Trajectories of adherence to a falls prevention exercise intervention in Singapore: A mixed methods study
Background: The success of falls prevention exercise intervention is dependent on adherence. This study investigated the trajectories of adherence to an instructor-led, face-to-face, community group-based falls-prevention exercise intervention, baseline factors associated with these trajectories, an...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Aging and Health Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667032124000027 |
| _version_ | 1797267155818905600 |
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| author | June May-Ling Lee Pildoo Sung Kok Yang Tan Pamela Duncan Rita Sim Karen Koh Angelique Chan |
| author_facet | June May-Ling Lee Pildoo Sung Kok Yang Tan Pamela Duncan Rita Sim Karen Koh Angelique Chan |
| author_sort | June May-Ling Lee |
| collection | DOAJ |
| description | Background: The success of falls prevention exercise intervention is dependent on adherence. This study investigated the trajectories of adherence to an instructor-led, face-to-face, community group-based falls-prevention exercise intervention, baseline factors associated with these trajectories, and the impact of these adherence trajectories on post-intervention physical functioning. Qualitative interviews were also examined to gather insights into participants’ profiles. Methods: Attendance data from 144 older adults who participated in a 12-week falls prevention exercise intervention were used to assess adherence. Physical functioning was assessed at baseline and post-intervention using Short Physical Performance Battery. We used Latent Class Growth Modelling to identify the types of adherence trajectories. Multinomial logistic regression and multivariate linear regression were used to examine antecedents and consequences associated with the adherence trajectories. Content and cross-tabulation analysis were conducted on 30 semi-structured qualitative interviews. Results: We identified four types of adherence trajectories: high adherence, moderate adherence, low adherence, and non-adherence. Non-adherent participants were younger than those with a high adherence trajectory. Those with low adherence trajectory were younger, more likely to be an ethnic minority, and had lower exercise self-efficacy. Older adults with low or non-adherence trajectories had lower post-intervention physical functioning than those with high adherence trajectory. Qualitative analysis indicated that participants with low adherence trajectory had prioritized exercise lower than other life commitments and had frequent hospitalizations and multiple medical appointments. Conclusion: Non and low adherence trajectories attenuate the impact of falls prevention exercise intervention. Findings from this study can be used to develop strategies to improve adherence. |
| first_indexed | 2024-03-07T23:38:54Z |
| format | Article |
| id | doaj.art-fb76d21d91ed4ed0a1df3e58a00a7dc4 |
| institution | Directory Open Access Journal |
| issn | 2667-0321 |
| language | English |
| last_indexed | 2024-04-25T01:12:06Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Aging and Health Research |
| spelling | doaj.art-fb76d21d91ed4ed0a1df3e58a00a7dc42024-03-10T05:13:21ZengElsevierAging and Health Research2667-03212024-03-0141100181Trajectories of adherence to a falls prevention exercise intervention in Singapore: A mixed methods studyJune May-Ling Lee0Pildoo Sung1Kok Yang Tan2Pamela Duncan3Rita Sim4Karen Koh5Angelique Chan6Centre for Ageing Research and Education (CARE), Duke-NUS Medical School, 8 College Road 169857, Singapore; Corresponding author.Department of Sociology, Hong Kong Baptist University, 224 Waterloo Rd, Kowloon Tong, Hong KongCentre for Ageing Research and Education (CARE), Duke-NUS Medical School, 8 College Road 169857, SingaporeDepartment of Neurology, Wake Forest Baptist Health, Medical Center Boulevard, Winston-Salem, NC 27157, United StatesHealth Services and Systems Research (HSSR), Duke-NUS Medical School, 8 College Road 169857, SingaporeSt Luke's ElderCare, 461 Clementi Road #04-11, Block A SIM Headquarters 599491, SingaporeCentre for Ageing Research and Education (CARE), Duke-NUS Medical School, 8 College Road 169857, Singapore; Health Services and Systems Research (HSSR), Duke-NUS Medical School, 8 College Road 169857, SingaporeBackground: The success of falls prevention exercise intervention is dependent on adherence. This study investigated the trajectories of adherence to an instructor-led, face-to-face, community group-based falls-prevention exercise intervention, baseline factors associated with these trajectories, and the impact of these adherence trajectories on post-intervention physical functioning. Qualitative interviews were also examined to gather insights into participants’ profiles. Methods: Attendance data from 144 older adults who participated in a 12-week falls prevention exercise intervention were used to assess adherence. Physical functioning was assessed at baseline and post-intervention using Short Physical Performance Battery. We used Latent Class Growth Modelling to identify the types of adherence trajectories. Multinomial logistic regression and multivariate linear regression were used to examine antecedents and consequences associated with the adherence trajectories. Content and cross-tabulation analysis were conducted on 30 semi-structured qualitative interviews. Results: We identified four types of adherence trajectories: high adherence, moderate adherence, low adherence, and non-adherence. Non-adherent participants were younger than those with a high adherence trajectory. Those with low adherence trajectory were younger, more likely to be an ethnic minority, and had lower exercise self-efficacy. Older adults with low or non-adherence trajectories had lower post-intervention physical functioning than those with high adherence trajectory. Qualitative analysis indicated that participants with low adherence trajectory had prioritized exercise lower than other life commitments and had frequent hospitalizations and multiple medical appointments. Conclusion: Non and low adherence trajectories attenuate the impact of falls prevention exercise intervention. Findings from this study can be used to develop strategies to improve adherence.http://www.sciencedirect.com/science/article/pii/S2667032124000027Latent class growth modellingAdherenceAsiaFalls-prevention exerciseolder adults |
| spellingShingle | June May-Ling Lee Pildoo Sung Kok Yang Tan Pamela Duncan Rita Sim Karen Koh Angelique Chan Trajectories of adherence to a falls prevention exercise intervention in Singapore: A mixed methods study Aging and Health Research Latent class growth modelling Adherence Asia Falls-prevention exercise older adults |
| title | Trajectories of adherence to a falls prevention exercise intervention in Singapore: A mixed methods study |
| title_full | Trajectories of adherence to a falls prevention exercise intervention in Singapore: A mixed methods study |
| title_fullStr | Trajectories of adherence to a falls prevention exercise intervention in Singapore: A mixed methods study |
| title_full_unstemmed | Trajectories of adherence to a falls prevention exercise intervention in Singapore: A mixed methods study |
| title_short | Trajectories of adherence to a falls prevention exercise intervention in Singapore: A mixed methods study |
| title_sort | trajectories of adherence to a falls prevention exercise intervention in singapore a mixed methods study |
| topic | Latent class growth modelling Adherence Asia Falls-prevention exercise older adults |
| url | http://www.sciencedirect.com/science/article/pii/S2667032124000027 |
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