Understanding how older people with mild frailty engage with behaviour change to support their independence: a qualitative study
Objectives To explore barriers and facilitators to behaviour change in older people with mild frailty.Design Qualitative study.Setting Community-dwelling older people living with mild frailty.Participants 64 older people with mild frailty, workers delivering the service and stakeholders.Methods Semi...
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| Language: | English |
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e086642.full |
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| author | Benjamin Gardner Louise Marston Kate R Walters Vari M Drennan Rachael Frost Paul Chadwick Rebecca L Gould Yolanda Barrado-Martin Sarah Gibson Rekha Elaswarapu Rashmi Kumar Kalpa Kharicha Tasmin Alanna Rookes Christina Avgerinou Jane Hopkins Jessica Catchpole Claire Jowett |
| author_facet | Benjamin Gardner Louise Marston Kate R Walters Vari M Drennan Rachael Frost Paul Chadwick Rebecca L Gould Yolanda Barrado-Martin Sarah Gibson Rekha Elaswarapu Rashmi Kumar Kalpa Kharicha Tasmin Alanna Rookes Christina Avgerinou Jane Hopkins Jessica Catchpole Claire Jowett |
| author_sort | Benjamin Gardner |
| collection | DOAJ |
| description | Objectives To explore barriers and facilitators to behaviour change in older people with mild frailty.Design Qualitative study.Setting Community-dwelling older people living with mild frailty.Participants 64 older people with mild frailty, workers delivering the service and stakeholders.Methods Semistructured interviews were conducted between July 2022 and May 2023 with participants in a randomised controlled trial (‘HomeHealth’) of a 6-month, home-based, personalised goal setting intervention, based around the Capability-Opportunity-Motivation-Behaviour model. We purposively sampled older participants receiving the service (n=49), workers delivering it (n=7) and stakeholders supporting its delivery (n=8). Interviews explored participation experiences, including engagement, perceived progress and impact. Transcripts were analysed using thematic analysis.Results Key themes included frailty symptoms and adapting/compensating for these, self-efficacy and beliefs about capacity or need for change, familiarity with goal-setting processes and health-related knowledge, accessibility of services and outdoor environments, and enabling social support. Participants were empowered to change behaviours with support, where personalised meaningful goals were set. These were maintained where they led to a tangible outcome and had increased self-efficacy; however, new health challenges and lack of intrinsic motivation could be barriers.Conclusions Regular and continued empathic person-centred support helps empower mildly frail people who are motivated to change their behaviour. Identifying those willing and able to identify their need for change may be key to maximise service use impact.Trial registration number ISRCTN54268283. |
| format | Article |
| id | doaj-art-030676cc7044469b8e7c02def8cdd5a2 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-030676cc7044469b8e7c02def8cdd5a22025-02-01T05:45:12ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-086642Understanding how older people with mild frailty engage with behaviour change to support their independence: a qualitative studyBenjamin Gardner0Louise Marston1Kate R Walters2Vari M Drennan3Rachael Frost4Paul Chadwick5Rebecca L Gould6Yolanda Barrado-Martin7Sarah Gibson8Rekha Elaswarapu9Rashmi Kumar10Kalpa Kharicha11Tasmin Alanna Rookes12Christina Avgerinou13Jane Hopkins14Jessica Catchpole15Claire Jowett16Department of Psychology, University of Surrey, Guildford, UKResearch Department of Primary Care and Population Health, University College London, London, UKCentre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UKCentre for Health and Social Care Research, Kingston University, London, UKCentre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UKDivision of Psychology & Language Sciences, University College London, London, UKDivision of Psychiatry, University College London, London, UKCentre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UKBradford Teaching Hospitals NHS Foundation Trust, Bradford, UKPatient and Public Involvement Contributor, London, UKPatient and Public Involvement Contributor, London, UKHealth and Social Care Workforce Research Unit, The Policy Institute, King`s College London, London, UKCentre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UKCentre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UKPatient and Public Involvement Contributor, London, UKCentre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UKPatient and Public Involvement Contributor, Birmingham, UKObjectives To explore barriers and facilitators to behaviour change in older people with mild frailty.Design Qualitative study.Setting Community-dwelling older people living with mild frailty.Participants 64 older people with mild frailty, workers delivering the service and stakeholders.Methods Semistructured interviews were conducted between July 2022 and May 2023 with participants in a randomised controlled trial (‘HomeHealth’) of a 6-month, home-based, personalised goal setting intervention, based around the Capability-Opportunity-Motivation-Behaviour model. We purposively sampled older participants receiving the service (n=49), workers delivering it (n=7) and stakeholders supporting its delivery (n=8). Interviews explored participation experiences, including engagement, perceived progress and impact. Transcripts were analysed using thematic analysis.Results Key themes included frailty symptoms and adapting/compensating for these, self-efficacy and beliefs about capacity or need for change, familiarity with goal-setting processes and health-related knowledge, accessibility of services and outdoor environments, and enabling social support. Participants were empowered to change behaviours with support, where personalised meaningful goals were set. These were maintained where they led to a tangible outcome and had increased self-efficacy; however, new health challenges and lack of intrinsic motivation could be barriers.Conclusions Regular and continued empathic person-centred support helps empower mildly frail people who are motivated to change their behaviour. Identifying those willing and able to identify their need for change may be key to maximise service use impact.Trial registration number ISRCTN54268283.https://bmjopen.bmj.com/content/15/1/e086642.full |
| spellingShingle | Benjamin Gardner Louise Marston Kate R Walters Vari M Drennan Rachael Frost Paul Chadwick Rebecca L Gould Yolanda Barrado-Martin Sarah Gibson Rekha Elaswarapu Rashmi Kumar Kalpa Kharicha Tasmin Alanna Rookes Christina Avgerinou Jane Hopkins Jessica Catchpole Claire Jowett Understanding how older people with mild frailty engage with behaviour change to support their independence: a qualitative study BMJ Open |
| title | Understanding how older people with mild frailty engage with behaviour change to support their independence: a qualitative study |
| title_full | Understanding how older people with mild frailty engage with behaviour change to support their independence: a qualitative study |
| title_fullStr | Understanding how older people with mild frailty engage with behaviour change to support their independence: a qualitative study |
| title_full_unstemmed | Understanding how older people with mild frailty engage with behaviour change to support their independence: a qualitative study |
| title_short | Understanding how older people with mild frailty engage with behaviour change to support their independence: a qualitative study |
| title_sort | understanding how older people with mild frailty engage with behaviour change to support their independence a qualitative study |
| url | https://bmjopen.bmj.com/content/15/1/e086642.full |
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