Barriers and Enablers to a Hospital-to-Home, Combined Exercise and Nutrition, Self-Managed Program for Pre-Frail and Frail Hospitalised Older Adults.
In: Healthcare (2227-9032), Jg. 12 (2024-03-15), Heft 6, S. 678-694
Online
academicJournal
Zugriff:
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]
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Titel: |
Barriers and Enablers to a Hospital-to-Home, Combined Exercise and Nutrition, Self-Managed Program for Pre-Frail and Frail Hospitalised Older Adults.
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Autor/in / Beteiligte Person: | Han, Chad Yixian ; Middleton, Georgia ; Doh, Jersyn ; Yaxley, Alison ; Sharma, Yogesh ; Baldwin, Claire ; Miller, Michelle |
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Zeitschrift: | Healthcare (2227-9032), Jg. 12 (2024-03-15), Heft 6, S. 678-694 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 2227-9032 (print) |
DOI: | 10.3390/healthcare12060678 |
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