TY - JOUR
T1 - Barriers and facilitators for physical fitness training in orthopedic geriatric rehabilitation. A qualitative study
AU - Wattel, Elizabeth M.
AU - Meiland, Franka J. M.
AU - van der Wouden, Johannes C.
AU - de Groot, Aafke J.
AU - Hertogh, Cees M. P. M.
AU - Gerrits, Karin H. L.
N1 - Publisher Copyright: © 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2024
Y1 - 2024
N2 - Purpose: The aim of this explorative, qualitative study is to identify factors that potentially influence the execution of physical fitness training in inpatient orthopedic geriatric rehabilitation (GR), from the perspectives of patients, their relatives and professionals. Materials and methods: In GR wards of skilled nursing facilities in the Netherlands, semi-structured interviews were held with triads of patients, their relatives and responsible nurses, and focus groups with members of the multidisciplinary teams. Verbatim reports were analyzed according to the framework method. Results: We found twelve categories of barriers and facilitators related to characteristics of the patients, their family, staff, training program and organization. Conclusions: The barriers and facilitators found largely correspond with those found for participation in exercise in related settings, but also show important differences. This overview of barriers and facilitators enables multidisciplinary teams to design improvements at the level of the organization and interventions, as well as at the level of the individual training program, tailoring it to the patient’s circumstances and needs. Further research should focus on weighing these barriers and facilitators to develop a feasible guidance for daily practice, as well as testing their effect on the adherence to existing physical fitness training guidelines.
AB - Purpose: The aim of this explorative, qualitative study is to identify factors that potentially influence the execution of physical fitness training in inpatient orthopedic geriatric rehabilitation (GR), from the perspectives of patients, their relatives and professionals. Materials and methods: In GR wards of skilled nursing facilities in the Netherlands, semi-structured interviews were held with triads of patients, their relatives and responsible nurses, and focus groups with members of the multidisciplinary teams. Verbatim reports were analyzed according to the framework method. Results: We found twelve categories of barriers and facilitators related to characteristics of the patients, their family, staff, training program and organization. Conclusions: The barriers and facilitators found largely correspond with those found for participation in exercise in related settings, but also show important differences. This overview of barriers and facilitators enables multidisciplinary teams to design improvements at the level of the organization and interventions, as well as at the level of the individual training program, tailoring it to the patient’s circumstances and needs. Further research should focus on weighing these barriers and facilitators to develop a feasible guidance for daily practice, as well as testing their effect on the adherence to existing physical fitness training guidelines.
KW - Geriatric rehabilitation
KW - barriers
KW - facilitators
KW - orthopedic
KW - physical fitness training
UR - http://www.scopus.com/inward/record.url?scp=85185673296&partnerID=8YFLogxK
U2 - 10.1080/09638288.2024.2314161
DO - 10.1080/09638288.2024.2314161
M3 - Article
C2 - 38357823
SN - 0963-8288
JO - Disability and rehabilitation
JF - Disability and rehabilitation
ER -