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The implementation of the functional task exercise programme for elderly people living at home
Margot A H Fleuren1, Susan Vrijkotte, Marielle P Jans
1TNO, Healthy for life, PO Box 2215, 2301 CE, Leiden, The Netherlands.
BMC Musculoskeletal Disorders
|July 25, 2012
Summary
This study investigates implementing the Functional Task Exercise (FTE) program for home-dwelling seniors. It identifies barriers and develops strategies to improve the uptake of this evidence-based physical capacity enhancement program.
Area of Science:
- Gerontology
- Public Health
- Exercise Science
Background:
- The Functional Task Exercise (FTE) programme is an evidence-based intervention designed to enhance physical capacity in elderly individuals living at home.
- While proven effective in trials, its routine implementation by therapists and adoption by seniors requires further investigation.
- This study protocol addresses the need to understand and overcome barriers to the widespread adoption of FTE in daily practice.
Purpose of the Study:
- To systematically identify determinants influencing the implementation of FTE among therapists and elderly participants.
- To develop and apply tailored strategies to overcome identified implementation barriers.
- To evaluate the effectiveness of FTE implementation in real-world clinical practice.
Main Methods:
- Phase 1 involved a questionnaire study with 100 therapists and interviews with 23 therapists and 8 elderly individuals to identify implementation determinants.
- Phase 2 focused on training 15 physiotherapists to deliver FTE and recruit participants, followed by program delivery to elderly groups.
- Phase 3 employed therapist logs, participant exercise diaries, interviews, and on-site visits to monitor implementation, alongside pre- and post-intervention assessments (Patient-Specific Questionnaire, Timed Up and Go test, performance tests) to evaluate effects.
Main Results:
- Determinants of FTE implementation were categorized into environmental, organizational, therapist-specific, and training program characteristics.
- Tailored strategies were developed based on identified determinants to facilitate program adoption.
- The study protocol outlines a comprehensive approach to assess both the implementation process and the impact of FTE on elderly participants.
Conclusions:
- The findings are relevant to policymakers, insurance providers, healthcare professionals, and implementation researchers.
- Successful implementation of FTE can contribute to improving the physical capacity and well-being of a growing elderly population.
- This research provides a framework for implementing evidence-based exercise programs in community-dwelling older adults.
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