Exercise Engagement in People Over 60 at Risk of Falls
Barriers and Facilitators to Exercise Engagement in People Over 60 at Risk of Falls: an Exploratory Study
East Lancashire Hospitals NHS Trust
10 participants
Jan 26, 2024
OBSERVATIONAL
Conditions
Summary
It is a qualitative study, using semi structured interviews to explore patient's experiences of falls and their perceptions on facilitators and barriers to exercise. Aim: To explore reasons for and against engaging with exercises at home in participants over the age of 60 at risk of falls. To explore: 1. Patients' preferences to exercise format and type eg/ leaflet, online, access, such as the Chartered Society of Physiotherapy (CSP) chair exercises leaflet or individual personalized rehabilitation programme handouts 2. The ability to discuss falls risk with health professionals. 3. If health inequalities exist with people at risk of falls and exercising. 4. Sustainability of exercise, in order to reduce the risk of falls in this population. 5. The need to develop MSK internal and external facing falls management pathways. Suitability: Patients over the age of 60, who have been identified at risk of falls, having been referred to MSK Physiotherapy in Rossendale. 'Risk of falls' is defined as: patient self-reports they are unsteady, had one or more fall in the last 6 months, or clinician identified a slow/unsteady gait pattern on examination. Semi structured interviews on up to ten participants. It is anticipated that this sample size will give adequate data saturation. Approximately 12 months from participant recruitment to analysis of findings.
Eligibility
Inclusion Criteria4
- Aged 60 years or over
- At risk of falls or had a fall due to a musculoskeletal cause (pain, muscle weakness, balance issue)
- Has capacity to consent, as deemed by the direct care team and researcher
- Can communicate in English OR the use of a translation service - Able to independently participate in an interview either face-to-face or via remote means OR can use a translation service
Exclusion Criteria3
- \- Aged under 60
- Have a medical cause of falls OR currently under investigation for a medical cause of falls (eg/ dizziness, cardiac, visual impairment reported as being the cause of the fall as opposed to weakness or pain in lower limbs/balance issues or unsteady on feet)
- Moderate to severe cognitive impairment impairing capacity to consent
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Interventions
Gaining qualitative data
Locations(1)
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NCT06100445