scholarly journals 22 A Mixed-Method Study on Older Adults’ Adherence to Home Exercise Programme: Patients’ and Physiotherapists’ Perspective

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv6-iv8
Author(s):  
Suzanne Timmons ◽  
Siti Khalijah Abdul Aziz
Keyword(s):  
Older Adults ◽  
Mixed Method ◽  
Mode Of Delivery ◽  
Inverse Correlation ◽  
Exercise Programme ◽  
Home Exercise ◽  
Mixed Method Study ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Exercise Programmes

Abstract Background Regular exercise and physical activities have shown to be beneficial especially in older adults to maintain their function. To reap these benefits, recommended exercises need to be adhered to. However, there is lack of consistency in the literature on what is the degree of adherence to home exercise programmes (HEPs) among older adults. Objective The purpose of this study was to explore factors affecting older adult patients’ adherence to HEP prescribed to them and how HEP was perceived by both older adults and physiotherapists. Design A mixed-method study design was used in this study Methods 28 older adults attending outpatient physiotherapy clinic were given an exercise journal to record their adherence to HEP prescribed by their physiotherapists for six weeks. Subsequently, semi-structured interviews were conducted with seven older adults and five physiotherapists. The interviews were audio recorded and transcribed. After which, the interviews were analysed using content analysis. Results 14 participants returned their exercise journal. The rate of adherence out of 42 days of HEP prescribed was 79.8% or 5.6 days per week. Only medium inverse correlation was found between risk of depression and HEP adherence. No significant correlation was found for cognitive function, self-efficacy to exercise, quality of life and mobility status. Four key themes consisting of perception to HEP, mode of delivery to HEP, barriers and facilitators of HEP adherence emerged from the data. Conclusion Older adults’ internal motivation is important to improve HEP adherence. External factors such as family support, companion while exercising, physiotherapists’ support in terms of designing likeable and easy HEPs, investigating reasons for non- adherence, modifying exercises and education on importance of adherence to HEPs could affect HEP adherence of older adults. Additionally, having more community based exercise classes are factors that could potentially promote adherence.

scholarly journals 346 How Do we Increase Adherence to Home Exercise Programmes? Interviews with Older Adults and Physiotherapists

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Siti Khalijah ◽  
Suzanne Timmons
Keyword(s):  
Older Adults ◽  
Cardiovascular Health ◽  
Home Exercise ◽  
Video Content ◽  
Structured Interviews ◽  
Timed Up And Go ◽  
Convenience Sample ◽  
Improve Compliance ◽  
Exercise Programmes ◽  
Purposive Sample

Abstract Background Regular exercise and physical activity can maintain function and cardiovascular health, and prevent cognitive decline, in older adults. However, studies show that there is often poor adherence to home exercise programmes (HEP). The purpose of this study was to explore how HEP are perceived by both older adults and physiotherapists. Methods A convenience sample of 28 older adults attending outpatient physiotherapy clinics were given an exercise journal to record their adherence to the HEP prescribed by their physiotherapists for six weeks. Subsequently, semi-structured interviews were conducted with a purposive sample, and the corresponding prescribing physiotherapists, to achieve maximal variation in terms of HEP adherence, age and sex. The interviews were audio recorded, transcribed, and simple content analysis performed. Results Fourteen participants returned their exercise journal. Median age was 80; half were female; median Berg Balance Score and Timed-up-and-Go-Test were 49 and 16 seconds respectively. Participants exercised a median 79.8% of the prescribed dose, or 5.6 days per week. Seven older adults were interviewed; about half had a positive attitude towards exercise. They were also moderately positive about their HEP (comments ranged from “doable” and “nothing bad about it” to “enjoyable”). Barriers included time, mood, boredom, remembering to do the HEP, and variable health status. Enablers included simple instructions and design, family encouragement, and sense of achievement. Physiotherapists (n=5) perceived that many older adults aren’t compliant with HEPs, but there was some therapeutic nihilism (“you can’t force them”). Their HEP instructions varied from verbal to written instructions/diagrams; one physiotherapist used individualised video content. Notably, participants with good adherence understood their HEP well in terms of content and purpose, although this may be cause or effect. Conclusion To improve compliance with HEP, healthcare professionals need to take time to motivate the recipient, simplify their instructions, and trouble-shoot potential barriers at the time of prescription.

