東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

Developing the Thai Lifestyle-Integr...

Ounjaichon, Sasiporn.

FindBook

Google Book

Amazon

博客來

Developing the Thai Lifestyle-Integrated Functional Exercise (TLiFE) Programme: An Intervention to Prevent Falls among Older Adults in Thailand.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Developing the Thai Lifestyle-Integrated Functional Exercise (TLiFE) Programme: An Intervention to Prevent Falls among Older Adults in Thailand./
作者:	Ounjaichon, Sasiporn.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
附註:	Source: Dissertations Abstracts International, Volume: 82-08, Section: B.
Contained By:	Dissertations Abstracts International82-08B.
標題:	Public health. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28301555
ISBN:	9798698551973

Developing the Thai Lifestyle-Integrated Functional Exercise (TLiFE) Programme: An Intervention to Prevent Falls among Older Adults in Thailand.
Ounjaichon, Sasiporn.

Developing the Thai Lifestyle-Integrated Functional Exercise (TLiFE) Programme: An Intervention to Prevent Falls among Older Adults in Thailand. - Ann Arbor : ProQuest Dissertations & Theses, 2020

Source: Dissertations Abstracts International, Volume: 82-08, Section: B.

Thesis (Ph.D.)--The University of Manchester (United Kingdom), 2020.

This item must not be sold to any third party vendors.

INTRODUCTION: Falls are the leading cause of injuries in older adults in Thailand. Strong evidence shows that strength and balance exercise reduces risk and rate of falls among older adults. There is a need to develop a fall prevention exercise programme in the home setting, to encourage participation and adherence. The adapted Lifestyle-integrated Functional Exercise (aLiFE) programme may be suitable by integrating exercise into daily routines, as opposed to attending an exercise class. This study aimed to explore the acceptability and feasibility of the aLiFE programme in Thai context (TLiFE) among older Thai adults. METHODS: This feasibility study comprised two phases. Phase one: A qualitative study was undertaken to obtain perspectives on aLiFE by conducting focus groups and in-depth interviews with community-dwelling older Thai adults aged ≥ 60 years and above, and semi-structured interviews with stakeholders in Thailand. Framework analysis was used to inform the modifications of aLiFE to TLiFE. Phase two: A feasibility randomised controlled trial (fRCT) of TLiFE was conducted among community-dwelling older adults aged 60-75, comparing the TLiFE intervention group with a usual care control group. Outcome assessments were completed at baseline, three, and six months. Participants undertook physical performance tests and completed questionnaires to identify demographic characteristics, medical conditions, history of falls, fear of falling, health status, attitudes to falls-related interventions, and exercise adherence. RESULTS: Findings from the qualitative study of 40 older adults and 14 stakeholders revealed positive views and allowed the modification of aLiFE to TLiFE, including the implementation of TLiFE activities suitable to the Thai cultural context. Based on the findings of the qualitative study, seven balance and eight strength TLiFE activities were taken forward, with some adaptations. We recruited a total of 72 older adults aged 60-75 (mean age 66 years; SD 4.48) into the fRCT, randomised to TLiFE (n = 36) and Control (n = 36). Recruitment lasted two months. Retention rate at the 6-month follow-up was high (91.7%). Participation in the TLiFE intervention group was good (82.9%). The majority of TLiFE participants were fully adherent to TLiFE at six-month follow-up (57.1%) or partially adherent (40.0%). There were no differences in fall incidence between the groups. Participant satisfaction with TLiFE was high. Acceptability questionnaires revealed that TLiFE was easy to perform in daily life, safe, and useful. No adverse events were reported. CONCLUSIONS: Results suggest that the TLiFE programme appears to be acceptable and safe to deliver to community-dwelling older Thai adults and it is feasible to conduct a larger RCT of TLiFE. This feasibility study provides important information for the planning of a future study, but it was not powered to detect a difference between groups. A further fully powered definitive RCT of TLiFE is needed, to evaluate long-term outcomes and cost-effectiveness, before it is integrated within the healthcare system in Thailand.

