"We are all there for the same purpose”:

Support for an integrated community exercise program for older adults with HF and COPD.

Laura Desveaux, Samantha Harrison

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Abstract

Background

Despite well-established improvements following rehabilitation, functional gains often diminish following discharge.
Objective

To explore the attitudes of older adults with HF and COPD, who have completed rehabilitation, toward community-based exercise maintenance.
Methods

Semi-structured interviews were conducted with 11 individuals with HF or COPD.
Results

Deductive thematic analysis uncovered three themes: 1) transitioning to community exercise is challenging, highlighting participants' struggle with unstructured maintenance and a lack of appropriate programs; 2) a structured, group-based program tailored to functional ability facilitates adherence, describing participants views on the importance of routine, and accountability; and 3) “We are all there for the same purpose” – participant support for integrated exercise, including the benefit of multiple perspectives and sustainability.
Conclusions

A motivating program leader and access to appropriate facilities are key features to support adherence to prescribed activity. Tailored programs can be delivered consecutively to older adults with HF and COPD.
Original languageEnglish
Pages (from-to)308-312
JournalHeart and Lung: The Journal of Acute and Critical Care
Early online date17 May 2017
Publication statusPublished - 31 Jul 2017

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Chronic Obstructive Pulmonary Disease
Rehabilitation
Maintenance
Aptitude
Social Responsibility
Interviews

Cite this

@article{624f10b41fe44304af199d104614e999,
title = "{"}We are all there for the same purpose”:: Support for an integrated community exercise program for older adults with HF and COPD.",
abstract = "BackgroundDespite well-established improvements following rehabilitation, functional gains often diminish following discharge.ObjectiveTo explore the attitudes of older adults with HF and COPD, who have completed rehabilitation, toward community-based exercise maintenance.MethodsSemi-structured interviews were conducted with 11 individuals with HF or COPD.ResultsDeductive thematic analysis uncovered three themes: 1) transitioning to community exercise is challenging, highlighting participants' struggle with unstructured maintenance and a lack of appropriate programs; 2) a structured, group-based program tailored to functional ability facilitates adherence, describing participants views on the importance of routine, and accountability; and 3) “We are all there for the same purpose” – participant support for integrated exercise, including the benefit of multiple perspectives and sustainability.ConclusionsA motivating program leader and access to appropriate facilities are key features to support adherence to prescribed activity. Tailored programs can be delivered consecutively to older adults with HF and COPD.",
author = "Laura Desveaux and Samantha Harrison",
year = "2017",
month = "7",
day = "31",
language = "English",
pages = "308--312",
journal = "Heart and Lung: Journal of Acute and Critical Care",
issn = "0147-9563",
publisher = "Elsevier",

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AU - Desveaux, Laura

AU - Harrison, Samantha

PY - 2017/7/31

Y1 - 2017/7/31

N2 - BackgroundDespite well-established improvements following rehabilitation, functional gains often diminish following discharge.ObjectiveTo explore the attitudes of older adults with HF and COPD, who have completed rehabilitation, toward community-based exercise maintenance.MethodsSemi-structured interviews were conducted with 11 individuals with HF or COPD.ResultsDeductive thematic analysis uncovered three themes: 1) transitioning to community exercise is challenging, highlighting participants' struggle with unstructured maintenance and a lack of appropriate programs; 2) a structured, group-based program tailored to functional ability facilitates adherence, describing participants views on the importance of routine, and accountability; and 3) “We are all there for the same purpose” – participant support for integrated exercise, including the benefit of multiple perspectives and sustainability.ConclusionsA motivating program leader and access to appropriate facilities are key features to support adherence to prescribed activity. Tailored programs can be delivered consecutively to older adults with HF and COPD.

AB - BackgroundDespite well-established improvements following rehabilitation, functional gains often diminish following discharge.ObjectiveTo explore the attitudes of older adults with HF and COPD, who have completed rehabilitation, toward community-based exercise maintenance.MethodsSemi-structured interviews were conducted with 11 individuals with HF or COPD.ResultsDeductive thematic analysis uncovered three themes: 1) transitioning to community exercise is challenging, highlighting participants' struggle with unstructured maintenance and a lack of appropriate programs; 2) a structured, group-based program tailored to functional ability facilitates adherence, describing participants views on the importance of routine, and accountability; and 3) “We are all there for the same purpose” – participant support for integrated exercise, including the benefit of multiple perspectives and sustainability.ConclusionsA motivating program leader and access to appropriate facilities are key features to support adherence to prescribed activity. Tailored programs can be delivered consecutively to older adults with HF and COPD.

M3 - Article

SP - 308

EP - 312

JO - Heart and Lung: Journal of Acute and Critical Care

JF - Heart and Lung: Journal of Acute and Critical Care

SN - 0147-9563

ER -