scholarly journals Doctor–Patient Communication in Primary Health Care: A Mixed-Method Study in Fiji

2021 ◽  
Vol 18 (14) ◽  
pp. 7548
Author(s):  
Swastika Chandra ◽  
Masoud Mohammadnezhad
Keyword(s):  
Mixed Method ◽  
Positive Impact ◽  
Quality Care ◽  
Outpatient Setting ◽  
Patient Communication ◽  
Mixed Method Study ◽  
Limited Information ◽  
Factors Affecting ◽  
Communication Behaviour ◽  
Doctor Patient Communication

From a clinical perspective, effective and efficient communication is part of a strategy to ensure doctors are providing high-quality care to their patients. Despite the positive impact of effective doctor–patient communication on health outcomes, limited information is available on this in Fiji. This study was carried out to determine the current patients’ perception of doctors’ communication behaviour and identify factors affecting the doctor–patient communication in Fiji. This mixed-method study was conducted in the outpatient setting of three randomly selected health centres in the Suva Subdivision, Fiji. For the quantitative phase, systematic random sampling was used to select the 375 participants who completed the structured questionnaire; of those, 20 participants were selected for the qualitative interview. From the patients’ perception, 45.6% of them perceived doctors’ communication behaviour as good, 53.6% as fair, and 0.8% as poor communication behaviour. Qualitative findings highlight factors such as the attitude of the doctors, their approach, their interaction with the patients, and them providing an explanation as important factors during doctor–patient communication. In Fiji, the majority of patients perceived doctors’ communication behaviour as fair to good and the doctors’ skills were important for effective doctor–patient communication. This study highlighted the importance of doctor–patient communication and suggested that doctors might not be practicing patient-centred care and communication; thus, they need to upgrade their patient-centred communication skills.

scholarly journals Older Adults’ Engagement in Technology‐Mediated Self‐Monitoring of Diet: A Mixed‐Method Study

2020 ◽  
Vol 53 (1) ◽  
pp. 25-34
Author(s):  
Caroline Farsjø Aure ◽  
Anders Kluge ◽  
Anne Moen
Keyword(s):  
Older Adults ◽  
Mixed Method ◽  
Mixed Method Study ◽  
Self Monitoring

scholarly journals Can an online exercise prescription tool improve adherence to home exercise programmes in children with cerebral palsy and other neurodevelopmental disabilities? A randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040108
Author(s):  
Rowan W Johnson ◽  
Sian A Williams ◽  
Daniel F Gucciardi ◽  
Natasha Bear ◽  
Noula Gibson
Keyword(s):  
Exercise Prescription ◽  
Controlled Trial ◽  
Intervention Group ◽  
Exercise Programme ◽  
Home Exercise ◽  
Control Group ◽  
Neurodevelopmental Disabilities ◽  
Home Exercise Programme ◽  
Exercise Programmes ◽  
Randomised Controlled

