Encouraging older people to engage in resistance training: a multi-stakeholder perspective

AbstractResistance training is an important aspect of healthy ageing, yet participation rates are especially low among older people. Strategies are needed to ensure resistance training programmes are attractive to and appropriate for this target group. To inform the development of such strategies, individual interviews (N = 42) and focus groups (four groups, N = 37) were conducted with 79 Western Australians representing four stakeholder groups: instructors who deliver resistance training programmes to older people, health practitioners, policy makers and seniors. Results indicate that the need for personalised attention in the establishment and maintenance phases of a resistance training programme can constitute both a positive and negative aspect of older people's experiences. The negative aspects were identified as a series of tensions between the need for personalised attention and (a) the desire to participate in physical activity within social groups, (b) a preference for activity variation, (c) a dislike for large centres where personalised guidance is often available yet the surroundings can be considered unappealing, (d) cost issues and (e) the need for flexibility in attendance. Recommended strategies for overcoming these tensions include disseminating information about the benefits of resistance training in later life to increase motivation to participate, identifying additional methods of integrating resistance training into group exercise formats, making gyms more attractive to older people and providing non-gym alternatives for resistance training.

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Resistance training

10.1093/med/9780198757672.003.0036 ◽

2017 ◽

Author(s):

Avery D Faigenbaum ◽

Rhodri S Lloyd

Keyword(s):

Resistance Training ◽

Weight Control ◽

Scientific Evidence ◽

Developmentally Appropriate ◽

Well Being ◽

Training Programme ◽

Integrative Approach ◽

Mineral Density ◽

Training Programmes

Traditional fears and misinformed concerns regarding youth resistance training have been replaced by scientific evidence that indicates regular participation in well-designed resistance-training programmes can be safe and effective for both children and adolescents. In addition to increasing muscular strength and power, regular participation in a structured resistance training-programme can increase bone mineral density, improve cardiovascular risk factors, fuel metabolic health, facilitate weight control, enhance psychosocial well-being, and prepare youth for the demands of daily physical activity and sport. An integrative approach to training, grounded in resistance exercise and motor skill development, can optimize children’s fitness potential and maximize their athletic performance while reducing the risk of sports-related injury. Qualified professionals are needed to plan, implement and progress developmentally appropriate resistance training to attain a level of muscular fitness that facilitates long-term physical development.

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Key components influencing the sustainability of a multi-professional obstetric emergencies training programme in a middle-income setting: a qualitative study

BMC Health Services Research ◽

10.1186/s12913-021-06385-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Kiren Ghag ◽

Rachna Bahl ◽

Cathy Winter ◽

Mary Lynch ◽

Nayda Bautista ◽

...

Keyword(s):

Focus Groups ◽

Professional Training ◽

Implementation Process ◽

Training Programme ◽

The Philippines ◽

Successful Implementation ◽

Middle Income ◽

Policy Makers ◽

Obstetric Emergencies ◽

Training Programmes

Abstract Background Multi-professional obstetric emergencies training is one promising strategy to improve maternity care. Sustaining training programmes following successful implementation remains a challenge. Understanding, and incorporating, key components within the implementation process can embed interventions within healthcare systems, thereby enhancing sustainability. This study aimed to identify key components influencing sustainability of PRactical Obstetric Multi-Professional Training (PROMPT) in the Philippines, a middle-income setting. Methods Three hospitals were purposively sampled to represent private, public and teaching hospital settings. Two focus groups, one comprising local trainers and one comprising training participants, were conducted in each hospital using a semi-structured topic guide. Focus groups were audio recorded. Data were analysed using thematic analysis. Three researchers independently coded transcripts to ensure interpretation consistency. Results Three themes influencing sustainability were identified; attributes of local champions, multi-level organisational involvement and addressing organisational challenges. Conclusions These themes, including potential barriers to sustainability, should be considered when designing and implementing training programmes in middle-income settings. When ‘scaling-up’, local clinicians should be actively involved in selecting influential implementation champions to identify challenges and strategies specific to their organisation. Network meetings could enable shared learning and sustain enthusiasm amongst local training teams. Policy makers should be engaged early, to support funding and align training with national priorities.

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Risk time framing for wellbeing in older people: a multi-national appreciative inquiry

The Journal of Mental Health Training Education and Practice ◽

10.1108/jmhtep-12-2016-0060 ◽

2018 ◽

Vol 13 (1) ◽

pp. 44-53

Author(s):

Charlotte Laura Clarke ◽

Mike Titterton ◽

Jane Wilcockson ◽

Jane Reed ◽

Wendy Moyle ◽

...

