Department of Nursing, Hong Kong Adventist College, Hong Kong.
School of Nursing, University of Minnesota, Minneapolis.
Int J Yoga Therap. 2022 Jan 1;32(2022). doi: 10.17761/2022-D-20-00033.
Hatha yoga (HY) and aerobic and strengthening exercise (ASE) programs are recommended for optimal management of osteoarthritis. However, evidence on long-term adherence to these programs and factors that influence it is lacking in older adults. The purposes of this study were to (1) describe and compare long-term HY and ASE adherence in community-dwelling older women with knee osteoarthritis 12 months post-HY/ASE intervention programs; (2) identify benefits and facilitators of, and barriers to, long-term adherence; and (3) examine other self-care interventions used after completing HY or ASE programs. Adherence was defined as following the prescribed HY/ASE program or incorporating the practice into daily habits. Five semistructured focus group interviews and 12 months of exercise diaries were obtained from 28 women (mean age 71.2 years). Long-term adherence to the prescribed HY or ASE regimen was relatively high, albeit adapted to individual needs, priorities, and preferences. Over the 12-month follow-up period, participants spent on average 3.5 days/3.1 hours per week on exercise. Most participants remained physically active by modifying their prescribed programs and integrating elements of the interventions into their own exercise regimens. Facilitators to long-term adherence were perceived benefits, having an exercise routine/habit, and program structure/instruction. Poor health status, lack of time, and exercise preferences were identified as barriers. Participants used a variety of self-care interventions including oral supplements and alternative diets for managing their osteoarthritis. This work suggests that exercise programs for osteoarthritis that incorporate individual preferences, flexible hours, and easy-to-follow instructions are most likely to result in long-term adherence.
哈他瑜伽（HY）和有氧运动及力量训练（ASE）方案被推荐用于骨关节炎的最佳管理。然而，缺乏关于老年人长期坚持这些方案及其影响因素的证据。本研究的目的是：（1）描述和比较社区居住的膝关节骨关节炎老年女性在 HY/ASE 干预方案后 12 个月的长期 HY 和 ASE 依从性；（2）确定长期依从的益处、促进因素和障碍；（3）检查在完成 HY 或 ASE 方案后使用的其他自我保健干预措施。依从性定义为遵循规定的 HY/ASE 方案或将练习纳入日常习惯。从 28 名女性（平均年龄 71.2 岁）中获得了 5 次半结构式焦点小组访谈和 12 个月的运动日记。尽管根据个人需求、优先级和偏好进行了调整，但对规定的 HY 或 ASE 方案的长期依从性相对较高。在 12 个月的随访期间，参与者平均每周花费 3.5 天/3.1 小时进行运动。大多数参与者通过修改规定的方案并将干预措施的元素纳入自己的运动方案，保持身体活跃。长期依从的促进因素包括感知到的益处、有锻炼常规/习惯以及方案结构/指导。较差的健康状况、缺乏时间和锻炼偏好被确定为障碍。参与者使用了各种自我保健干预措施，包括口服补充剂和替代饮食来管理骨关节炎。这项工作表明，纳入个人偏好、灵活时间和易于遵循的指导的骨关节炎运动方案最有可能导致长期依从。
