The Footfall Programme: participant experiences of a lower limb, foot and ankle exercise intervention for falls prevention - an exploratory study

Monserrat Conde, Gordon Hendry, Dawn Skelton

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Abstract

Objectives: Despite growing evidence that foot and ankle exercise programmes are effective for falls prevention, little
is known about older adults’ views and preferences of programme components for long-term maintenance. The aims
of this study were to explore the experiences and acceptability of Scottish and Portuguese older adults of undertaking
a home-based foot, ankle and lower limb exercise intervention. Methods: Ten Scottish (mean age 76 years, 7 female)
and fourteen Portuguese (mean age 66 years, 12 female) community-dwelling older adults undertook the programme
for one week, followed by focus group discussions (2-6 people per group), guided by a semi-structured interview
guide. Data was analysed using thematic analysis. Results: Seven themes were identified: Assessment, Group exercise
taster, Home based exercise; Footfall programme kit, Midweek phone call, Reasons for participation and the Research
Process. Programme components, support telephone calls and research procedures were generally well accepted by
participants and they valued having a contribution to the design. They preferred a blended home and intermittent groupbased
programme format for motivation and progression and recommended changes to some of the exercises and
equipment to reduce barriers to participation. Some cultural differences emerged, including importance of the functional
assessments for Portuguese participants, time issues and difficulty in completion of the exercise diary, reflecting lower
literacy levels. Conclusions: Participants found the programme acceptable but preferred a blended home and occasional
group-based programme for adherence and motivation. A strong educational component to improve health literacy and
simple paperwork completion to avoid data loss in future studies with Portuguese older adults is important.
Original languageEnglish
Pages (from-to)78-90
Number of pages13
JournalJournal of Frailty, Sarcopenia and Falls
Volume4
Issue number3
DOIs
Publication statusPublished - 1 Sep 2019

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Ankle
Foot
Lower Extremity
Group Homes
Independent Living
Health Literacy
Focus Groups
Telephone
Research

Keywords

  • podiatry
  • foot and ankle exercise
  • falls prevention

Cite this

@article{af177a84a0494ee192aa5c1f40fbae7e,
title = "The Footfall Programme: participant experiences of a lower limb, foot and ankle exercise intervention for falls prevention - an exploratory study",
abstract = "Objectives: Despite growing evidence that foot and ankle exercise programmes are effective for falls prevention, littleis known about older adults’ views and preferences of programme components for long-term maintenance. The aimsof this study were to explore the experiences and acceptability of Scottish and Portuguese older adults of undertakinga home-based foot, ankle and lower limb exercise intervention. Methods: Ten Scottish (mean age 76 years, 7 female)and fourteen Portuguese (mean age 66 years, 12 female) community-dwelling older adults undertook the programmefor one week, followed by focus group discussions (2-6 people per group), guided by a semi-structured interviewguide. Data was analysed using thematic analysis. Results: Seven themes were identified: Assessment, Group exercisetaster, Home based exercise; Footfall programme kit, Midweek phone call, Reasons for participation and the ResearchProcess. Programme components, support telephone calls and research procedures were generally well accepted byparticipants and they valued having a contribution to the design. They preferred a blended home and intermittent groupbasedprogramme format for motivation and progression and recommended changes to some of the exercises andequipment to reduce barriers to participation. Some cultural differences emerged, including importance of the functionalassessments for Portuguese participants, time issues and difficulty in completion of the exercise diary, reflecting lowerliteracy levels. Conclusions: Participants found the programme acceptable but preferred a blended home and occasionalgroup-based programme for adherence and motivation. A strong educational component to improve health literacy andsimple paperwork completion to avoid data loss in future studies with Portuguese older adults is important.",
keywords = "podiatry, foot and ankle exercise, falls prevention",
author = "Monserrat Conde and Gordon Hendry and Dawn Skelton",
note = "Acceptance from VoR (free to download) Pub date is Sept 2019; used 01 Sept. as available online at 9-9-19 ET",
year = "2019",
month = "9",
day = "1",
doi = "10.22540/JFSF-04-078",
language = "English",
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journal = "Journal of Frailty, Sarcopenia and Falls",
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}

