The Experiences of Older Adults with Dementia of “Balance Wise”—An Individual or Group-Delivered Exercise Programme: A Qualitative Study

This study aimed to understand the experience of older adults with dementia towards, and the practicality of, the Balance Wise exercise programme. A qualitative study guided by the General Inductive Approach was employed. Ten people with dementia aged 71–87 years who completed the exercise programme...

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Main Authors: Normala Mesbah, Meredith Perry, Keith D. Hill, Donald Manlapaz, Leigh Hale
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Disabilities
Subjects:
Online Access:https://www.mdpi.com/2673-7272/4/1/2
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author Normala Mesbah
Meredith Perry
Keith D. Hill
Donald Manlapaz
Leigh Hale
author_facet Normala Mesbah
Meredith Perry
Keith D. Hill
Donald Manlapaz
Leigh Hale
author_sort Normala Mesbah
collection DOAJ
description This study aimed to understand the experience of older adults with dementia towards, and the practicality of, the Balance Wise exercise programme. A qualitative study guided by the General Inductive Approach was employed. Ten people with dementia aged 71–87 years who completed the exercise programme and four care partners aged 69–76 years old (three of whom also participated in Balance Wise) were interviewed in dyads. The programme (individually or group delivered) was held once a week for 30 min for 10 weeks and included balance and strength exercises, cognitive training, and other enjoyable physical activities. Interviews were thematically analysed. Three overarching themes were identified (i) decision making, (ii) comprehension, and (iii) perceived benefits. Participants acknowledged their decision to participate was influenced by ‘awareness’ about their declining memory and their ‘health belief’ about the potential benefits of exercise. ‘Perceived benefits’ were influenced by the ‘support system’ and improvement in postural stability. ‘Comprehension’ was, however, an important cognitive ability to understand the purpose of the activities in the programme and facilitated motivation. This study highlighted an important message that such programmes should be developed from the end-user perspective, and this included that the programme be flexible and safely delivered, as well as be fun and pleasurable, thus promoting socialisation.
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spelling doaj.art-bf2ef70b2e07410a84e48c4d659c92dd2024-03-27T13:33:34ZengMDPI AGDisabilities2673-72722023-12-0141112610.3390/disabilities4010002The Experiences of Older Adults with Dementia of “Balance Wise”—An Individual or Group-Delivered Exercise Programme: A Qualitative StudyNormala Mesbah0Meredith Perry1Keith D. Hill2Donald Manlapaz3Leigh Hale4Physiotherapy Programme and Center for Healthy Ageing and Wellness (H-CARE), Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, MalaysiaCentre for Health, Activity and Rehabilitation Research (CHARR), School of Physiotherapy, University of Otago, Dunedin 9054, New ZealandRehabilitation Ageing and Independent Living (RAIL) Research Centre, Monash University, Melbourne, VIC 3199, AustraliaDepartment of Physical Therapy, College of Rehabilitation Sciences, University of Santo Tomas, Manila 1088, PhilippinesCentre for Health, Activity and Rehabilitation Research (CHARR), School of Physiotherapy, University of Otago, Dunedin 9054, New ZealandThis study aimed to understand the experience of older adults with dementia towards, and the practicality of, the Balance Wise exercise programme. A qualitative study guided by the General Inductive Approach was employed. Ten people with dementia aged 71–87 years who completed the exercise programme and four care partners aged 69–76 years old (three of whom also participated in Balance Wise) were interviewed in dyads. The programme (individually or group delivered) was held once a week for 30 min for 10 weeks and included balance and strength exercises, cognitive training, and other enjoyable physical activities. Interviews were thematically analysed. Three overarching themes were identified (i) decision making, (ii) comprehension, and (iii) perceived benefits. Participants acknowledged their decision to participate was influenced by ‘awareness’ about their declining memory and their ‘health belief’ about the potential benefits of exercise. ‘Perceived benefits’ were influenced by the ‘support system’ and improvement in postural stability. ‘Comprehension’ was, however, an important cognitive ability to understand the purpose of the activities in the programme and facilitated motivation. This study highlighted an important message that such programmes should be developed from the end-user perspective, and this included that the programme be flexible and safely delivered, as well as be fun and pleasurable, thus promoting socialisation.https://www.mdpi.com/2673-7272/4/1/2cognitive impairmentdementiaolder adultsfalls preventionphysical activityexercise
spellingShingle Normala Mesbah
Meredith Perry
Keith D. Hill
Donald Manlapaz
Leigh Hale
The Experiences of Older Adults with Dementia of “Balance Wise”—An Individual or Group-Delivered Exercise Programme: A Qualitative Study
Disabilities
cognitive impairment
dementia
older adults
falls prevention
physical activity
exercise
title The Experiences of Older Adults with Dementia of “Balance Wise”—An Individual or Group-Delivered Exercise Programme: A Qualitative Study
title_full The Experiences of Older Adults with Dementia of “Balance Wise”—An Individual or Group-Delivered Exercise Programme: A Qualitative Study
title_fullStr The Experiences of Older Adults with Dementia of “Balance Wise”—An Individual or Group-Delivered Exercise Programme: A Qualitative Study
title_full_unstemmed The Experiences of Older Adults with Dementia of “Balance Wise”—An Individual or Group-Delivered Exercise Programme: A Qualitative Study
title_short The Experiences of Older Adults with Dementia of “Balance Wise”—An Individual or Group-Delivered Exercise Programme: A Qualitative Study
title_sort experiences of older adults with dementia of balance wise an individual or group delivered exercise programme a qualitative study
topic cognitive impairment
dementia
older adults
falls prevention
physical activity
exercise
url https://www.mdpi.com/2673-7272/4/1/2
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