Understanding the Experiences of Rural Community-Dwelling Older Adults in Using a New DVD-Delivered Otago Exercise Program: A Qualitative Study.

摘要: Background: The home-based Otago Exercise Program (OEP) has been shown to reduce the occurrence of falls in community-dwelling seniors. A new OEP DVD was recently developed for people living rural communities be used with minimal coaching by a physical therapist. Objective: This study aimed understand older adults’ experiences using DVD-delivered and explore barriers facilitators implementing from participants’ perspectives. Methods: Rural adults (75 years older) who participated six-month were invited participate this qualitative study. Two small group interviews initially conducted breadth program. These followed semi-structured individual gain an in-depth understanding these experiences. An inductive constant comparison analysis transcripts performed. To ensure methodological rigor, field notes, journaling, audit trail maintained, supplemented peer-review. Results: Of 32 eligible participants, five 16 interviews. Three themes emerged. Theme 1, DVD—useful training tool but need more pep, represented that provided important guidance at program onset, too slow low-energy longer-term use. 2, Gaining control over one’s exercise regimen, sometimes life gets way staying active, described appreciation program’s flexibility, personal health concerns everyday lives posed challenges adhering 3, Social creatures—wanting greater human connection during exercise, how some participants desired further social interactions enhancing motivation receiving guidance. Conclusions: Individuals should encouraged refer user manual or as needed engage friends family exercises. importance even when problems raised supported working through challenging issues. Health professionals work individuals integrate their activities. [Interact J Med Res 2015;4(3):e17]