Terry P Haines1, Keith D Hill2, Trang Vu3, Lindy Clemson4, Caroline F Finch5, Lesley Day6. 1. Physiotherapy Department, School of Primary Health Care, Monash University, Frankston, Victoria 3199, Australia. Electronic address: terrence.haines@monash.edu. 2. School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia 6845, Australia. 3. Australian Centre for Research in Employment and Work, Monash University, Victoria 3800, Australia. 4. Ageing, Health & Work Research Unit, Faculty of Health Sciences, University of Sydney and Centre of Excellence in Population Ageing Research, Lidcombe, New South Wales 2141, Australia. 5. Centre for Healthy and Safe Sport, Federation University, Ballarat, Victoria 3353, Australia. 6. Monash Injury Research Institute, Monash University, Clayton, Victoria 3800, Australia.
Abstract
BACKGROUND: Exercise for falls prevention is effective but of limited uptake in real life. The link between intention and behavior is central to many health-behavior models, but has not been examined in the falls prevention exercise context. OBJECTIVE: This study examines this relationship and prospectively identifies factors associated with participation in group and home-based falls prevention exercise. DESIGN: This was an observational study of community-dwelling adults in Australia >70 years of age with a 12 month follow-up (n=394 commenced baseline assessment, n=247 commenced follow-up). METHODS: Intention, and other potential predictive factors examined, were measured at baseline while participation was measured using self-report at 12 month follow-up. RESULTS: Between 65% and 72% of our sample at baseline agreed or strongly agreed they would participate in the falls prevention exercise programs. n=27 respondents participated in home-based exercise during follow-up and had intention to do so while n=29 who participated did not have intention. In contrast, n=43 respondents participated in group exercise and had intention to do so compared to 11 who participated but did not intend to at baseline. Perception of personal effectiveness and previous exposure to the exercise intervention were most strongly predictive of future participation. CONCLUSION: More people who do not want to participate in home exercise actually participate in home exercise than people who do not want to participate in group exercise that actually do. It may be easier to convince people who do not want to participate in falls prevention exercise to participate in a home program.
BACKGROUND: Exercise for falls prevention is effective but of limited uptake in real life. The link between intention and behavior is central to many health-behavior models, but has not been examined in the falls prevention exercise context. OBJECTIVE: This study examines this relationship and prospectively identifies factors associated with participation in group and home-based falls prevention exercise. DESIGN: This was an observational study of community-dwelling adults in Australia >70 years of age with a 12 month follow-up (n=394 commenced baseline assessment, n=247 commenced follow-up). METHODS: Intention, and other potential predictive factors examined, were measured at baseline while participation was measured using self-report at 12 month follow-up. RESULTS: Between 65% and 72% of our sample at baseline agreed or strongly agreed they would participate in the falls prevention exercise programs. n=27 respondents participated in home-based exercise during follow-up and had intention to do so while n=29 who participated did not have intention. In contrast, n=43 respondents participated in group exercise and had intention to do so compared to 11 who participated but did not intend to at baseline. Perception of personal effectiveness and previous exposure to the exercise intervention were most strongly predictive of future participation. CONCLUSION: More people who do not want to participate in home exercise actually participate in home exercise than people who do not want to participate in group exercise that actually do. It may be easier to convince people who do not want to participate in falls prevention exercise to participate in a home program.
Authors: Chiara Naseri; Steven M McPhail; Terry P Haines; Meg E Morris; Ronald Shorr; Christopher Etherton-Beer; Julie Netto; Leon Flicker; Max Bulsara; Den-Ching A Lee; Jacqueline Francis-Coad; Nicholas Waldron; Amanda Boudville; Anne-Marie Hill Journal: Health Soc Care Community Date: 2020-04-26