June May-Ling Lee , Pildoo Sung , Kok Yang Tan , Pamela Duncan , Rita Sim , Karen Koh , Angelique Chan
{"title":"新加坡坚持预防跌倒运动干预的轨迹：混合方法研究","authors":"June May-Ling Lee , Pildoo Sung , Kok Yang Tan , Pamela Duncan , Rita Sim , Karen Koh , Angelique Chan","doi":"10.1016/j.ahr.2024.100181","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The success of falls prevention exercise intervention is dependent on adherence. This study investigated the trajectories of adherence to an instructor-led, face-to-face, community group-based falls-prevention exercise intervention, baseline factors associated with these trajectories, and the impact of these adherence trajectories on post-intervention physical functioning. Qualitative interviews were also examined to gather insights into participants’ profiles.</p></div><div><h3>Methods</h3><p>Attendance data from 144 older adults who participated in a 12-week falls prevention exercise intervention were used to assess adherence. Physical functioning was assessed at baseline and post-intervention using Short Physical Performance Battery. We used Latent Class Growth Modelling to identify the types of adherence trajectories. Multinomial logistic regression and multivariate linear regression were used to examine antecedents and consequences associated with the adherence trajectories. Content and cross-tabulation analysis were conducted on 30 semi-structured qualitative interviews.</p></div><div><h3>Results</h3><p>We identified four types of adherence trajectories: high adherence, moderate adherence, low adherence, and non-adherence. Non-adherent participants were younger than those with a high adherence trajectory. Those with low adherence trajectory were younger, more likely to be an ethnic minority, and had lower exercise self-efficacy. Older adults with low or non-adherence trajectories had lower post-intervention physical functioning than those with high adherence trajectory. Qualitative analysis indicated that participants with low adherence trajectory had prioritized exercise lower than other life commitments and had frequent hospitalizations and multiple medical appointments.</p></div><div><h3>Conclusion</h3><p>Non and low adherence trajectories attenuate the impact of falls prevention exercise intervention. Findings from this study can be used to develop strategies to improve adherence.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 1","pages":"Article 100181"},"PeriodicalIF":0.0000,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000027/pdfft?md5=5ebe2ec05acb82d253b24716e25435e1&pid=1-s2.0-S2667032124000027-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Trajectories of adherence to a falls prevention exercise intervention in Singapore: A mixed methods study\",\"authors\":\"June May-Ling Lee , Pildoo Sung , Kok Yang Tan , Pamela Duncan , Rita Sim , Karen Koh , Angelique Chan\",\"doi\":\"10.1016/j.ahr.2024.100181\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The success of falls prevention exercise intervention is dependent on adherence. This study investigated the trajectories of adherence to an instructor-led, face-to-face, community group-based falls-prevention exercise intervention, baseline factors associated with these trajectories, and the impact of these adherence trajectories on post-intervention physical functioning. Qualitative interviews were also examined to gather insights into participants’ profiles.</p></div><div><h3>Methods</h3><p>Attendance data from 144 older adults who participated in a 12-week falls prevention exercise intervention were used to assess adherence. Physical functioning was assessed at baseline and post-intervention using Short Physical Performance Battery. We used Latent Class Growth Modelling to identify the types of adherence trajectories. Multinomial logistic regression and multivariate linear regression were used to examine antecedents and consequences associated with the adherence trajectories. Content and cross-tabulation analysis were conducted on 30 semi-structured qualitative interviews.</p></div><div><h3>Results</h3><p>We identified four types of adherence trajectories: high adherence, moderate adherence, low adherence, and non-adherence. Non-adherent participants were younger than those with a high adherence trajectory. Those with low adherence trajectory were younger, more likely to be an ethnic minority, and had lower exercise self-efficacy. Older adults with low or non-adherence trajectories had lower post-intervention physical functioning than those with high adherence trajectory. Qualitative analysis indicated that participants with low adherence trajectory had prioritized exercise lower than other life commitments and had frequent hospitalizations and multiple medical appointments.</p></div><div><h3>Conclusion</h3><p>Non and low adherence trajectories attenuate the impact of falls prevention exercise intervention. Findings from this study can be used to develop strategies to improve adherence.</p></div>\",\"PeriodicalId\":72129,\"journal\":{\"name\":\"Aging and health research\",\"volume\":\"4 1\",\"pages\":\"Article 100181\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-02-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2667032124000027/pdfft?md5=5ebe2ec05acb82d253b24716e25435e1&pid=1-s2.0-S2667032124000027-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Aging and health research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2667032124000027\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aging and health research","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2667032124000027","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Trajectories of adherence to a falls prevention exercise intervention in Singapore: A mixed methods study
Background
The success of falls prevention exercise intervention is dependent on adherence. This study investigated the trajectories of adherence to an instructor-led, face-to-face, community group-based falls-prevention exercise intervention, baseline factors associated with these trajectories, and the impact of these adherence trajectories on post-intervention physical functioning. Qualitative interviews were also examined to gather insights into participants’ profiles.
Methods
Attendance data from 144 older adults who participated in a 12-week falls prevention exercise intervention were used to assess adherence. Physical functioning was assessed at baseline and post-intervention using Short Physical Performance Battery. We used Latent Class Growth Modelling to identify the types of adherence trajectories. Multinomial logistic regression and multivariate linear regression were used to examine antecedents and consequences associated with the adherence trajectories. Content and cross-tabulation analysis were conducted on 30 semi-structured qualitative interviews.
Results
We identified four types of adherence trajectories: high adherence, moderate adherence, low adherence, and non-adherence. Non-adherent participants were younger than those with a high adherence trajectory. Those with low adherence trajectory were younger, more likely to be an ethnic minority, and had lower exercise self-efficacy. Older adults with low or non-adherence trajectories had lower post-intervention physical functioning than those with high adherence trajectory. Qualitative analysis indicated that participants with low adherence trajectory had prioritized exercise lower than other life commitments and had frequent hospitalizations and multiple medical appointments.
Conclusion
Non and low adherence trajectories attenuate the impact of falls prevention exercise intervention. Findings from this study can be used to develop strategies to improve adherence.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
