Physical inactivity contributes to disability and falls in older adults. Falls prevention exercise (FaME) programmes improve physical activity and physical function and reduce falling rates. Improvements in physical function are reduced, and falls rates increase, if physical activity is not maintained. This research investigated the feasibility and acceptability of an intervention that aimed to maintain physical activity in older adults exiting FaME. The Keeping Adults Physically Active (KAPA) intervention comprised of six group sessions of motivational interviewing, delivered monthly by trained and mentor-supported postural stability instructor’s after the FaME programme ceased. The KAPA intervention included participant manuals, illustrated exercise books, physical activity diaries and pedometers. A feasibility study was conducted in 8 FaME classes. The study design was a two-arm, cluster randomised, multi-site feasibility study comparing the KAPA intervention with usual care. A sample of 50 community-dwelling adults aged 65 years old or older were recruited. Recruitment, retention and attendance rates, self-reported physical activity and participant interviews were used to examine the feasibility and acceptability of the KAPA intervention. Fifty of the sixty-seven (74.6%) participants invited into the study agreed to take part, 94.2% of the available KAPA sessions were attended and 92.3% of the recruited participants provided outcome data. The KAPA participants expressed positive views about the venues and postural stability instructors and reported enjoying the group interactions. Intervention participants discussed increasing their physical activity in response to the peer-support, illustrated home exercise booklet, physical activity diaries and pedometers. Most discussed the written tasks to be the least enjoyable element of the KAPA intervention. The proportion of participants reporting at least 150 minutes of moderate to vigorous physical activity per week rose from 56.3 to 62.5% in the intervention arm and from 41.4 to 52.0% in the usual care arm. The participants found the KAPA intervention acceptable. Participants reported the exercise booklet, peer support and the physical activity monitoring tools encouraged them to keep active. A full-scale trial is needed to assess whether physical activity can be significantly maintained in response to the KAPA intervention. Retrospectively registered on ClinicalTrials.gov (NCT03824015).

中文翻译：

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一项随机可行性研究，评估跌倒管理锻炼计划结束后保持成年人身体活动的干预措施


缺乏身体活动会导致老年人残疾和跌倒。预防跌倒运动 (FaME) 计划可改善身体活动和身体机能，并降低跌倒率。如果不保持身体活动，身体机能的改善就会降低，跌倒率就会增加。这项研究调查了旨在维持退出 FaME 的老年人身体活动的干预措施的可行性和可接受性。保持成人身体活跃 (KAPA) 干预措施包括六组动机性访谈，在 FaME 计划停止后，由经过培训和导师支持的姿势稳定性教练每月进行一次。 KAPA 干预措施包括参与者手册、图解练习册、体育活动日记和计步器。在 8 个 FaME 班级中进行了可行性研究。该研究设计是一项双组、整群随机、多地点可行性研究，将 KAPA 干预与常规护理进行比较。招募了 50 名 65 岁或以上的社区居住成年人作为样本。使用招募率、保留率和出勤率、自我报告的身体活动和参与者访谈来检查 KAPA 干预措施的可行性和可接受性。受邀参加该研究的 67 名参与者中有 50 名 (74.6%) 同意参加，94.2% 的可用 KAPA 会议参加了，92.3% 的招募参与者提供了结果数据。 KAPA 参与者对场地和姿势稳定教练表达了积极的看法，并表示很享受小组互动。干预参与者讨论了增加身体活动以响应同伴支持、插图家庭练习册、身体活动日记和计步器。 大多数人认为书面任务是 KAPA 干预中最不愉快的部分。干预组中每周至少进行 150 分钟中度至剧烈体力活动的参与者比例从 56.3% 上升至 62.5%，而常规护理组则从 41.4% 上升至 52.0%。参与者认为 KAPA 干预可以接受。参与者报告了练习册、同伴支持和身体活动监测工具鼓励他们保持活跃。需要进行全面的试验来评估 KAPA 干预是否可以显着维持身体活动。在 ClinicalTrials.gov 上回顾性注册 (NCT03824015)。