'Maintaining balance in life'-exploring older adults' long-term engagement in self-managed digital fall prevention exercise

被引:1
作者
Pettersson, Beatrice [1 ]
Lundell, Sara [2 ]
Lundin-Olsson, Lillemor [1 ]
Sandlund, Marlene [1 ]
机构
[1] Umea Univ, Dept Community Med & Rehabil, Physiotherapy, S-90187 Umea, Sweden
[2] Umea Univ, Dept Sociol, Umea, Sweden
关键词
Grounded Theory; Older adults; Aged; Exercise; Fall prevention; eHealth; mHealth; Self-management; Behaviour change; Habit formation; QUALITATIVE RESEARCH; PHYSICAL-ACTIVITY; HABIT; CONSEQUENCES; FEAR;
D O I
10.1186/s11556-023-00322-7
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
BackgroundAccidental falls are one of the greatest threats to older adults' health and well-being. The risk of falling can be significantly reduced with strength and balance interventions. However, there needs to be further knowledge into how older adults can be supported to achieve a maintained exercise behaviour. Therefore, the aim of this study was to explore factors that enabled older adults to maintain their exercise during a 1-year self-managed digital fall prevention exercise intervention.MethodsThis study used a grounded theory methodology. Semi-structured individual interviews were conducted by phone or conference call. Eighteen community-dwelling older adults aged 70 years or more participated. The participants had a self-reported exercise dose of 60 min or more per week during the last three months of participation in a 12-months intervention of self-managed digital fall prevention exercise, the Safe Step randomized controlled trial. Open, axial, and selective coding, along with constant comparative analysis, was used to analyze the data.ResultsThe analysis resulted in a theoretical model. We found that the fall prevention exercise habits of adults were developed through three stages: Acting against threats to one's own identity, Coordinating strategies to establish a routine, and Forming habits through cues and evaluation. The main category of Maintaining balance in life encases the participants transition through the three stages and reflects balance in both physical aspects and in between activities in daily life. The process of maintaining balance in life and desire to do so were mediated both by intrinsic person-dependent factors and the Safe Step application acting as an external mediator.ConclusionThis study identified three stages of how older adults developed self-managed fall prevention exercise habits, supported by a digital application. The generated theoretical model can inform future interventions aiming to support long-term engagement in digitally supported and self-managed fall prevention interventions.
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页数:12
相关论文
共 43 条
  • [1] THE THEORY OF PLANNED BEHAVIOR
    AJZEN, I
    [J]. ORGANIZATIONAL BEHAVIOR AND HUMAN DECISION PROCESSES, 1991, 50 (02) : 179 - 211
  • [2] [Anonymous], 2018, Modelling habit formation and its determinants, DOI DOI 10.1007/978-3-319-97529-0_12
  • [3] Fall Preventive Exercise With or Without Behavior Change Support for Community-Dwelling Older Adults: A Randomized Controlled Trial With Short-Term Follow-up
    Arkkukangas, Marina
    Soderlund, Anne
    Eriksson, Staffan
    Johansson, Ann-Christin
    [J]. JOURNAL OF GERIATRIC PHYSICAL THERAPY, 2019, 42 (01) : 9 - 17
  • [4] Bandura A., 1997, SELF EFFICACY EXERCI
  • [5] CIRCUMSTANCES AND CONSEQUENCES OF FALLS EXPERIENCED BY A COMMUNITY POPULATION 70 YEARS AND OVER DURING A PROSPECTIVE-STUDY
    CAMPBELL, AJ
    BORRIE, MJ
    SPEARS, GF
    JACKSON, SL
    BROWN, JS
    FITZGERALD, JL
    [J]. AGE AND AGEING, 1990, 19 (02) : 136 - 141
  • [6] ME, MY SELF, AND I(T): CONCEPTUALIZING INFORMATION TECHNOLOGY IDENTITY AND ITS IMPLICATIONS
    Carter, Michelle
    Grover, Varun
    [J]. MIS QUARTERLY, 2015, 39 (04) : 931 - 957
  • [7] Charmaz K., 2014, CONSTRUCTING GROUNDE
  • [8] Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial
    Clemson, Lindy
    Singh, Maria A. Fiatarone
    Bundy, Anita
    Cumming, Robert G.
    Manollaras, Kate
    O'Loughlin, Patricia
    Black, Deborah
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2012, 345
  • [9] E-health StandingTall balance exercise for fall prevention in older people: results of a two year randomised controlled trial
    Delbaere, Kim
    Valenzuela, Trinidad
    Lord, Stephen R.
    Clemson, Lindy
    Zijlstra, G. A. Rixt
    Close, Jacqueline C. T.
    Lung, Thomas
    Woodbury, Ashley
    Chow, Jessica
    McInerney, Garth
    Miles, Lillian
    Toson, Barbara
    Briggs, Nancy
    van Schooten, Kimberley S.
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2021, 373
  • [10] Seniors' self-preservation by maintaining established self and defying deterioration - A grounded theory
    Eriksson, Jeanette Kallstrand
    Hildingh, Cathrine
    Buer, Nina
    Thulesius, Hans
    [J]. INTERNATIONAL JOURNAL OF QUALITATIVE STUDIES ON HEALTH AND WELL-BEING, 2016, 11