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Developing the principles of chair based exercise for older people: a modified Delphi study

BACKGROUND: Chair based exercise (CBE) is suggested to engage older people with compromised health and mobility in an accessible form of exercise. A systematic review looking at the benefits of CBE for older people identified a lack of clarity regarding a definition, delivery, purpose and benefits....

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Autores principales: Robinson, Katie R, Leighton, Paul, Logan, Philippa, Gordon, Adam L, Anthony, Kevin, Harwood, Rowan H, Gladman, John RF, Masud, Tahir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4039312/
https://www.ncbi.nlm.nih.gov/pubmed/24884392
http://dx.doi.org/10.1186/1471-2318-14-65
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author Robinson, Katie R
Leighton, Paul
Logan, Philippa
Gordon, Adam L
Anthony, Kevin
Harwood, Rowan H
Gladman, John RF
Masud, Tahir
author_facet Robinson, Katie R
Leighton, Paul
Logan, Philippa
Gordon, Adam L
Anthony, Kevin
Harwood, Rowan H
Gladman, John RF
Masud, Tahir
author_sort Robinson, Katie R
collection PubMed
description BACKGROUND: Chair based exercise (CBE) is suggested to engage older people with compromised health and mobility in an accessible form of exercise. A systematic review looking at the benefits of CBE for older people identified a lack of clarity regarding a definition, delivery, purpose and benefits. This study aimed to utilise expert consensus to define CBE for older people and develop a core set of principles to guide practice and future research. METHODS: The framework for consensus was constructed through a team workshop identifying 42 statements within 7 domains. A four round electronic Delphi study with multi-disciplinary health care experts was undertaken. Statements were rated using a 5 point Likert scale of agreement and free text responses. A threshold of 70% agreement was used to determine consensus. Free text responses were analysed thematically. Between rounds a number of strategies (e.g., amended wording of statements, generation and removal of statements) were used to move towards consensus. RESULTS: 16 experts agreed on 46 statements over four rounds of consultation (Round 1: 22 accepted, 3 removed, 5 new and 17 modified; Round 2: 16 accepted, 0 removed, 4 new and 6 modified; Round 3: 4 accepted, 2 removed, 0 new and 4 modified; Round 4: 4 accepted, 0 removed, 0 new, 0 modified). Statements were accepted in all seven domains: the definition of CBE (5), intended users (3), potential benefits (8), structure (12), format (8), risk management (7) and evaluation (3). The agreed definition of CBE had five components: 1. CBE is primarily a seated exercise programme; 2. The purpose of using a chair is to promote stability in both sitting and standing; 3. CBE should be considered as part of a continuum of exercise for frail older people where progression is encouraged; 4. CBE should be used flexibly to respond to the changing needs of frail older people; and 5. Where possible CBE should be used as a starting point to progress to standing programmes. CONCLUSIONS: Consensus has been reached on a definition and a set of principles governing CBE for older people; this provides clarity for implementation and future research about CBE.
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spelling pubmed-40393122014-05-31 Developing the principles of chair based exercise for older people: a modified Delphi study Robinson, Katie R Leighton, Paul Logan, Philippa Gordon, Adam L Anthony, Kevin Harwood, Rowan H Gladman, John RF Masud, Tahir BMC Geriatr Research Article BACKGROUND: Chair based exercise (CBE) is suggested to engage older people with compromised health and mobility in an accessible form of exercise. A systematic review looking at the benefits of CBE for older people identified a lack of clarity regarding a definition, delivery, purpose and benefits. This study aimed to utilise expert consensus to define CBE for older people and develop a core set of principles to guide practice and future research. METHODS: The framework for consensus was constructed through a team workshop identifying 42 statements within 7 domains. A four round electronic Delphi study with multi-disciplinary health care experts was undertaken. Statements were rated using a 5 point Likert scale of agreement and free text responses. A threshold of 70% agreement was used to determine consensus. Free text responses were analysed thematically. Between rounds a number of strategies (e.g., amended wording of statements, generation and removal of statements) were used to move towards consensus. RESULTS: 16 experts agreed on 46 statements over four rounds of consultation (Round 1: 22 accepted, 3 removed, 5 new and 17 modified; Round 2: 16 accepted, 0 removed, 4 new and 6 modified; Round 3: 4 accepted, 2 removed, 0 new and 4 modified; Round 4: 4 accepted, 0 removed, 0 new, 0 modified). Statements were accepted in all seven domains: the definition of CBE (5), intended users (3), potential benefits (8), structure (12), format (8), risk management (7) and evaluation (3). The agreed definition of CBE had five components: 1. CBE is primarily a seated exercise programme; 2. The purpose of using a chair is to promote stability in both sitting and standing; 3. CBE should be considered as part of a continuum of exercise for frail older people where progression is encouraged; 4. CBE should be used flexibly to respond to the changing needs of frail older people; and 5. Where possible CBE should be used as a starting point to progress to standing programmes. CONCLUSIONS: Consensus has been reached on a definition and a set of principles governing CBE for older people; this provides clarity for implementation and future research about CBE. BioMed Central 2014-05-19 /pmc/articles/PMC4039312/ /pubmed/24884392 http://dx.doi.org/10.1186/1471-2318-14-65 Text en Copyright © 2014 Robinson et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Robinson, Katie R
Leighton, Paul
Logan, Philippa
Gordon, Adam L
Anthony, Kevin
Harwood, Rowan H
Gladman, John RF
Masud, Tahir
Developing the principles of chair based exercise for older people: a modified Delphi study
title Developing the principles of chair based exercise for older people: a modified Delphi study
title_full Developing the principles of chair based exercise for older people: a modified Delphi study
title_fullStr Developing the principles of chair based exercise for older people: a modified Delphi study
title_full_unstemmed Developing the principles of chair based exercise for older people: a modified Delphi study
title_short Developing the principles of chair based exercise for older people: a modified Delphi study
title_sort developing the principles of chair based exercise for older people: a modified delphi study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4039312/
https://www.ncbi.nlm.nih.gov/pubmed/24884392
http://dx.doi.org/10.1186/1471-2318-14-65
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