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Enhancing Adoption of a Home-Based Exercise Program for Mild Balance Dysfunction: A Qualitative Study.

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Community physiotherapists and older adults identified barriers and opportunities for home-based balance programs. Understanding individual and organizational contexts is key to successful adoption of these exercises.

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Area of Science:

  • Gerontology
  • Rehabilitation Science
  • Public Health

Background:

  • Mild balance dysfunction affects older adults.
  • Home-based exercise programs offer a solution.
  • Community physiotherapists are key providers.

Purpose of the Study:

  • Identify barriers and opportunities for physiotherapists delivering home-based balance programs.
  • Understand older adults' perspectives on adopting these programs.

Main Methods:

  • Qualitative study using focus groups and surveys.
  • Involved nine older adults and five physiotherapists.
  • Thematic content analysis of transcribed data.

Main Results:

  • Older adults value preventive health, independence, and convenience.
  • Feasibility, safety, and program design are crucial for adoption.
  • Broader issues include program design and evidence base.

Conclusions:

  • Older adults' and physiotherapists' views are essential for program adoption.
  • Tailoring programs to individual and organizational contexts improves uptake.
  • Successful implementation requires understanding unique circumstances.