Keyword(s):

Older People ◽

Appreciative Inquiry ◽

Perceived Risk ◽

Later Life ◽

Content Type ◽

Perceptions Of Risk ◽

Individual Interviews ◽

Time Horizons ◽

The Uk ◽

Societal Responsibility

Purpose The purpose of this paper is to explore the experience of older people and their sense of developing wellbeing, including consideration of the strategies they employ to respond to perceived risk. Design/methodology/approach An Appreciative Inquiry study was used, which collected data with 58 participants in focus group and individual interviews. Interviews focussed on ways in which older people in South Africa, Australia, Germany and the UK understand and seek to maintain wellbeing. Findings The changing time horizons of older people lead to perceptions of risk and concerns that embrace societal as well as individual concerns. Often, this leads to a sense of societal responsibility and desire for social change, which is frustrated by a perceived exclusion from participation in society. Social implications In mental health practice and education, it is imperative to embrace the shift from ageist concerns (with later life viewed as risky and tragic in itself) towards a greater sensitivity for older people’s resilience, the strategies they deploy to maintain this, and their desire for more control and respect for their potential to contribute to society. Originality/value Variation in time horizons leads to changes in temporal accounting, which may be under-utilised by society. Consequently, societies may not recognise and support the resilience of older people to the detriment of older people as individuals and to the wider society.

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Can genealogical exploration of the past be conducive to the development of ICT competences?

E-methodology ◽

10.15503/emet.v5i5.526 ◽

2019 ◽

Vol 5 (5) ◽

pp. 132-159

Author(s):

Ewa Jurczyk-Romanowska ◽

Adnan Tufekčić

Keyword(s):

Older People ◽

Computer Training ◽

Training Programme ◽

The Internet ◽

The European Union ◽

Sources Of Knowledge ◽

Digital Exclusion ◽

Ict Training ◽

Training Programmes ◽

Google Search

Aims. Apart from its numerous benefits, the development of the information society has also resulted in the digital exclusion of people who do not have the competence to use a computer and the Internet. This group is largely made up of older people. The European Union has taken a number of measures to reduce the digital divide, including the funding of ICT training programmes. The research which forms the basis for creating such training for seniors has focused on an analysis of various forms of genealogical activity on the Internet. The authors assumed that seniors are somehow predestined for genealogical activity, due to their age and experience. It was therefore decided to base the computer training programme on the development of genealogical interests. Methods. The study identified and categorized various forms of genealogical activity on the Internet, and the research was based on "genealogy" records in the Google search engine. Explorations were carried out in four countries: Poland, Turkey, Italy and Bosnia and Herzegovina. Results. As a result of the explorations, it was found that genealogical activity on the Internet falls into four basic categories: (1) sources of knowledge about genealogy, (2) tools for creating family trees, (3) presentation of the results of genealogical searches, (4) virtual genealogical communities. The last (5) category is of a commercial nature and includes genealogical accessories stores. Conclusion. Research conducted in the area of genealogical activity on the Internet leads to the conclusion that it may be an additional motivation for older people to undertake training in the field of ICT, which prompts further didactic and research directions. On the basis of the analysis, the implementation of the training programme in the Learning Tree project was designed and set in motion.

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Characteristics of effective home-based resistance training exercise in patients with chronic disease: a scoping review protocol

10.7287/peerj.preprints.27679v1 ◽

2019 ◽

Author(s):

Thomas Wilkinson ◽

Roseanne Billany ◽

Courtney J Lightfoot ◽

Matthew Graham-Brown ◽

Alice C Smith

Keyword(s):

Chronic Disease ◽

Resistance Training ◽

Scoping Review ◽

Grey Literature ◽

Training Programme ◽

Home Based ◽

Resistance Training Exercise ◽

Review Protocol ◽

Training Programmes ◽

Common Barriers

Regular exercise, principally resistance training, is an effective method to promote muscle hypertrophy and attenuate muscle atrophy during various atrophic conditions . There is growing interest in the evaluation of home-based resistance training programmes. These programmes have the potential to overcome common barriers to participation, such as accessibility and affordability. The objective of the scoping review is to map the available evidence to provide an overview of what characteristics, principles, and components are required for an effective home-based resistance training programme in patients with chronic disease. The four specific objectives of the scoping review will be to: 1) conduct a systematic search of the published and grey literature for studies reporting on home-based resistance training in patients with chronic disease; 2) map out the characteristics and range of methodologies (including exercise protocols and outcome measures) used in effective home-based resistance training; 3) examine reported challenges and limitations of home-based resistance training; and 4) propose recommendations for optimizing home-based resistance training protocols in this population.

