuguese older adults of undertaking a home-based foot, ankle and lower limb exercise intervention.
Ten Scottish (mean age 76 years, 7 female) and fourteen Portuguese (mean age 66 years, 12 female) community-dwelling older adults undertook the programme for one week, followed by focus group discussions (2-6 people per group), guided by a semi-structured interview guide. Data was analysed using thematic analysis.
Seven themes were identified:Assessment, Group exercise taster, Home based exercise; Footfall programme kit, Midweek phone call, Reasons for participation and the Research Process. Programme components, support telephone calls and research procedures were generally well accepted by participants and they valued having a contribution to the design. They preferred a blended home and intermittent group-based programme format for motivation and progression and recommended changes to some of the exercises and equipment to reduce barriers to participation. Some cultural differences emerged, including importance of the functional assessments for Portuguese participants, time issues and difficulty in completion of the exercise diary, reflecting lower literacy levels.
Participants found the programme acceptable but preferred a blended home and occasional group-based programme for adherence and motivation. A strong educational component to improve health literacy and simple paperwork completion to avoid data loss in future studies with Portuguese older adults is important.
尽管越来越多的证据表明足部和踝关节锻炼计划对预防跌倒有效，但对于老年人对长期维持计划组成部分的看法和偏好知之甚少。本研究的目的是探讨苏格兰和葡萄牙老年人参与家庭式足部、踝关节和下肢锻炼干预的经历和可接受性。
10名苏格兰社区居住的老年人（平均年龄76岁，7名女性）和14名葡萄牙社区居住的老年人（平均年龄66岁，12名女性）参与了为期一周的计划，随后在半结构化访谈指南的指导下进行焦点小组讨论（每组2 - 6人）。使用主题分析法对数据进行分析。
确定了七个主题：评估、团体锻炼体验、家庭锻炼；足部锻炼计划套件、周中电话、参与原因和研究过程。计划组成部分、支持电话和研究程序总体上被参与者接受，他们重视能为设计做出贡献。他们更喜欢家庭和间歇性团体相结合的计划形式以获得动力和进步，并建议对一些锻炼和设备进行更改以减少参与障碍。出现了一些文化差异，包括功能评估对葡萄牙参与者的重要性、时间问题以及完成锻炼日记的困难，这反映出较低的识字水平。
参与者认为该计划是可以接受的，但更喜欢家庭和偶尔团体相结合的计划以提高依从性和动力。在未来针对葡萄牙老年人的研究中，加强教育以提高健康素养并简化文书工作以避免数据丢失很重要。