ObjectiveDetermine the adherence to and effectiveness of an 8-week home exercise programme for children with disabilities delivered using Physitrack, an online exercise prescription tool, compared with traditional paper-based methods.DesignSingle-blinded, parallel-groups, randomised controlled trial (RCT).SettingIntervention took place in participants’ homes in Western Australia.ParticipantsChildren aged 6 to 17 years, with neurodevelopmental disabilities including cerebral palsy (CP), receiving community therapy services.InterventionAll participants completed an individualised home exercise programme, which was delivered to the intervention group using Physitrack and conventional paper-based methods for the control group.Primary outcome measuresAdherence to exercise programme, goal achievement and exercise performance.Secondary outcome measuresEnjoyment, confidence and usability of Physitrack.ResultsFifty-four participants with CP (n=37) or other neurodevelopmental disabilities (n=17) were recruited. Fifty-three were randomised after one early withdrawal. Forty-six completed the 8-week programme, with 24 in the intervention group and 22 in the control group. There was no difference between the two groups for percentage of exercises completed (intervention (n=22): 62.8% (SD 27.7), control (n=22): 55.8% (SD 19.4), between group mean difference −7.0% (95% CI: −21.6 to 7.5, p=0.34)). Both groups showed significant improvement in their self-rated performance of individualised goal activities, however there was no statistically significant difference between groups for goal achievement, quality of exercise performance, enjoyment, confidence or preferred method of delivery. There were no adverse events.ConclusionPhysitrack provides a therapist with a new means of providing an exercise programme with online tools such as exercise videos, but our preliminary findings indicate that it may be no better than a traditional paper-based method for improving exercise adherence or the other outcomes measured. Exercise programmes remain an intervention supported by evidence, but a larger RCT is required to fully evaluate online delivery methods.Trial registration detailsAustralian New Zealand Clinical Trials Registry; ACTRN12616000743460.

scholarly journals National Identity Construction in Cultural and Creative Tourism: The Double Mediators of Implicit Cultural Memory and Explicit Cultural Learning

SAGE Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 215824402110407
Author(s):  
Shu-Ning Zhang ◽  
Wen-Qi Ruan ◽  
Ting-Ting Yang
Keyword(s):  
National Identity ◽  
Cultural Identity ◽  
Mixed Method ◽  
Cultural Memory ◽  
Interactive Effect ◽  
Cultural Learning ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Mediating Role ◽  
Chinese Tourists

In light of the gap in the national identity research, this study proposes, constructs, and examines the path to national identity by using a mixed-method approach. Study 1 collected 502 questionnaires from Chinese tourists, and Study 2 conducted semi-structured interviews with 15 tourists. The findings confirm that cultural and creative tourism contributes to the construction of tourists’ national identity. Tourists’ long-term implicit cultural memory and short-term explicit cultural learning are the double guarantees for forming tourists’ cultural identity. Importantly, tourists’ cultural identity plays a critical mediating role in promoting national identity. Moreover, the interactive effect of cultural experience and creative performance accelerates the construction process of tourists’ national identity. This study consolidates the sociopolitical significance of cultural and creative tourism for national identity through a rare mixed method and identifies the specific role of the cultural factors affecting national identity, thereby providing great theoretical contributions and practical value.

scholarly journals Knowledge, Beliefs and Factors Affecting the Use of Generic Medicines among Patients in Ibb, Yemen: A Mixed-method Study

2021 ◽  
Vol 6 (4) ◽  
pp. 53-56
Author(s):  
Yaser Mohammed Al-Worafi ◽  
Wafa Mohammed Alseragi ◽  
Khaled Mohamed Alakhali ◽  
Long Chiau Ming ◽  
Gamil Othman ◽  
...  
Keyword(s):  
Mixed Method ◽  
Mixed Method Study ◽  
Generic Medicines ◽  
Factors Affecting

scholarly journals Achieving Data Saturation: Evidence from a Qualitative Study of Job Satisfaction

2018 ◽  
Vol 15 (2) ◽  
pp. 66 ◽  
Author(s):  
MOHD ALIFF ABDUL MAJID ◽  
Mohhidin Othman ◽  
Siti Fatimah Mohamad ◽  
Sarina Abdul Halim Lim
Keyword(s):  
Job Satisfaction ◽  
Qualitative Research ◽  
Mixed Method ◽  
Original Study ◽  
Mixed Method Study ◽  
Structured Interviews ◽  
Background Data ◽  
Data Saturation ◽  
Sample Characteristics ◽  
Method Approach