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A sense of dignity in later life: a qualitative study on the views of older women migrants from minoritised backgrounds

Quality in Ageing and Older Adults ◽

10.1108/qaoa-06-2013-0016 ◽

2014 ◽

Vol 15 (1) ◽

pp. 21-33 ◽

Cited By ~ 5

Author(s):

Roiyah Saltus ◽

Christalla Pithara

Keyword(s):

Older People ◽

Older Women ◽

Social Care ◽

Later Life ◽

Community Dwelling ◽

Policy Makers ◽

Content Type ◽

The Uk ◽

The Impact ◽

Minority Ethnic

Purpose – Research evidence indicates the need for studies that explore the salience of dignity from the perspective of older people from a range of ethno-linguistic and cultural backgrounds. Drawing findings from a mixed-methods study on social-care expectations of community-dwelling older women from black and minority-ethnic backgrounds, the purpose of this paper is to explore the interrelationships between life-course events (such as migration) and the roles adopted by the women throughout their lives, which shaped their understanding of dignity. Design/methodology/approach – Face-to-face, semi-structured interviews with 32 older women in Wales were conducted in the participants’ first languages. The interview schedule was developed, piloted and peer-reviewed; it covered the themes of migration, perceptions of dignity, dignity in later life, perceptions of care and care with dignity. Transcripts were analysed using thematic analysis. This paper focuses on what dignity meant to older women and how a sense of dignity was fostered in later life. Findings – For the participants, a sense of dignity in later life was shaped by migration to the UK, and their shifting, transnational understanding of growing old in the UK and of the perceived worth and value of the roles they played. Although some women also saw other platforms (such as work and their status as professionals) as being of importance, a sense of purpose fostered in their roles as wives, mothers and grandmothers, and as mentors and guardians of cultural knowledge, underpinned their understanding of dignity, and reinforced their sense of acknowledgement and worth. Fostered from an early age through interactions with the family and close community (religious, cultural or ethnic), respect for older people was revealed to remain a key element of the participants’ personal and cultural value systems, as were the ways in which respect should be both earned and manifested. The sense of heightened vulnerability, because of advancing age, and the impact of cumulative negative encounters and racialised micro-aggressions, were real and pressing. Practical implications – Given the changing demographic of the older population throughout Europe and the world, there is a need to raise awareness among policy makers and practitioners of the importance of dignity from a range of perspectives – providing first-hand accounts that bring these to life, and data that can be used to help develop effective interventions. Originality/value – This paper adds to the understanding of dignity from a transnational, multi-ethnic perspective; the potential impact of multiple social positions (being old, being a woman, being a migrant and being from a minority-ethnic group) on the perception of being treated and regarded as important and valuable; and the need to raise awareness among policy makers and practitioners of the importance of dignity from a range of perspectives, providing first-hand accounts that bring these to life and that can be used to help develop effective social-care interventions.

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Measuring living standards of older people using Sen's Capability Approach: development and validation of the LSCAPE-24 (Living Standards Capabilities for Elders) and LSCAPE-6

Ageing and Society ◽

10.1017/s0144686x14001160 ◽

2014 ◽

Vol 36 (2) ◽

pp. 307-332 ◽

Cited By ~ 16

Author(s):

MARY BREHENY ◽

CHRISTINE STEPHENS ◽

ANNETTE HENRICKSEN ◽

BRENDAN STEVENSON ◽

KRISTIE CARTER ◽

...

Keyword(s):

Older People ◽

Capability Approach ◽

Short Form ◽

Economic Status ◽

Later Life ◽

Living Standards ◽

Policy Makers ◽

Development And Validation ◽

The Impact ◽

Sen’S Capability Approach

ABSTRACTThe impact of disparities in socio-economic status on the health of older people is an important issue for policy makers in the context of population ageing. As older people live in different types of economic circumstances and because, as people age, their desires and needs are different to those of younger generations, measures of living standards need to be appropriate for older people. This paper reports on the validation of a measure of living standards for older people based on Sen's Capability Approach. Using this approach, living standards are conceptualised as varying from constraint to freedom rather than from hardship to comfort. Using the New Zealand Longitudinal Study of Ageing omnibus survey of 3,923 adults aged 50–87 years, the validity of the measure was assessed. The results indicate that this measure assesses what older people are able to achieve. In addition, this measure discriminates better at the higher end of the living standards spectrum than an existing measure that assesses living standards from hardship to comfort in terms of what people possess. From this, a short form of the measure has been developed which offers a conceptually based and valid measure useful for survey research with older people. This measure of living standards provides future avenues for improved understandings of socio-economic position in later life.

