Back to Search
Start Over
Barriers and Enablers to a Hospital-to-Home, Combined Exercise and Nutrition, Self-Managed Program for Pre-Frail and Frail Hospitalised Older Adults.
- Source :
- Healthcare (2227-9032); Mar2024, Vol. 12 Issue 6, p678, 17p
- Publication Year :
- 2024
-
Abstract
- Introduction: Self-managed exercise and nutrition interventions can alleviate pre-frailty and frailty but understanding of adherence to them is lacking. This study aimed to explore the experiences of, and barriers and enablers to, a hospital-to-home self-managed combined exercise and nutrition program for hospitalised older adults living with pre-frailty and frailty. Methods: A hybrid approach to data- and theory-driven descriptive thematic analysis identified experiences, barriers, and enablers to participation in a 3-month, self-managed, exercise–nutrition, hospital-to-home frailty-support program. Pre-frail and frail older adult patients ≥ 65 years admitted to the acute medical unit at a South Australian tertiary hospital were recruited. Individual semi-structured interviews were audio-recorded, transcribed verbatim, and analysed descriptively, using the Theoretical Domains Framework. Results: The nutrition component of the program found 11 common barriers and 18 common enablers. The exercise component included 14 barriers and 24 enablers. Intentions, Social influences, Environmental context/resource and Emotions served as primary barriers towards adherence to both components. Common enablers for both components included Knowledge, Social identity, Environmental context/resource, Social influences, and Emotions. Conclusions: This research revealed important factors affecting adherence to a self-managed exercise–nutrition program in pre-frail and frail older adults within the environment, resources, and emotion domains that should be considered when designing other intervention programs in this population group. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH services accessibility
PATIENT compliance
HEALTH literacy
REINFORCEMENT (Psychology)
SELF-management (Psychology)
ECOLOGY
GROUP identity
QUALITATIVE research
OPTIMISM
RESEARCH funding
FRAIL elderly
EXERCISE therapy
INTERVIEWING
QUESTIONNAIRES
TERTIARY care
EMOTIONS
JUDGMENT sampling
GOAL (Psychology)
THEMATIC analysis
ATTITUDE (Psychology)
COMBINED modality therapy
SOCIAL skills
CONCEPTUAL structures
RESEARCH methodology
MEDICAL records
INTENTION
HOSPITAL care of older people
SOCIAL support
DATA analysis software
NUTRITION
PATIENTS' attitudes
PATIENT participation
HOSPITAL wards
DIET
Subjects
Details
- Language :
- English
- ISSN :
- 22279032
- Volume :
- 12
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Healthcare (2227-9032)
- Publication Type :
- Academic Journal
- Accession number :
- 176335565
- Full Text :
- https://doi.org/10.3390/healthcare12060678