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促进养老院环境中身体活动的新锻炼方法的开发与验证

Development and Validation of New Exercises to Promote Physical Activity in Nursing Home Settings.

作者信息

Buckinx Fanny, Maton Lucie, Dalimier Valentine, Mouton Alexandre, Lengelé Laetitia, Reginster Jean-Yves, Bruyère Olivier

机构信息

WHO Collaborating Center for Epidemiology of Musculoskeletal Health and Ageing, Division of Public Health, Epidemiology and Health Economics, University of Liège, 4000 Liège, Belgium.

Research Unit for a Life-Course Perspective on Health & Education (RUCHE), Department of Sport Sciences, University of Liège, 4000 Liège, Belgium.

出版信息

Geriatrics (Basel). 2022 Sep 16;7(5):100. doi: 10.3390/geriatrics7050100.

DOI:10.3390/geriatrics7050100
PMID:36136809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9498491/
Abstract

BACKGROUND

GAMotion is a giant physical activity board game intended to improve levels of physical activity and a broader array of physical and psychological outcomes among nursing home residents.

OBJECTIVE

The aim of the present study is to develop and validate new balance, flexibility, muscle strength, and walking exercises to be included in GAMotion.

METHODS

A two-step design combining the Focus group and Delphi method was conducted among healthcare professionals divided into two independent samples of experts. The first sample was asked to develop exercises during a focus group. The second sample participated in a two-round Ranking-type Delphi method. During the first round, the participants were asked to rate the exercises developed during the focus group on a four-point Likert scale (from 1: not adapted at all to 4: very adapted). The exercises that did not reach consensus were removed (consensus established: median ≥ 3 on the Likert scale and at least 75% of experts rating the exercises as « adapted » or « very adapted »). During the second round, it was asked to rank the exercises selected at the end of the first round from most suitable to least suitable.

RESULTS

The Focus group developed nine balance, twelve flexibility, twelve strength, and nine walking exercises. Following the first round of the Delphi method, two exercises in each category did not reach a consensus and were then removed. In the second round, the remaining seven balance, ten flexibility, ten strength, and seven walking exercises were ranked by the experts, and this classification allowed us to determine the four most suitable exercises from each category to be included in the GAMotion.

CONCLUSION

A consensus-based approach among healthcare professionals allowed us to contribute to the development of new exercises to promote physical activity in nursing homes. These validated exercises can be included in the GAMotion board game.

摘要

背景

GAMotion是一款大型体育活动棋盘游戏,旨在提高养老院居民的体育活动水平以及一系列更广泛的身体和心理指标。

目的

本研究的目的是开发并验证可纳入GAMotion的新的平衡、灵活性、肌肉力量和步行锻炼项目。

方法

对医疗保健专业人员进行了两步设计,将其分为两个独立的专家样本,结合焦点小组和德尔菲法。第一个样本被要求在焦点小组中开发锻炼项目。第二个样本参与两轮排序式德尔菲法。在第一轮中,要求参与者根据四点李克特量表(从1:完全不适用到4:非常适用)对焦点小组中开发的锻炼项目进行评分。未达成共识的锻炼项目被剔除(达成共识的标准为:李克特量表中位数≥3,且至少75%的专家将锻炼项目评为“适用”或“非常适用”)。在第二轮中,要求对第一轮结束时选出的锻炼项目从最适合到最不适合进行排序。

结果

焦点小组开发了9项平衡锻炼、12项灵活性锻炼、12项力量锻炼和9项步行锻炼。在德尔菲法的第一轮之后,每个类别中有两项锻炼未达成共识,随后被剔除。在第二轮中,专家们对剩下的7项平衡锻炼、10项灵活性锻炼、10项力量锻炼和7项步行锻炼进行了排序,这一分类使我们能够从每个类别中确定最适合纳入GAMotion的四项锻炼。

结论

医疗保健专业人员基于共识的方法使我们能够为开发促进养老院体育活动的新锻炼项目做出贡献。这些经过验证的锻炼项目可纳入GAMotion棋盘游戏。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6915/9498491/5390f5f1a87f/geriatrics-07-00100-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6915/9498491/b2face4ff30a/geriatrics-07-00100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6915/9498491/5390f5f1a87f/geriatrics-07-00100-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6915/9498491/b2face4ff30a/geriatrics-07-00100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6915/9498491/5390f5f1a87f/geriatrics-07-00100-g002.jpg

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