The Role of the Instructor in Exercise and Physical Activity Programmes for Older People

Hawley-Hague, Helen; Laventure, Bob

doi:10.1007/978-3-319-71291-8_17

Cited by 3 publications

(3 citation statements)

References 42 publications

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“…Rapport with the teacher: strongly positive feelings about the teachers’ skills, efforts, personality and interactive style, including wanting to ‘give something back’ ( 62 , 112 )…”

Section: Resultsmentioning

confidence: 99%

“…While they focused on the fun this evoked, the literature suggests the impacts may be more profound. Imagery in dance instruction can aid movement precision and provide mnemotechnic stepping-stones for recalling routines, but it also creates a fantasy element that can tap into aesthetic and emotional expression and enjoyment ( 33 ) and facilitate escape into another world ( 112 ). It is also likely to enhance the therapeutic properties of mind–body connection noted in studies of imagery in Tai Chi ( 127 ).…”

Section: Discussionmentioning

confidence: 99%

“…A pilot randomised study testing a model similar to RIPE Dance which integrates physical therapy exercises for fall prevention with dance movement therapy has demonstrated the program’s feasibility and potential benefits ( 136 ). Dance classes require little equipment and are not resource intensive to organize, however they do require an excellent and committed teacher with technical, creative and interpersonal skills and a caring, outgoing personality ( 96 , 112 ). Some gerontological and condition-specific knowledge is needed so that movements can be modified safely for different needs.…”

Section: Discussionmentioning

confidence: 99%

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“It doesn’t feel like exercise”: a realist process evaluation of factors that support long-term attendance at dance classes designed for healthy ageing

Haynes,

Tiedemann,

Hewton

et al. 2023

Front. Public Health

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IntroductionDance can positively impact older people’s health and wellbeing across cultures and socioeconomic groups, countering age-related physical, sensorimotor and cognitive decline.Background/objectivesThe RIPE (Really Is Possible for Everyone) Dance program aims to improve older people’s physical, mental, cognitive and social wellbeing by integrating engaging dance sequences with evidence-based fall prevention exercises. We sought to identify what mechanisms support observed long-term participation in this program, including by people living with challenging health conditions.MethodsFollowing a realist evaluation approach, we co-developed and tested program theories iteratively with participant interviewees (n = 20), dance teachers (n = 2) and via observation of a dance class. Initial data were dual-coded and emergent findings were interrogated by the research team. Findings were organised to express Program activities + Context + Mechanism = Process outcomes configurations.ResultsWe identified four program theories comprising 14 mechanisms which explained long-term attendance: 1. RIPE Dance benefits my body and mind (trust in the program, belief in health benefits), 2. RIPE Dance helps me feel good about myself (self-efficacy, pride in achievement, psychological safety, defying expectations, feeling valued), 3. RIPE Dance creates camaraderie (social connection, mutual support, rapport with the teacher), and 4. RIPE Dance is uplifting (raised spirits, fun, synchrony, musical reactivity).ConclusionThe RIPE Dance program provides effective and enjoyable ‘exercise in disguise’ for older people with diverse mobility profiles.Significance/implicationsThis research confirms that participation in dance can contribute significantly to healthy, happy ageing. Findings detail program activities that were most strongly associated with process outcomes, offering guidance for further program development, implementation and scaling up.

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“…Rapport with the teacher: strongly positive feelings about the teachers’ skills, efforts, personality and interactive style, including wanting to ‘give something back’ ( 62 , 112 )…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

“It doesn’t feel like exercise”: a realist process evaluation of factors that support long-term attendance at dance classes designed for healthy ageing

Haynes,

Tiedemann,

Hewton

et al. 2023

Front. Public Health

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Older Adults’ Perceptions of Cognitive, Physical, and Exergame Training: A Mixed Methods Investigation of a Four-Armed Randomized Controlled Pilot Trial

Stephan,

McVey,

Steele

et al. 2024

Games for Health Journal

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Acceptability of physical activity signposting for pre-frail older adults: a qualitative study to inform intervention development

Money,

Harris,

Hawley-Hague

et al. 2023

BMC Geriatr

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Frailty is a medical condition common in older adults characterised by diminished strength and reduced physiologic function in which individuals are more vulnerable to multiple adverse health outcomes. Pre-frailty is an intermediate stage associated with some minor health outcomes. However, the main risk is progression toward moderate/severe frailty. Evidence shows physical activity interventions to be effective in slowing or modifying the progression of frailty. Researchers at the University of Manchester are developing a behaviour change intervention targeting pre-frail older adults, signposting them to group-based physical activity classes known to be effective for delaying/slowing frailty. This paper reports on the initial intervention development work with key stakeholders exploring the practicality of taking forward this intervention and identifying uncertainties to be explored in the feasibility stage. These included issues around physical activity messaging, the use of the term ‘frail’, identification/recruitment of pre-frail older adults, and the acceptability of behaviour change techniques. There was overwhelming support for a proactive approach to addressing pre-frailty issues. Given that a large proportion of older adults are estimated to be pre-frail, interventions aimed at this group have the potential to support healthy ageing, positively impacting on frailty outcomes and providing wider population health benefits.

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The Role of the Instructor in Exercise and Physical Activity Programmes for Older People

Cited by 3 publications

References 42 publications

“It doesn’t feel like exercise”: a realist process evaluation of factors that support long-term attendance at dance classes designed for healthy ageing

“It doesn’t feel like exercise”: a realist process evaluation of factors that support long-term attendance at dance classes designed for healthy ageing

Older Adults’ Perceptions of Cognitive, Physical, and Exergame Training: A Mixed Methods Investigation of a Four-Armed Randomized Controlled Pilot Trial

Acceptability of physical activity signposting for pre-frail older adults: a qualitative study to inform intervention development

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