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Keeping adults physically active after falls management exercise (FaME) programmes end: Development of a physical activity maintenance intervention

Sarah, Audsley; Kendrick, Denise; Logan, Pip; Orton, Elizabeth

Keeping adults physically active after falls management exercise (FaME) programmes end: Development of a physical activity maintenance intervention Thumbnail


Authors

Audsley Sarah

DENISE KENDRICK DENISE.KENDRICK@NOTTINGHAM.AC.UK
Professor of Primary Care Research

PIP LOGAN pip.logan@nottingham.ac.uk
Professor of Rehabilitation Research



Abstract

Background: Falls prevention exercise programmes help to improve muscle strength, balance, physical function and reduce falling rates in older adults. Improvements in muscle strength, balance and physical function are reversed if older adults do not continue to be physically active after falls prevention exercise programmes end. This paper describes the design process of an intervention that aimed to maintain physical activity in older adults exiting falls prevention exercise programmes.

Methods: The development of the Keeping Adults Physically Active (KAPA) intervention and its implementation plan was guided by Bartholomew’s Intervention Mapping approach. The intervention mapping approach involved 1) performing a needs assessment and developing intervention objectives using previous literature; 2) identifying theory-based intervention strategies from a systematic review and the National Institute of Clinical Excellence guidelines; 3) designing the KAPA intervention and its implementation plan with the guidance from an expert steering group.

Results: The KAPA intervention comprised of six group sessions of motivational interviewing, delivered monthly by trained and mentor-supported falls prevention practitioners. Intervention sessions lasted up to 90 minutes and were delivered in community settings over a 6-month duration. Participant manuals, illustrated exercise books, physical activity diaries and pedometers supported the KAPA intervention.

Conclusions: The intervention development process, consisting 35 of Bartholomew’s Intervention Mapping approach and the input from an expert steering group, was successful in creating the evidence-based KAPA intervention ready to be evaluated in a feasibility trial.

Citation

Sarah, A., Kendrick, D., Logan, P., & Orton, E. (2021). Keeping adults physically active after falls management exercise (FaME) programmes end: Development of a physical activity maintenance intervention. Pilot and Feasibility Studies, 7, Article 108. https://doi.org/10.1186/s40814-021-00844-w

Journal Article Type Article
Acceptance Date Apr 28, 2021
Online Publication Date May 15, 2021
Publication Date May 15, 2021
Deposit Date May 5, 2021
Publicly Available Date May 15, 2021
Journal Pilot and Feasibility Studies
Electronic ISSN 2055-5784
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 7
Article Number 108
DOI https://doi.org/10.1186/s40814-021-00844-w
Keywords Older adults, physical activity, falls prevention, intervention development.
Public URL https://nottingham-repository.worktribe.com/output/5511035
Publisher URL https://link.springer.com/article/10.1186/s40814-021-00844-w

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