Home care worker-supported exercise program to address falls: a feasibility study.

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES Australian journal of primary health Pub Date : 2023-12-01 DOI:10.1071/PY22248

Willeke Walsh, Claudia Meyer, Elizabeth V Cyarto

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Abstract

Background: Falls are a major concern for community-dwelling older adults. The Otago Exercise Program (OEP) is an evidence-based home program that reduces risk of falls. Exercise participation and program adherence can be challenging. Home care workers (HCWs) are well positioned to provide support for older adults.

Methods: This feasibility study included: HCW training; HCW in-home support of a physiotherapist-tailored OEP; online physiotherapy consultations; older participant questionnaires and functional outcome measures; and HCW and older participant interviews.

Results: Twelve older adults, eight HCWs and one physiotherapist participated. A small falls risk reduction, and improvement in falls efficacy, quality of life and functional improvement were noted. Thematic analysis showed formal and informal support was valued by older adults and HCWs. A role-ordered matrix synthesis highlighted variable ongoing independent program participation.

Conclusions: By Your Side, a physiotherapist-led and home care worker-supported modified OEP provides a feasible and acceptable option for falls prevention in home care services. Collaborative teamwork, and both formal and informal support, are key aspects to optimising engagement and benefits.

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由家庭护理人员支持的运动计划以解决跌倒问题：一项可行性研究。

背景：跌倒是居住在社区的老年人最担心的问题。奥塔哥运动计划（Otago Exercise Program，OEP）是一项循证家庭计划，可降低跌倒风险。参与锻炼和坚持计划可能具有挑战性。家庭护理人员（HCWs）完全有能力为老年人提供支持：这项可行性研究包括方法：这项可行性研究包括：居家护理人员培训；居家护理人员为物理治疗师量身定制的 OEP 提供居家支持；在线物理治疗咨询；老年参与者问卷调查和功能结果测量；以及居家护理人员和老年参与者访谈：结果：12 名老年人、8 名医护人员和 1 名物理治疗师参与了研究。结果：12 名老年人、8 名医护人员和 1 名物理治疗师参加了研究，研究结果表明，跌倒风险略有降低，跌倒疗效、生活质量和功能得到改善。主题分析表明，老年人和医护人员重视正式和非正式的支持。角色排序矩阵综合法强调了可变的持续独立计划参与：结论："在你身边 "是一项由物理治疗师主导、家庭护理员支持的改良 OEP，为家庭护理服务中的跌倒预防提供了一种可行且可接受的选择。团队合作、正式和非正式支持是优化参与度和收益的关键因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian journal of primary health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.20

自引率

15.40%

发文量

136

审稿时长

6-12 weeks

期刊介绍： Australian Journal of Primary Health integrates the theory and practise of community health services and primary health care. The journal publishes high-quality, peer-reviewed research, reviews, policy reports and analyses from around the world. Articles cover a range of issues influencing community health services and primary health care, particularly comprehensive primary health care research, evidence-based practice (excluding discipline-specific clinical interventions) and primary health care policy issues. Australian Journal of Primary Health is an important international resource for all individuals and organisations involved in the planning, provision or practise of primary health care. Australian Journal of Primary Health is published by CSIRO Publishing on behalf of La Trobe University.