不仅仅是锻炼：老年人参与同伴主导的团体秋季健身计划的体验
More Than Just Exercise: Older Adults' Experience of the Peer-Led Group-Based FallFitness Program.
作者信息
Arkkukangas Marina, Strömqvist Bååthe Karin, Tonkonogi Michail, Liljeroos Maria
机构信息
Department of Medicine, School of Health and Welfare, Dalarna University, Falun, Sweden.
Department of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
出版信息
Clin Interv Aging. 2025 Jul 1;20:931-939. doi: 10.2147/CIA.S527142. eCollection 2025.
BACKGROUND
Falls threaten the health and well-being of older adults. While studies have presented effective fall prevention exercises, determining how to deliver these interventions in a way that ensures engagement and long-term sustainability is challenging. Additionally, understanding how older adults perceive and are motivated to participate in such programs is critical for broad public health promotion. This study aimed to explore older adults' experiences and perceptions regarding participation in a newly developed 8-week peer-led group-based exercise program, FallFitness.
METHODS
Participants were recruited from a randomized controlled trial (RCT) exploring a newly developed 8-week peer-led group-based exercise program. A total of 2 focus groups were conducted post intervention, comprising ten participants (8 women and 2 men) from the exercise arm of the RCT. Inductive and conventional qualitative content analysis was performed.
RESULTS
From the interviews, 5 main categories and 6 subcategories capturing the study aim are presented. Main categories included: a) social interaction and community, more than just exercise, b) increased motivational drive and self-efficacy, c) group exercise as fun, safe, and inclusive activity, d) enhanced collaboration between healthcare providers and retirement organizations for fall prevention, and e) professional peer-led trainers.
CONCLUSION
Peer-led, well-designed group-based exercise programs can holistically support physical, emotional, and social well-being. Programs that include enjoyable, multicomponent elements, both physically and mentally stimulating, can enhance participants' motivation and adherence. Additionally, the group setting is thought to promote meaningful social interaction, which is widely recognized as important for overall well-being. From a public health perspective, collaborative models for fall prevention involving older adults as a "golden resource" should be established.
TRIAL REGISTRATION
ClinicalTrials.gov, NCT06265480 (2024-02-08).
背景
跌倒威胁着老年人的健康和幸福。虽然已有研究提出了有效的预防跌倒锻炼方法，但确定如何以确保参与度和长期可持续性的方式提供这些干预措施具有挑战性。此外，了解老年人如何看待并被激励参与此类项目对于广泛的公共卫生推广至关重要。本研究旨在探索老年人参与一项新开发的为期8周的同伴主导的团体锻炼项目“秋季健身”的经历和看法。
方法
参与者从一项随机对照试验（RCT）中招募，该试验探索一项新开发的为期8周的同伴主导的团体锻炼项目。干预后共进行了2个焦点小组讨论，由来自RCT锻炼组的10名参与者（8名女性和2名男性）组成。进行了归纳性和传统的定性内容分析。
结果
从访谈中，呈现了涵盖研究目标的5个主要类别和6个子类别。主要类别包括：a）社交互动与社区，不仅仅是锻炼；b）增强动机驱动力和自我效能感；c）团体锻炼是有趣、安全且包容的活动；d）加强医疗保健提供者与退休组织之间在预防跌倒方面的合作；e）专业的同伴主导培训师。
结论
同伴主导、精心设计的团体锻炼项目可以全面支持身体、情感和社会幸福感。包含有趣、多方面元素，在身体和精神上都有刺激作用的项目可以增强参与者的动机和依从性。此外，团体环境被认为可以促进有意义的社交互动，而社交互动被广泛认为对整体幸福感很重要。从公共卫生角度来看，应建立将老年人作为“黄金资源”的预防跌倒合作模式。
试验注册
ClinicalTrials.gov，NCT06265480（2024年2月8日）。
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