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T1 - The Footfall Programme: participant experiences of a lower limb, foot and ankle exercise intervention for falls prevention - an exploratory study

AU - Conde, Monserrat

AU - Hendry, Gordon

AU - Skelton, Dawn

N1 - Acceptance from VoR (free to download) Pub date is Sept 2019; used 01 Sept. as available online at 9-9-19 ET

PY - 2019/9/1

Y1 - 2019/9/1

N2 - Objectives: Despite growing evidence that foot and ankle exercise programmes are effective for falls prevention, littleis known about older adults’ views and preferences of programme components for long-term maintenance. The aimsof this study were to explore the experiences and acceptability of Scottish and Portuguese older adults of undertakinga home-based foot, ankle and lower limb exercise intervention. Methods: Ten Scottish (mean age 76 years, 7 female)and fourteen Portuguese (mean age 66 years, 12 female) community-dwelling older adults undertook the programmefor one week, followed by focus group discussions (2-6 people per group), guided by a semi-structured interviewguide. Data was analysed using thematic analysis. Results: Seven themes were identified: Assessment, Group exercisetaster, Home based exercise; Footfall programme kit, Midweek phone call, Reasons for participation and the ResearchProcess. Programme components, support telephone calls and research procedures were generally well accepted byparticipants and they valued having a contribution to the design. They preferred a blended home and intermittent groupbasedprogramme format for motivation and progression and recommended changes to some of the exercises andequipment to reduce barriers to participation. Some cultural differences emerged, including importance of the functionalassessments for Portuguese participants, time issues and difficulty in completion of the exercise diary, reflecting lowerliteracy levels. Conclusions: Participants found the programme acceptable but preferred a blended home and occasionalgroup-based programme for adherence and motivation. A strong educational component to improve health literacy andsimple paperwork completion to avoid data loss in future studies with Portuguese older adults is important.

AB - Objectives: Despite growing evidence that foot and ankle exercise programmes are effective for falls prevention, littleis known about older adults’ views and preferences of programme components for long-term maintenance. The aimsof this study were to explore the experiences and acceptability of Scottish and Portuguese older adults of undertakinga home-based foot, ankle and lower limb exercise intervention. Methods: Ten Scottish (mean age 76 years, 7 female)and fourteen Portuguese (mean age 66 years, 12 female) community-dwelling older adults undertook the programmefor one week, followed by focus group discussions (2-6 people per group), guided by a semi-structured interviewguide. Data was analysed using thematic analysis. Results: Seven themes were identified: Assessment, Group exercisetaster, Home based exercise; Footfall programme kit, Midweek phone call, Reasons for participation and the ResearchProcess. Programme components, support telephone calls and research procedures were generally well accepted byparticipants and they valued having a contribution to the design. They preferred a blended home and intermittent groupbasedprogramme format for motivation and progression and recommended changes to some of the exercises andequipment to reduce barriers to participation. Some cultural differences emerged, including importance of the functionalassessments for Portuguese participants, time issues and difficulty in completion of the exercise diary, reflecting lowerliteracy levels. Conclusions: Participants found the programme acceptable but preferred a blended home and occasionalgroup-based programme for adherence and motivation. A strong educational component to improve health literacy andsimple paperwork completion to avoid data loss in future studies with Portuguese older adults is important.

KW - podiatry

KW - foot and ankle exercise

KW - falls prevention

U2 - 10.22540/JFSF-04-078

DO - 10.22540/JFSF-04-078

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JO - Journal of Frailty, Sarcopenia and Falls

JF - Journal of Frailty, Sarcopenia and Falls

SN - 2459-4148

IS - 3

ER -