Acceptability of physical activity signposting for pre-frail older adults: a qualitative study to inform intervention development

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Abstract

Frailty is a medical condition common in older adults characterised by diminished strength and reduced physiologic function in which individuals are more vulnerable to multiple adverse health outcomes. Pre-frailty is an intermediate stage associated with some minor health outcomes. However, the main risk is progression toward moderate/severe frailty. Evidence shows physical activity interventions to be effective in slowing or modifying the progression of frailty. Researchers at the University of Manchester are developing a behaviour change
intervention targeting pre-frail older adults, signposting them to group-based physical activity classes known to be effective for delaying/slowing frailty. This paper reports on the initial intervention development work with key stakeholders exploring the practicality of taking forward this intervention and identifying uncertainties to be explored in the feasibility stage. These included issues around physical activity messaging, the use of the term ‘frail’, identification/recruitment of pre-frail older adults, and the acceptability of behaviour change techniques. There was overwhelming support for a proactive approach to addressing pre-frailty issues. Given that a large proportion of older adults are estimated to be pre-frail, interventions aimed at this group have the potential to support healthy
ageing, positively impacting on frailty outcomes and providing wider population health benefits
Original languageEnglish
Number of pages11
JournalBMC Geriatrics
Volume23
Issue number621
Early online date3 Oct 2023
DOIs
Publication statusPublished - 3 Oct 2023

Keywords

  • Frailty
  • Healthy ageing
  • Older adults
  • Physical activity
  • Pre-frailty

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