The concept of saturation is deemed necessary in qualitative research;however, existing literature discussing the point of saturation is relativelyscant. Previous qualitative studies tend to describe the point of saturationbut fail to demonstrate how the saturation occurred. This article providesevidence on how qualitative research might report the point of datasaturation. The original study consists of a mixed method approach todevelop and validate an instrument for measuring offshore cateringemployees’ job satisfaction. Notably, this paper reports a part of thequalitative portion of a mixed-method study. Using the data from a studyinvolving 13 in-depth, semi-structured interviews, this study documentsthe degree of data saturation over the course of thematic analysis anddemonstrates how data saturation was operationalised. Although the studyreported 13 interviews, the saturation occurred within 12 interviews. Thestudy findings are not extensively discussed; however, adequate informationabout the study background, data collection and sample characteristics areincluded. The technique presented in this paper provides practical guidancefor qualitative researchers in reporting point of saturation. However, itis recommended that the evidence of data saturation occurred after 12interviews should be applied with caution due to several factors

scholarly journals Sustaining Multilingualism in Chinese Universities: Uzbekistani Students’ Demotivation While Learning Chinese

2020 ◽  
Vol 12 (18) ◽  
pp. 7570
Author(s):  
Meilan Liu ◽  
Yongyan Zheng ◽  
Xiuli Ma ◽  
Yuxin Wei
Keyword(s):  
Language Learners ◽  
Mixed Method ◽  
Learning Opportunities ◽  
Mixed Method Study ◽  
Learning Support ◽  
Chinese Universities ◽  
Factors Affecting ◽  
Self Confidence ◽  
Chinese University ◽  
Teacher Qualities

This paper reports on a mixed method study exploring demotivation among Uzbekistani students while they are learning Chinese in a Chinese university. In the study, we conducted a survey among 67 Uzbekistani students, and interviewed 30 of them about their experiences of learning Chinese. The analysis of the data revealed that a lack of self-confidence, insufficient learning opportunities, a lack of learning support, and teacher qualities were the most salient factors affecting Uzbekistani students’ demotivation while learning Chinese. In light of the findings, we put forward suggestions for language educators and educational administrators in order to enable them to enhance language learners’ interest in and enthusiasm for learning Chinese, so that they will sustain their learning efforts and Chinese universities can achieve sustainable multilingualism.

Developing a model for analyzing the factors influencing interpersonal conflict

2019 ◽  
Vol 57 (5) ◽  
pp. 1127-1144
Author(s):  
Zeinab Lalegani ◽  
Ali Nasr Isfahani ◽  
Arash Shahin ◽  
Ali Safari
Keyword(s):  
Qualitative Study ◽  
Mixed Method ◽  
Interpersonal Conflict ◽  
Organizational Factors ◽  
Structured Interviews ◽  
Contributing Factors ◽  
Content Type ◽  
Factors Affecting ◽  
Interpersonal Conflicts ◽  
Factors Influencing

Purpose The purpose of this paper is to develop and analyze a model of factors influencing interpersonal conflicts. Design/methodology/approach This research was conducted using a mixed method approach. In the qualitative study, the conceptual model of the factors affecting interpersonal conflicts was extracted from semi-structured interviews with 17 relevant experts using a theme analysis technique. Then, three hypotheses were developed based on the model and relevant theoretical evidence. Using a researcher-made questionnaire which was developed earlier based on the qualitative results, a quantitative-based survey was performed to assess the interpersonal conflicts and also the standard scale of the level of interpersonal conflicts (Jehn, 1997). The hypotheses were tested on a sample of 160 employees of Chaharmahal and Bakhtiari Province Gas Company (CBPGC). Findings The results of the qualitative study indicated that individual factors including personality dimensions and individual differences; organizational factors including five dimensions of organizational culture, organizational structure, management characteristics, intra-organization factors and human resource systems; and environmental factors influenced the creation of interpersonal conflicts. The results of the quantitative study indicated that organizational factors with an effect size of 0.502 were identified as the most important factor influencing interpersonal conflicts. Research limitations/implications The findings of this study can provide a roadmap to managers of the CBPGC to be aware of the contributing factors to conflict within their organization. Originality/value The use of mixed method to identify the causes and factors of interpersonal conflict and analyzing a context different from previous studies can be considered as the innovations of this study.

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