Hartley Peter, Romero-Ortuno Roman, Deaton Christi
Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Department of Physiotherapy, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK.
J Frailty Sarcopenia Falls. 2021 Dec 1;6(4):189-203. doi: 10.22540/JFSF-06-189. eCollection 2021 Dec.
To determine the acceptability of an exercise programme and to identify barriers and facilitators to compliance with the programme from the participants' perspective.
Patients aged 75 years or older were recruited within the first 36 hours of hospital admission. Participants were randomised to complete two strengthening-based (intervention arm) or stretching-based (control arm) exercise sessions per-day. At hospital discharge, participants were asked to take part in interviews with a member of the research team exploring the barriers and facilitators to adherence to the intervention.
15 participants (7 intervention arm, 8 control arm) were recruited before the trial was stopped due to COVID-19. Both groups showed reductions in knee-extension strength, and improvements in functional mobility at discharge from hospital. A total of 23/60 intervention sessions were classed as 'complete', 12/60 as partially complete, and 25/60 were missed entirely. Eight participants took part in interviews. Intrinsic factors that impacted participation in the research, related to current health, health beliefs, and experience of multi-morbidity or functional decline. Staff had both a positive and negative effect on participant adherence to the intervention.
The exercise intervention was well received, with most participants describing health benefits, though intervention fidelity was lower than expected.
从参与者的角度确定一项运动计划的可接受性，并找出该计划依从性的障碍和促进因素。
在患者入院后的头36小时内招募75岁及以上的患者。参与者被随机分配，每天完成两节基于强化训练（干预组）或基于伸展训练（对照组）的运动课程。出院时，要求参与者与研究团队的一名成员进行访谈，探讨坚持干预的障碍和促进因素。
在因COVID-19试验停止前，招募了15名参与者（7名干预组，8名对照组）。两组在出院时膝关节伸展力量均有所下降，功能活动能力有所改善。总共60节干预课程中，23节被归类为“完整”，12节为部分完成，25节完全未完成。8名参与者参加了访谈。影响参与研究的内在因素与当前健康状况、健康观念以及多种疾病或功能衰退的经历有关。工作人员对参与者坚持干预既有积极影响，也有消极影响。
运动干预受到好评，大多数参与者描述了其对健康的益处，尽管干预的保真度低于预期。
