dc.contributor.author |
Binns, Elizabeth |
|
dc.contributor.author |
Bright, Felicity |
|
dc.contributor.author |
Parsons, John |
|
dc.contributor.author |
Peri, Kathy |
|
dc.contributor.author |
Taylor, Lynne |
|
dc.contributor.author |
Kerse, Ngaire |
|
dc.contributor.author |
Taylor, Denise |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2023-07-17T04:36:54Z |
|
dc.date.available |
2023-07-17T04:36:54Z |
|
dc.date.issued |
2023-01 |
|
dc.identifier.citation |
(2023). BMC Geriatrics, 23(1), 14-. |
|
dc.identifier.issn |
1471-2318 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/64815 |
|
dc.description.abstract |
<h4>Background</h4>Falls prevention interventions are effective for community dwelling older adults however, the same cannot be said for older adults living in long-term care (LTC). The Staying UpRight (SUp) randomized controlled trial was designed to test the effectiveness of a progressive strength and balance group exercise program delivered to LTC residents. This paper explores the factors impacting LTC providers' decisions to continue the program on completion of the funded trial period.<h4>Methods</h4>A qualitative study using an Interpretive Description approach. Semi-structured interviews and focus groups were conducted with 15 LTC staff involved in the randomized controlled trial. Data were analysed using conventional content analysis.<h4>Results</h4>Practice change occurred following participation in the trial with some facilities starting exercise groups, some increasing the number of exercise groups offered and physical therapists selecting elements of the program to adopt into their practice. Decisions about continuing with SUp as designed were constrained by organizational decisions regarding funding and resources. Three factors were identified which informed decision-making: business models and philosophies, requirements for evidence, and valuing physical therapy.<h4>Conclusions</h4>Managers and facilitators adapted SUp by selecting and delivering components of the program in response to the changes they had observed in participating residents. However, our findings highlight that while SUp was valued, the tight financial environment created by the current funding model in New Zealand did not support funding physical therapist delivered falls prevention exercise programs in LTC. This study may provide policy makers with important information on changes needed to support falls prevention service delivery in LTC.<h4>Trial registration</h4>This study is a sub-study of a randomized controlled trial which was registered to the Australian New Zealand Clinical Trials Registry ACTRN12618001827224 on 09/11/2018. Universal trial number U1111-1217-7148. |
|
dc.format.medium |
Electronic |
|
dc.language |
eng |
|
dc.publisher |
Springer Nature |
|
dc.relation.ispartofseries |
BMC geriatrics |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
http://creativecommons.org/licenses/by/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Exercise |
|
dc.subject |
Exercise Therapy |
|
dc.subject |
Long-Term Care |
|
dc.subject |
Aged |
|
dc.subject |
Australia |
|
dc.subject |
Physical Therapy Modalities |
|
dc.subject |
Independent Living |
|
dc.subject |
Falls prevention |
|
dc.subject |
Older adults |
|
dc.subject |
Qualitative research |
|
dc.subject |
Clinical Trials and Supportive Activities |
|
dc.subject |
Prevention |
|
dc.subject |
Behavioral and Social Science |
|
dc.subject |
Rehabilitation |
|
dc.subject |
Clinical Research |
|
dc.subject |
Aging |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
1103 Clinical Sciences |
|
dc.subject |
1106 Human Movement and Sports Sciences |
|
dc.title |
"It's all about the money": an interpretive description of embedding physical therapy-led falls prevention group exercise in long-term care. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1186/s12877-022-03722-z |
|
pubs.issue |
1 |
|
pubs.begin-page |
14 |
|
pubs.volume |
23 |
|
dc.date.updated |
2023-06-08T05:52:57Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
36631743 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/36631743 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
|
pubs.subtype |
Randomized Controlled Trial |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
947510 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
Nursing |
|
pubs.org-id |
Population Health |
|
pubs.org-id |
Gen.Practice& Primary Hlthcare |
|
dc.identifier.eissn |
1471-2318 |
|
dc.identifier.pii |
10.1186/s12877-022-03722-z |
|
pubs.number |
14 |
|
pubs.record-created-at-source-date |
2023-06-08 |
|
pubs.online-publication-date |
2023-01-11 |
|