Umeå University's logo

umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
'Maintaining balance in life'—exploring older adults' long-term engagement in self-managed digital fall prevention exercise
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.ORCID iD: 0000-0002-5147-9715
Umeå University, Faculty of Social Sciences, Department of Sociology.ORCID iD: 0000-0001-9688-8101
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.ORCID iD: 0000-0002-8310-3923
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.ORCID iD: 0000-0003-4781-862X
2023 (English)In: European Review of Aging and Physical Activity, ISSN 1813-7253, E-ISSN 1861-6909, Vol. 20, no 1, article id 12Article in journal (Refereed) Published
Abstract [en]

Background: Accidental falls are one of the greatest threats to older adults’ health and well-being. The risk of falling can be significantly reduced with strength and balance interventions. However, there needs to be further knowledge into how older adults can be supported to achieve a maintained exercise behaviour. Therefore, the aim of this study was to explore factors that enabled older adults to maintain their exercise during a 1-year self-managed digital fall prevention exercise intervention.

Methods: This study used a grounded theory methodology. Semi-structured individual interviews were conducted by phone or conference call. Eighteen community-dwelling older adults aged 70 years or more participated. The participants had a self-reported exercise dose of 60 min or more per week during the last three months of participation in a 12-months intervention of self-managed digital fall prevention exercise, the Safe Step randomized controlled trial. Open, axial, and selective coding, along with constant comparative analysis, was used to analyze the data.

Results: The analysis resulted in a theoretical model. We found that the fall prevention exercise habits of adults were developed through three stages: Acting against threats to one’s own identity, Coordinating strategies to establish a routine, and Forming habits through cues and evaluation. The main category of Maintaining balance in life encases the participants transition through the three stages and reflects balance in both physical aspects and in between activities in daily life. The process of maintaining balance in life and desire to do so were mediated both by intrinsic person-dependent factors and the Safe Step application acting as an external mediator.

Conclusion: This study identified three stages of how older adults developed self-managed fall prevention exercise habits, supported by a digital application. The generated theoretical model can inform future interventions aiming to support long-term engagement in digitally supported and self-managed fall prevention interventions.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023. Vol. 20, no 1, article id 12
Keywords [en]
Aged, Behaviour change, eHealth, Exercise, Fall prevention, Grounded Theory, Habit formation, mHealth, Older adults, Self-management
National Category
Physiotherapy Geriatrics
Identifiers
URN: urn:nbn:se:umu:diva-212503DOI: 10.1186/s11556-023-00322-7PubMedID: 37464299Scopus ID: 2-s2.0-85165253094OAI: oai:DiVA.org:umu-212503DiVA, id: diva2:1785113
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2020–00589Available from: 2023-08-01 Created: 2023-08-01 Last updated: 2023-08-01Bibliographically approved

Open Access in DiVA

fulltext(1175 kB)70 downloads
File information
File name FULLTEXT01.pdfFile size 1175 kBChecksum SHA-512
558695275353e94ee25db2999e00ac54165b43bae997b20baacf3e0c89a18f9489a0c098dd47b8c532cf25d05c401c3214d5e97227b653b1cabad4cc7e4d8dad
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Pettersson, BeatriceLundell, SaraLundin-Olsson, LillemorSandlund, Marlene

Search in DiVA

By author/editor
Pettersson, BeatriceLundell, SaraLundin-Olsson, LillemorSandlund, Marlene
By organisation
Section of PhysiotherapyDepartment of Sociology
In the same journal
European Review of Aging and Physical Activity
PhysiotherapyGeriatrics

Search outside of DiVA

GoogleGoogle Scholar
Total: 74 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 255 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf