Developing a toolkit to support health professionals in building community-based group exercise programmes for older people with chronic conditions

开发工具包以支持卫生专业人员为患有慢性病的老年人制定基于社区的团体锻炼计划

• 批准号: ES/X006298/1
• 负责人: Tim Rees
• 金额: $ 6.42万
• 依托单位: Bournemouth University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FX006298%2F1
• 关键词: Developing; toolkit; support; health; professionals

As the NHS waiting list soars above six million people, with treatment wait times over two years, older people with chronic conditions face worsening symptoms, increased use of medications, more complicated surgeries with slower recovery, reduced quality of life, and loss of independence.As part of its plans to tackle this crisis, the NHS promotes exercise as a "miracle cure" for arresting the progress of disease and helping disease management and recovery. However, current plans promoting individual, home-based exercise, as well as on-site hospital-based programmes of delivery, have met with only limited success, and face problems of decreased space, capacity, clinician time, as well as lack of knowledge and expertise with regard to effective behaviour change.I am proposing to develop and promote a suite of materials and online resources-a toolkit or blueprint-to support health professionals in their development and scaling of non-hospital- (community-) based group exercise programmes for older people with chronic conditions. Key benefits for older people include arresting disease, delaying disease onset, reducing pain and need for medication, avoiding surgery, and leading a normal life. My long-term ambition is to develop a go-to resource for health professionals to use to manage a range of conditions associated with older people, for which building sustainable physical activity is an aim. If successful, our innovation has potential for substantial reach and impact, changing the way we manage (and improve the lives of older people living with) chronic conditions, creating cost savings for health systems world-wide.

随着NHS等待名单上的人数超过600万人，治疗等待时间超过两年，患有慢性病的老年人面临着症状恶化，药物使用增加，恢复较慢的更复杂手术，生活质量下降，失去独立性。作为应对这一危机计划的一部分，英国国民保健制度将锻炼作为阻止疾病发展、帮助疾病管理和康复的“灵丹妙药”来推广。然而，目前促进个人、家庭锻炼以及现场医院分娩方案的计划只取得了有限的成功，并面临着空间、能力、临床医生时间、以及缺乏有效改变行为的知识和专业知识。我建议开发和推广一套材料和在线资源-一个工具包或蓝图-支持卫生专业人员为患有慢性病的老年人制定和扩大非医院（社区）团体锻炼方案。对老年人的主要好处包括阻止疾病，延迟疾病发作，减少疼痛和药物需求，避免手术和过正常的生活。我的长期目标是为卫生专业人员开发一种资源，用于管理与老年人相关的一系列疾病，建立可持续的身体活动是一个目标。如果成功，我们的创新有可能产生巨大的影响力和影响力，改变我们管理慢性病的方式（并改善老年人的生活），为全球卫生系统节省成本。

项目成果

CycLing and EducATion (CLEAT): protocol for a single centre randomised controlled trial of a cycling and education intervention versus standard physiotherapy care for the treatment of hip osteoarthritis.

• DOI: 10.1186/s12891-023-06456-0
• 发表时间: 2023-05-03
• 期刊: BMC musculoskeletal disorders
• 影响因子: 2.3

Equipping Physical Activity Leaders to Facilitate Behaviour Change: An Overview, Call to Action, and Roadmap for Future Research.

• DOI: 10.1186/s40798-022-00423-0
• 发表时间: 2022-03-04
• 期刊: Sports medicine - open
• 作者: Stevens M;Rees T;Cruwys T;Olive L
• 通讯作者: Olive L