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Expanding Neonatal Bloodspot Screening: A Multi-Stakeholder Perspective

Frontiers in Pediatrics ◽

10.3389/fped.2021.706394 ◽

2021 ◽

Vol 9 ◽

Author(s):

Tessa van Dijk ◽

Adriana Kater ◽

Marleen Jansen ◽

Wybo J. Dondorp ◽

Maartje Blom ◽

...

Keyword(s):

Health Gain ◽

Structured Interviews ◽

Policy Makers ◽

Life Planning ◽

Stakeholder Perspectives ◽

Societal Challenges ◽

Uncertain Significance ◽

Reproductive Life ◽

Stakeholder Perspective ◽

Multi Stakeholder

Neonatal bloodspot screening (NBS) aims to detect treatable disorders in newborns. The number of conditions included in the screening is expanding through technological and therapeutic developments, which can result in health gain for more newborns. NBS expansion, however, also poses healthcare, ethical and societal challenges. This qualitative study explores a multi-stakeholders' perspective on current and future expansions of NBS. Semi-structured interviews were conducted with 22 Dutch professionals, including healthcare professionals, test developers and policy makers, and 17 parents of children with normal and abnormal NBS results. Addressed themes were (1) benefits and challenges of current expansion, (2) expectations regarding future developments, and (3) NBS acceptance and consent procedures. Overall, participants had a positive attitude toward NBS expansion, as long as it is aimed at detecting treatable disorders and achieving health gain. Concerns were raised regarding an increase in results of uncertain significance, diagnosing asymptomatic mothers, screening of subgroups (“males only”), finding untreatable disorders, along with increasingly complex consent procedures. Regarding the scope of future NBS expansions, two types of stakeholder perspectives emerged. Stakeholders with a “targeted-scope” perspective saw health gain for the neonate as the exclusive NBS aim. They thought pre-test information could be limited, and parents should be protected against too much options or information. Stakeholders with a “broad-scope” perspective thought the NBS aim should be formulated broader, for example, also taking (reproductive) life planning into account. They put more emphasis on individual preferences and parental autonomy. Policy-makers should engage with both perspectives when making further decisions about NBS.

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Characteristics of effective home-based resistance training exercise in patients with chronic disease: a scoping review protocol

10.7287/peerj.preprints.27679 ◽

2019 ◽

Author(s):

Thomas Wilkinson ◽

Roseanne Billany ◽

Courtney J Lightfoot ◽

Matthew Graham-Brown ◽

Alice C Smith

Keyword(s):

Chronic Disease ◽

Resistance Training ◽

Scoping Review ◽

Grey Literature ◽

Training Programme ◽

Home Based ◽

Resistance Training Exercise ◽

Review Protocol ◽

Training Programmes ◽

Common Barriers

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A Home for Life? A Critical Perspective on Housing Choice for “Downsizers” in the UK

Architecture_MPS ◽

10.14324/111.444.amps.2016v9i2.001 ◽

2016 ◽

Cited By ~ 2

Author(s):

Park Adam ◽

Ziegler Friederike

Keyword(s):

Older People ◽

Policy Research ◽

Later Life ◽

Economic Benefits ◽

Policy Makers ◽

Ageing In Place ◽

Health And Social Care ◽

Risk Of Falls ◽

Age Appropriate ◽

The Uk

A range of policy, research and media commentary has highlighted the link between housing, health, and wellbeing in later life, with discourses around “ageing in place” and “downsizing” emerging as particularly dominant. Proponents of “downsizing” strategies argue that the motivation for older people should be self-evident: difficulties with maintenance, heating bills, getting upstairs, and the increasing risk of falls are all commonly referred to. This outlook also highlights the economic benefits of downsizing to “age-appropriate” housing, particularly in relation to potential savings for health and social care budgets. Drawing upon participatory research with older people in the city of Sheffield, UK, this paper critiques current practices and discourses around the commissioning, design, and management of purpose-built retirement housing. The paper calls for an urgent need to reframe housing from a lifecourse perspective and to recognize older people as active citizens, for whom their homes are essential to their continuing to contribute to family life and society. We argue for a more nuanced debate around “downsizing” and “ageing in place”, and call for policy-makers to recognize the risk of spatially and socially marginalizing older people through current limitations in housing choices. The paper concludes by setting out a number of measures to improve the choice, quality, and flexibility of housing for later life.

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