The effects of an intervention on exercise adherence in older adults discharged from geriatric day hospital : a pilot study
Bibliographic record
Abstract
Although physiotherapists prescribe exercise programs for older adults in order to improve or maintain their mobility, ít is unknown if these exercise programs are adhered to, especially after discontinuing physiotherapy treatment.The objectives of this mixed-method study were: to determine adherence to exercise of older adults who were given home-based exercise programs to continue after being discharged from a Geriatric Day Hospital (GDH); to test the effectiveness of telephone and home visit interventions centered on improving self-efficacy for exercise; to determine if there is a relationship between self- efficacy for exercise, adherence to exercise and mobility; and to explore older adults' perceptions of the barriers to and outcome expectations of home exercise programs.The mixed method study involved 18 participants randomly assigned to one of three groups: home visit, telephone or control.one week after GDH discharge, all participants were assessed for mobility and cognition and self- efficacy for exercise.At 4 and 7 weeks after discharge, participants in the intervention groups received telephone calls or home visits.These interuentions included strategies to improve self-efficacy of exercise.At 1o weeks, all participants were reassessed and adherence to exercise rates were determined.ln addition, all participants were interviewed about perceived barriers to exercise and outcome expectations for exercise.XV.Results indicated no significant differences among groups in self-efficacy for exercise, adherence to exercise rates, and mobirity.Forty-one percent of participants under-exercised and the primary reasons for non-adherence were illness and perceived lack of time to exercise.Ninety percent of the participants in the intervention groups experienced technique problems with their exercise program.Recommendations for clinical practice include formal evaluation of adherence to exercise and intention/self-efficacy for exercise.Recommendations for research include a larger follow-up study and a refined research protocol.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".