The current study is focused on gaining insights from caregivers about the challenges and drivers influencing exercise adherence among older adults.
Using a descriptive qualitative approach, we conducted one-on-one semi-structured interviews with 15 caregivers of older adults identified from eight Day Rehab Centers across Singapore.The COM-B model and Theoretical Domains Framework (TDF) guided the thematic analysis, providing a structured approach to understanding the complexities of exercise adherence. TThe study involved four independent researchers who utilized Quirkos software to organize, manage, and analyze qualitative data through coding and theming. Additionally, regular meetings were held to maintain trustworthiness and consensus in the analysis.
Capability was the most frequently mentioned component in both facilitators (43%) and barriers (46%). Content analysis showed that the primary obstacles to exercise adherence included lack of social support, insufficient strength, and stress. Exercise knowledge, equipment, space, and social support were found to be the primary facilitators for exercise adherence in care recipients.
These findings shed light on the barriers and facilitators that older adults in Singapore face when it comes to exercise, from personal, social, and environmental factors, as perceived by caregivers. The utilization of the TDF and COM-B model has granted us valuable insights and heightened awareness of the current scenario. This has allowed us to pinpoint the specific barriers and facilitators that can be targeted to enhance adherence to fall prevention exercises. All components of the COM-B model can be targeted to enhance exercise adherence in older adults, according to the findings. Moreover, grasping the barriers and facilitators for exercise adherence may aid healthcare professionals Understanding the barriers and facilitators to exercise adherence is crucial for healthcare professionals working with caregivers or older adults to reduce fall risks.
To improve clinical practice, we should consider caregivers' input when creating exercise plans. This can help older adults adhere to their exercise routines and reduce the risk of falls. It informs the creation of supportive management structures, enriches physiotherapy education by highlighting the caregiver's role, and shapes policies to provide resources for optimizing fall prevention strategies. Strategic collaboration and precise application of insights are essential for effective implementation in these areas.
Caregiver engagement
Exercise adherence
