Adherence to and efficacy of home exercise programs to prevent falls: A systematic review and meta-analysis of the impact of exercise program characteristics

Investigating Community Perspectives on Falls Prevention Information Seeking and Delivery: Older Person Perceptions Regarding Preferences for Falls Prevention Education Using a World Cafe Approach

“…While there is conclusive evidence that interventions such as regular exercise can reduce falls (Gillespie LD et al, 2012) older people have been found to have low self-perceived risk of falls and low levels of knowledge about falls and falls prevention (Haines, Day, Hill, Clemson, & Finch, 2014;Lee, McDermott, Hoffmann, & Haines, 2013). Furthermore, older people have also been shown to have limited engagement in falls prevention activities Simek, McPhate, & Haines, 2012) (Dickinson et al, 2011;Yardley, Donovan-Hall, Francis, & Todd, 2007), We therefore decided to take a step back from evaluating older people's perceptions of falls programs and to re-engage the community in partnership to explore how they would prefer to seek and receive falls related information, also furthermore how they would like falls prevention education to be delivered. Thus, the informal approach of world café was deemed most appropriate for this audience in providing a casual and relaxed atmosphere to explore ideas, thoughts and beliefs around what the optimal community falls prevention education program would look like.…”

Eliciting older people's preferences for exercise programs: a best-worst scaling choice experiment

“…5 Participation of older people in structured exercise programs in this age group has also been reported to be suboptimal. [6][7][8] For instance, estimates of adherence to falls prevention programs, derived from systematic reviews, vary from 74% (95% CI 67 to 80) of participants adhering to group exercise intervention 7 to 21% (95% CI 15 to 29) adhering to home exercise interventions. 8 Adherence to exercise programs among older people has been found to be greater among those with: concerns about the interference of falls in social activities, 9 certain intervention content (ie, balance or walking exercise), 8 and two or fewer sessions per week.…”

“…[6][7][8] For instance, estimates of adherence to falls prevention programs, derived from systematic reviews, vary from 74% (95% CI 67 to 80) of participants adhering to group exercise intervention 7 to 21% (95% CI 15 to 29) adhering to home exercise interventions. 8 Adherence to exercise programs among older people has been found to be greater among those with: concerns about the interference of falls in social activities, 9 certain intervention content (ie, balance or walking exercise), 8 and two or fewer sessions per week. 7 Although clinicians may use this information when planning exercise programs for this age group, when prescribing an intervention it is also important to take into account patients' preferences in the decision-making process.…”

What Are the Characteristics of Home Exercise Programs That Older Adults Prefer?

“…A recent systematic review of randomized controlled trials of home exercise programs found that only 21% (95% confidence interval, 15%Y29%) of older adults fully adhered to their prescribed home exercise program. 10 Poor adherence to falls prevention interventions is the most frequently reported barrier to intervention success among healthcare providers. 11 Research to date into the determinants of participation in and adherence to home exercise interventions has predominantly examined only participant-related factors.…”