ISBN: 9798698551973Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

Thailand

Developing the Thai Lifestyle-Integrated Functional Exercise (TLiFE) Programme: An Intervention to Prevent Falls among Older Adults in Thailand.
LDR:04438nmm a2200373 4500 001 2280834
005 20210913092012.5
008 220723s2020 ||||||||||||||||| ||eng d
020 $a 9798698551973
035 $a (MiAaPQ)AAI28301555
035 $a (MiAaPQ)Manchester_UK76a46576-dd56-4578-81b9-c162611e9755
035 $a AAI28301555
040 $a MiAaPQ $c MiAaPQ
100 1 $a Ounjaichon, Sasiporn. $3 3559393
245 1 0 $a Developing the Thai Lifestyle-Integrated Functional Exercise (TLiFE) Programme: An Intervention to Prevent Falls among Older Adults in Thailand.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2020
500 $a Source: Dissertations Abstracts International, Volume: 82-08, Section: B.
500 $a Advisor: Todd, Christopher.
502 $a Thesis (Ph.D.)--The University of Manchester (United Kingdom), 2020.
506 $a This item must not be sold to any third party vendors.
520 $a INTRODUCTION: Falls are the leading cause of injuries in older adults in Thailand. Strong evidence shows that strength and balance exercise reduces risk and rate of falls among older adults. There is a need to develop a fall prevention exercise programme in the home setting, to encourage participation and adherence. The adapted Lifestyle-integrated Functional Exercise (aLiFE) programme may be suitable by integrating exercise into daily routines, as opposed to attending an exercise class. This study aimed to explore the acceptability and feasibility of the aLiFE programme in Thai context (TLiFE) among older Thai adults. METHODS: This feasibility study comprised two phases. Phase one: A qualitative study was undertaken to obtain perspectives on aLiFE by conducting focus groups and in-depth interviews with community-dwelling older Thai adults aged ≥ 60 years and above, and semi-structured interviews with stakeholders in Thailand. Framework analysis was used to inform the modifications of aLiFE to TLiFE. Phase two: A feasibility randomised controlled trial (fRCT) of TLiFE was conducted among community-dwelling older adults aged 60-75, comparing the TLiFE intervention group with a usual care control group. Outcome assessments were completed at baseline, three, and six months. Participants undertook physical performance tests and completed questionnaires to identify demographic characteristics, medical conditions, history of falls, fear of falling, health status, attitudes to falls-related interventions, and exercise adherence. RESULTS: Findings from the qualitative study of 40 older adults and 14 stakeholders revealed positive views and allowed the modification of aLiFE to TLiFE, including the implementation of TLiFE activities suitable to the Thai cultural context. Based on the findings of the qualitative study, seven balance and eight strength TLiFE activities were taken forward, with some adaptations. We recruited a total of 72 older adults aged 60-75 (mean age 66 years; SD 4.48) into the fRCT, randomised to TLiFE (n = 36) and Control (n = 36). Recruitment lasted two months. Retention rate at the 6-month follow-up was high (91.7%). Participation in the TLiFE intervention group was good (82.9%). The majority of TLiFE participants were fully adherent to TLiFE at six-month follow-up (57.1%) or partially adherent (40.0%). There were no differences in fall incidence between the groups. Participant satisfaction with TLiFE was high. Acceptability questionnaires revealed that TLiFE was easy to perform in daily life, safe, and useful. No adverse events were reported. CONCLUSIONS: Results suggest that the TLiFE programme appears to be acceptable and safe to deliver to community-dwelling older Thai adults and it is feasible to conduct a larger RCT of TLiFE. This feasibility study provides important information for the planning of a future study, but it was not powered to detect a difference between groups. A further fully powered definitive RCT of TLiFE is needed, to evaluate long-term outcomes and cost-effectiveness, before it is integrated within the healthcare system in Thailand.
590 $a School code: 1543.
650 4 $a Public health. $3 534748
650 4 $a Gerontology. $3 533633
650 4 $a Kinesiology. $3 517627
650 4 $a Southeast Asian studies. $3 3344898
653 $a Thailand
653 $a Thai lifestyle-integrated functional exercise
653 $a Prevent falls
653 $a Older adults
690 $a 0222
690 $a 0575
690 $a 0573
690 $a 0351
710 2 $a The University of Manchester (United Kingdom). $3 3422292
773 0 $t Dissertations Abstracts International $g 82-08B.
790 $a 1543
791 $a Ph.D.
792 $a 2020
793 $a English
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28301555