Caulfield Lorna, Arnold Susanne, Biase Sarah De, Buckland Charlotte, Heslop Philip, Hurst Christopher, Sayer Avan A, Skelton Dawn A, Witham Miles D
South Tyneside and Sunderland NHS Foundation Trust, Sunderland, UK.
Warwick Clinical Trials Unit, University of Warwick, Coventry, UK & AGILE, Chartered Society of Physiotherapy, London, UK.
J Frailty Sarcopenia Falls. 2024 Sep 1;9(3):169-183. doi: 10.22540/JFSF-09-169. eCollection 2024 Sep.
The Benchmarking Exercise Programme for Older People (BEPOP) service improvement project seeks to determine and promote the exercise training characteristics associated with positive outcomes for resistance exercise for older people living with, or at risk of, sarcopenia or physical frailty.
Mixed-methods service improvement project. Ten UK National Health Service physiotherapist-led therapy services delivering exercise interventions for older people submitted anonymized data for up to 20 consecutive patients. A multidisciplinary expert panel generated a report and recommendations with site-specific benchmarking data and feedback. In parallel, participating physiotherapy team members were interviewed to elicit feedback on BEPOP rationale, processes and perceived value.
Data from 188 patients were included, mean age 80 years (range 60-101). 115 (61%) received objective assessment of strength-based physical performance. Bodyweight exercises (173 [92%]) and resistance bands (49 [26%]) were the commonest exercise modalities. Exercises progressed predominantly through increased repetitions (163 [87%]) rather than increased load. 50 (30%) had no reassessment of outcomes; only 68 (41%) were signposted to follow-on exercise services. Staff interviews identified themes around knowledge, diagnosis, data collection and practice reflection.
BEPOP was feasible to deliver and generated actionable insights for service improvement via improved diagnosis, measurement and progression of resistance exercise.
老年人基准锻炼计划（BEPOP）服务改进项目旨在确定并推广与抗阻运动积极成果相关的锻炼训练特征，这些成果针对患有肌肉减少症或身体虚弱或有此风险的老年人。
混合方法服务改进项目。英国国民医疗服务体系的10个由物理治疗师主导的为老年人提供锻炼干预的治疗服务机构提交了多达20名连续患者的匿名数据。一个多学科专家小组生成了一份包含特定地点基准数据和反馈的报告及建议。同时，对参与项目的物理治疗团队成员进行访谈，以获取他们对BEPOP的基本原理、流程和感知价值的反馈。
纳入了188名患者的数据，平均年龄80岁（范围60 - 101岁）。115名（61%）接受了基于力量的身体表现的客观评估。体重训练（173例[92%]）和弹力带训练（49例[26%]）是最常见的锻炼方式。锻炼主要通过增加重复次数（163例[87%]）而非增加负荷来推进。50名（30%）患者没有对结果进行重新评估；只有68名（41%）患者被引导至后续的锻炼服务。员工访谈确定了围绕知识、诊断、数据收集和实践反思的主题。
BEPOP项目实施可行，并通过改进抗阻运动的诊断、测量和进展为服务改进产生了可采取行动的见解。
