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Embedding Physical Activity Within Community Home Support Services for Older Adults in Ireland - A Qualitative Study of Barriers and Enablers.
Swan, Lauren; Horgan, N Frances; Cummins, Vanda; Burton, Elissa; Galvin, Rose; Skelton, Dawn A; Townley, Bex; Doyle, Frank; Jabakhanji, Samira B; Sorensen, Jan; Rooney, Debbie; Murphy, Lisa; Warters, Austin; O'Sullivan, Maria.
Afiliación
  • Swan L; Department of Clinical Medicine, Trinity College Dublin, Dublin, Ireland.
  • Horgan NF; North Dublin Home Care (NDHC), Dublin, Ireland.
  • Cummins V; School of Physiotherapy, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
  • Burton E; Primary Care Physiotherapy Services CHO9, Health Service Executive (HSE), Dublin, Ireland.
  • Galvin R; Curtin School of Allied Health, Curtin University, Perth, Australia.
  • Skelton DA; School of Allied Health, Ageing Research Centre, University of Limerick (UL), Limerick, Ireland.
  • Townley B; School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, Scotland.
  • Doyle F; Later Life Training, Killin, UK.
  • Jabakhanji SB; Later Life Training, Killin, UK.
  • Sorensen J; Department of Health Psychology, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
  • Rooney D; Healthcare Outcomes Research Centre (HORC), RCSI University of Medicine and Health Sciences, Dublin, Ireland.
  • Murphy L; Healthcare Outcomes Research Centre (HORC), RCSI University of Medicine and Health Sciences, Dublin, Ireland.
  • Warters A; North Dublin Home Care (NDHC), Dublin, Ireland.
  • O'Sullivan M; North Dublin Home Care (NDHC), Dublin, Ireland.
Clin Interv Aging ; 17: 223-234, 2022.
Article en En | MEDLINE | ID: mdl-35299723
Introduction: In Ireland, over 55,000 older adults are supported in their community by formal home support, amounting to an estimated 23 million care hours annually. There is a growing need to move beyond care, to more proactive approaches to maintain physical function. In a feasibility study, we delivered the "Care to Move" (CTM) program through existing home support services. This qualitative study aimed to explore the experience and perceptions of Health Care Assistants (HCAs), who were trained in and delivered the CTM program. Methods: We conducted semi-structured telephone interviews with 22 HCAs [mean age 49.0 ± 10.7 years and female 21/22] involved in the delivery of the program with older adults [n = 35, mean age 82.8 (7.8) years]. Interview transcripts were coded and analyzed thematically to capture barriers and enablers to program delivery. Results: Barriers and enablers were identified under three themes i) the CTM approach ii) the home support setting, iii) older adults and physical activity, with iv) delivering care in a crisis and v) future directions further identified. Overall, there was a positive perception of the program's focus on "movement prompts and motivators", the "fit" within home support services, and the training provided. Practical challenges of limited time and the task-orientated nature of home support were reported as recurring barriers for CTM. Many HCAs commented on the value and perceived positive benefits of the program for their clients. Though negative perceptions of older adults' motivation or ability to engage with physical activity were noted. Risk, such as injury or pain, was identified but was not a dominant theme. Conclusion: Our findings suggest that embedding physical activity initiatives within home support services could be feasible. Restructuring of services, engaging HCAs, and moving beyond traditional "task-oriented" care models to more personalised proactive approaches may facilitate this initiative and support aging in place.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vida Independiente / Servicios de Atención de Salud a Domicilio Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Aged / Aged80 / Female / Humans País/Región como asunto: Europa Idioma: En Revista: Clin Interv Aging Asunto de la revista: GERIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Nueva Zelanda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vida Independiente / Servicios de Atención de Salud a Domicilio Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Aged / Aged80 / Female / Humans País/Región como asunto: Europa Idioma: En Revista: Clin Interv Aging Asunto de la revista: GERIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Nueva Zelanda