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Tytuł:
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Older adults' views on barriers and facilitators to participate in a multifactorial falls prevention program: Results from Prevquedas Brasil.
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Autorzy:
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Dos Santos RB; Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo - UNICID, São Paulo, Brazil.
Lago GN; Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo - UNICID, São Paulo, Brazil.
Jencius MC; Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo - UNICID, São Paulo, Brazil.
Barbosa BA; Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo - UNICID, São Paulo, Brazil.
Lima CA; Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo - UNICID, São Paulo, Brazil.
Paschoal SM; Orthopedic and Traumatology Institute, Faculty of Medicine, Universidade de São Paulo - FMUSP, São Paulo, Brazil.
Hill KD; Rehabilitation Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Melbourne, Australia.
Leme LEG; Orthopedic and Traumatology Institute, Faculty of Medicine, Universidade de São Paulo - FMUSP, São Paulo, Brazil.
Perracini MR; Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo - UNICID, São Paulo, Brazil. Electronic address: .
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Źródło:
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Archives of gerontology and geriatrics [Arch Gerontol Geriatr] 2021 Jan - Feb; Vol. 92, pp. 104287. Date of Electronic Publication: 2020 Oct 22.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: Amsterdam : Elsevier Biomedical Press, c1982-
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MeSH Terms:
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Accidental Falls*/prevention & control
Health Personnel*
Aged ; Aged, 80 and over ; Brazil ; Cross-Sectional Studies ; Humans ; Surveys and Questionnaires
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Contributed Indexing:
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Keywords: Adherence; Falls; Older adults; Patient compliance; Prevention
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Entry Date(s):
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Date Created: 20201104 Date Completed: 20210203 Latest Revision: 20210203
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Update Code:
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20240105
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DOI:
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10.1016/j.archger.2020.104287
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PMID:
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33147535
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Objectives: To understand the reasons older people engage in a multifactorial fall prevention program and, to identify the barriers and facilitators for adherence.
Methods: Cross-sectional study, with 218 older adults from the intervention group of a 12-week multifactorial fall prevention program (Prevquedas Brazil). We interviewed participants using a semi-structured questionnaire concerning reasons to engage in, barriers, and facilitators to participating in the program. We compared participants with low (0-5 sessions) and moderate/high (6-12 sessions) adherence regarding barriers and facilitators.
Results: Physical and mental health problems (55 %), and competing demands (45.2 %) were the most frequent barriers reported. Pleasant environment (97.7 %), a sense of receiving proper care (96.7 %), and empathy with the team (96.7 %) were the main facilitators. Seven out of the twelve facilitators distinguished participants with high adherence from those with low adherence. Only the barriers related to the program characteristics and the lack of social support were able to identify participants with low adherence. Open-ended questions revealed that self-determination, commitment, and the desire of being physically active and fit promoted participation. Anticipated health benefits and functional gains, a need to take action due to fall consequences, and encouragement from others were among the reasons to engage in the program.
Conclusion: Although barriers should not be neglected, facilitators are critically important for adherence. Health professionals may develop skills to facilitate uptake and optimize older adults' participation. Implementing sustainable fall prevention programs in low and middle-income countries requires overcoming the fragmentation and inflexibility of healthcare services.
(Copyright © 2020 Elsevier B.V. All rights reserved.)
