PDF(Pubmed)
Abstract：
BACKGROUND: 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.
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.
摘要：
背景：自我管理的运动和营养干预措施可以缓解前期的虚弱和虚弱，但缺乏对其依从性的理解。本研究旨在探索的经验，障碍和推动者，医院到家庭自我管理的运动和营养联合计划，适用于患有虚弱前期和虚弱的住院老年人。
方法：数据和理论驱动的描述性主题分析的混合方法确定的经验，障碍,以及参与3个月的参与者，自我管理,运动营养，医院到家庭的脆弱支持计划。招募了在南澳大利亚三级医院接受急性医疗部门治疗的≥65岁的体弱和体弱的老年患者。个人半结构化访谈是录音记录的，逐字转录，并进行了描述性分析，使用理论域框架。
结果：该计划的营养成分发现了11个常见障碍和18个常见促成因素。锻炼部分包括14个障碍和24个推动者。意图,社会影响,环境背景/资源和情绪是遵守这两个组成部分的主要障碍。这两个组件的共同使能者包括知识、社会认同,环境背景/资源，社会影响,和情感。
结论：这项研究揭示了影响环境中体弱多病的老年人坚持自我管理的运动营养计划的重要因素。资源,以及在该人群中设计其他干预计划时应考虑的情感领域。
方法：数据和理论驱动的描述性主题分析的混合方法确定的经验，障碍,以及参与3个月的参与者，自我管理,运动营养，医院到家庭的脆弱支持计划。招募了在南澳大利亚三级医院接受急性医疗部门治疗的≥65岁的体弱和体弱的老年患者。个人半结构化访谈是录音记录的，逐字转录，并进行了描述性分析，使用理论域框架。
结果：该计划的营养成分发现了11个常见障碍和18个常见促成因素。锻炼部分包括14个障碍和24个推动者。意图,社会影响,环境背景/资源和情绪是遵守这两个组成部分的主要障碍。这两个组件的共同使能者包括知识、社会认同,环境背景/资源，社会影响,和情感。
结论：这项研究揭示了影响环境中体弱多病的老年人坚持自我管理的运动营养计划的重要因素。资源,以及在该人群中设计其他干预计划时应考虑的情感领域。
