Functional and Psychological Changes During a Community Based 32 Week Postural Stability Training Programme: Recommendations for Future Practice

Joanne Hudson, Emily Jane Oliver, Laura Bethan Thomas, Fiona Higgs

    Allbwn ymchwil: Llyfr/AdroddiadAdroddiad wedi'i gomisiynu

    42 Wedi eu Llwytho i Lawr (Pure)


    The aim of this research was to explore elderly participants' experiences of Postural Stability Instruction (PSI) training delivered within a community leisure centre in Tywyn, Gwynedd. The research sought to obtain qualitative data via interviews with participants to understand how participation impacted on them and their lifestyles. The research also examined the participants' motivation to be physically active, their exercise/physical activity identity (the degree to which they view themselves as an exerciser/someone who is physically active), and their
    thoughts during exercise sessions.
    Physical activity contributes to enhanced quality of life and well being, hence, increasing physical activity levels in the elderly is important to optimise later life experience. Key contributors to maintaining physical activity are the development of a personal identity as someone who is physically active and motivation to be physically active that is self-determined, that is, derives from the individual themselves (and not external sources). Although research has examined how motivation is related to exercise in clinical and non-clinical populations the majority has focused on younger populations. Given the increased ageing population research is needed that focuses on this population.
    An unexplored question in elderly people, and in falls patients, is how their physical activity motivation and physical activity levels change throughout exercise programmes such as PSI and how and if these individuals develop an exercise identity throughout an exercise programme.
    A second unexplored question (with this and other populations) is how any changes in motivation, physical activity, and identity occur. One explanation is the individual's physical activity related self-talk (the internal dialogue we have with ourselves). Positive or supportive (informational) self-talk (e.g., encouraging statements) may be related to positive changes in motivation, physical activity and exercise identity. Negative or controlling/amotivational self-talk (e.g., pressurising statements) may be related to no positive, or negative, change in these variables.
    Qualitative research into older people's exercise behaviours and related self-perceptions and thoughts is particularly lacking. Hence, this research employed qualitative (interviews) and quantitative (questionnaires) methods to explore changes in exercise and physical activity, motivation, identity and self-talk in falls patients throughout a 32 week physical activity rehabilitation programme.
    The research aimed to oer practical suggestions to enhance the psychological changes that underpin exercise behaviour and optimise exercise levels in this population.
    Iaith wreiddiolSaesneg
    CyhoeddwrPrifysgol Aberystwyth | Aberystwyth University
    Corff comisiynuBetsi Cadwaladr University Health Board
    Nifer y tudalennau23
    StatwsCyhoeddwyd - 2011

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