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Older adults, clinicians, and researchers’ preferences for measuring adherence to resistance and balance exercises
BACKGROUND: Resistance and balance training are important exercise interventions for older populations living with chronic diseases. Accurately measuring if an individual is adhering to exercises as prescribed is important to determine if lack of improvement in health outcomes is because of issues w...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470185/ https://www.ncbi.nlm.nih.gov/pubmed/37648973 http://dx.doi.org/10.1186/s12877-023-04237-x |
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author | McArthur, Caitlin Duhaime, Gabriella Gonzalez, David Notthoff, Nanna Theou, Olga Kehler, Scott Quigley, Adria |
author_facet | McArthur, Caitlin Duhaime, Gabriella Gonzalez, David Notthoff, Nanna Theou, Olga Kehler, Scott Quigley, Adria |
author_sort | McArthur, Caitlin |
collection | PubMed |
description | BACKGROUND: Resistance and balance training are important exercise interventions for older populations living with chronic diseases. Accurately measuring if an individual is adhering to exercises as prescribed is important to determine if lack of improvement in health outcomes is because of issues with adherence. Measuring adherence to resistance and balance exercises is limited by current methods that depend heavily on self-report and are often better at and tailored towards capturing aerobic training parameters (e.g., step count, minutes of moderate to vigorous physical activity). Adherence measures must meet users’ needs to be useful. METHODS: Using a Dillman tailored study design, we surveyed researchers who conduct exercise trials, clinicians who prescribe exercise for older adults, and older adults to determine: (1) how they are currently measuring adherence; (2) barriers and facilitators they have experienced to measurement; and (3) the information they would like collected about adherence (e.g., repetitions, sets, intensity, duration, frequency, quality). Surveys were disseminated internationally through professional networks, professional organizations, and social media. Participants completed an online survey between August 2021 and April 2022. RESULTS: Eighty-eight older adults, 149 clinicians, and 41 researchers responded to the surveys. Most clinicians and researchers were between the ages of 30 and 39 years, and 70.0% were female. Most older adults were aged 70–79 years, and 46.6% were female. Diaries and calendars (either analog or digital) were the most common current methods of collecting adherence data. Users would like information about the intensity and quality of exercises completed that are presented in clear, easy to use formats that are meaningful for older adults where all data can be tracked in one place. Most older adults did not measure adherence because they did not want to, while clinicians most frequently reported not having measurement tools for adherence. Time, resources, motivation, and health were also identified as barriers to recording adherence. CONCLUSIONS: Our work provides information about current methods of measuring exercise adherence and suggestions to inform the design of future adherence measures. Future measures should comprehensively track adherence data in one place, including the intensity and quality of exercises. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-023-04237-x. |
format | Online Article Text |
id | pubmed-10470185 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-104701852023-09-01 Older adults, clinicians, and researchers’ preferences for measuring adherence to resistance and balance exercises McArthur, Caitlin Duhaime, Gabriella Gonzalez, David Notthoff, Nanna Theou, Olga Kehler, Scott Quigley, Adria BMC Geriatr Research BACKGROUND: Resistance and balance training are important exercise interventions for older populations living with chronic diseases. Accurately measuring if an individual is adhering to exercises as prescribed is important to determine if lack of improvement in health outcomes is because of issues with adherence. Measuring adherence to resistance and balance exercises is limited by current methods that depend heavily on self-report and are often better at and tailored towards capturing aerobic training parameters (e.g., step count, minutes of moderate to vigorous physical activity). Adherence measures must meet users’ needs to be useful. METHODS: Using a Dillman tailored study design, we surveyed researchers who conduct exercise trials, clinicians who prescribe exercise for older adults, and older adults to determine: (1) how they are currently measuring adherence; (2) barriers and facilitators they have experienced to measurement; and (3) the information they would like collected about adherence (e.g., repetitions, sets, intensity, duration, frequency, quality). Surveys were disseminated internationally through professional networks, professional organizations, and social media. Participants completed an online survey between August 2021 and April 2022. RESULTS: Eighty-eight older adults, 149 clinicians, and 41 researchers responded to the surveys. Most clinicians and researchers were between the ages of 30 and 39 years, and 70.0% were female. Most older adults were aged 70–79 years, and 46.6% were female. Diaries and calendars (either analog or digital) were the most common current methods of collecting adherence data. Users would like information about the intensity and quality of exercises completed that are presented in clear, easy to use formats that are meaningful for older adults where all data can be tracked in one place. Most older adults did not measure adherence because they did not want to, while clinicians most frequently reported not having measurement tools for adherence. Time, resources, motivation, and health were also identified as barriers to recording adherence. CONCLUSIONS: Our work provides information about current methods of measuring exercise adherence and suggestions to inform the design of future adherence measures. Future measures should comprehensively track adherence data in one place, including the intensity and quality of exercises. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-023-04237-x. BioMed Central 2023-08-30 /pmc/articles/PMC10470185/ /pubmed/37648973 http://dx.doi.org/10.1186/s12877-023-04237-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research McArthur, Caitlin Duhaime, Gabriella Gonzalez, David Notthoff, Nanna Theou, Olga Kehler, Scott Quigley, Adria Older adults, clinicians, and researchers’ preferences for measuring adherence to resistance and balance exercises |
title | Older adults, clinicians, and researchers’ preferences for measuring adherence to resistance and balance exercises |
title_full | Older adults, clinicians, and researchers’ preferences for measuring adherence to resistance and balance exercises |
title_fullStr | Older adults, clinicians, and researchers’ preferences for measuring adherence to resistance and balance exercises |
title_full_unstemmed | Older adults, clinicians, and researchers’ preferences for measuring adherence to resistance and balance exercises |
title_short | Older adults, clinicians, and researchers’ preferences for measuring adherence to resistance and balance exercises |
title_sort | older adults, clinicians, and researchers’ preferences for measuring adherence to resistance and balance exercises |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470185/ https://www.ncbi.nlm.nih.gov/pubmed/37648973 http://dx.doi.org/10.1186/s12877-023-04237-x |
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