Article
Using a personalized DVD to prescribe an exercise program to older people post-hip fracture enhances adherence to the exercises - a feasibility study
Geriatric Nursing
(2015)
Abstract
Optimum recovery from hip fracture has been linked to the provision of effective rehabilitation, but
levels of adherence vary among older patients. In this feasibility study a novel personalized DVD was
designed for four participants, which delivered a 5 week tailored home exercise program (HEP), with the
participant being videoed completing their exercises. Treatment fidelity of the DVD HEP was evaluated,
including participants’ perceptions of and response to the DVD-HEP, which was explored using diaries
and interviews and analyzed thematically. Secondary outcome measures including exercise adherence
and self-efficacy for exercise were analyzed using descriptive statistics. Levels of adherence to the HEP
were 1.2e3.5 times more than the minimum prescribed dose and participants demonstrated higher
levels of self-efficacy for exercise. Adherence was found to be enhanced by physical improvement,
positive self-reflection about engagement in the DVD-HEP, the format of the DVD, and increased selfefficacy.
Personalized DVDs may be a feasible method of promoting adherence to home exercise programs
among older patients.
Disciplines
Publication Date
2015
DOI
10.1016/j.gerinurse.2015.02.025
Citation Information
Moran, L., Francis-Coad, J., Patman, S., and Hill, A. (2015). Using a personalized DVD to prescribe an exercise program to older people post-hip fracture enhances adherence to the exercises - a feasibility study. Geriatric Nursing, 36(4), 273-280. DOI: 10.1016/j.gerinurse.2015.02.025