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Background Dementia is a significant issue globally, including in Thailand, and exercise is known to have health benefits for people living with dementia. However, little is known about exercise acceptable to, and feasible for, this population group in low-to-middle income countries although, more broadly, it is recognised that health-related behaviours are influenced by the perceptions of the individual, which exist within a cultural context. Objectives To explore and describe perceptions of appropriate exercise for people living with dementia in Bangkok, Thailand. Design Qualitative exploratory descriptive. Setting Bangkok, Thailand. Participants Nine professionals - experts in exercise, dementia care and relevant policy development - and nine dyads of people with dementia and their family caregivers all recruited using purposive sampling. Methods Semi-structured interviews subjected to thematic analysis. Results Three themes emerged: how exercise was defined, perceived benefits of exercise and how exercise should be implemented. Professionals recognised three exercise elements: aerobic exercise plus balance and strength training. Dyads recognised home-based activities (e.g., housework) and walking. Both groups recognised benefits of exercise in maintaining health and function and improving mood and sleep. Only health professionals identified falls risk reduction. There was limited appreciation of benefits for caregivers by maintaining function in care recipients. Professionals deemed that exercise should address all three elements, using easily accessible low-cost resources. The need for safety was emphasised, and there was agreement that in-home exercise was appropriate. Family/cultural values were evident that could present barriers to exercise implementation. Conclusion Changing health-related behaviours requires an understanding of individual perspectives, which exist within a cultural context. This study has illuminated the Thai context and has implications beyond this. Findings emphasise a need for potential benefits to be sufficiently understood by family caregivers to overcome any culturally based reluctance to promote exercise in older people. Implications for practice Nurses have a key role in supporting care givers of older persons with dementia supervise home based exercise. Nurses need to develop knowledge of aerobic exercise to teach caregivers and the older person with dementia. Muscle strength and aerobic exercise assists in the older person's ability to undertake ADL. [ABSTRACT FROM AUTHOR]

This study focused on the lived experience of Thai women and their changing bodies in midlife. The methodology chosen was a phenomenological approach. Eighteen women aged 46-55 years, who lived in the southern Thailand and identified themselves as experiencing physiological changes, participated in the study. Five themes became apparent during the analysis of the women's stories: changing in midlife, sensing normal phenomena, searching for explanation, sense of loss, and self-managing. This study reveals that Thai women's traditional ties to Buddhism play a major role in their acceptance of midlife as part of the life cycle; an event that is best managed with support from other women. Health professionals should reconsider their understanding of women's midlife experiences in order to provide effective healthcare support to Thai women. [ABSTRACT FROM AUTHOR]