dc.contributor.author | Olsen, Cecilie Fromholt | en_US |
dc.contributor.author | Telenius, Elisabeth Wiken | en_US |
dc.contributor.author | Engedal, Knut | en_US |
dc.contributor.author | Bergland, Astrid | en_US |
dc.date.accessioned | 2016-02-23T13:12:59Z | |
dc.date.available | 2016-02-23T13:12:59Z | |
dc.date.issued | 2015 | en_US |
dc.identifier.citation | Olsen, C. F., Telenius, E. W., Engedal, K., & Bergland, A. (2015). Increased self-efficacy: the experience of high-intensity exercise of nursing home residents with dementia–a qualitative study. BMC health services research, 15(1), 1. | en_US |
dc.identifier.issn | 1472-6963 | en_US |
dc.identifier.other | FRIDAID 1298970 | en_US |
dc.identifier.uri | https://hdl.handle.net/10642/3024 | |
dc.description.abstract | Background:
There has been increasing interest in the use of non-pharmacological interventions, such as physical
exercise, to improve the well-being of nursing home residents with dementia. For reasons regarding disease
symptoms, persons with dementia might find it difficult to participate in exercise programs. Therefore, it is
important to find ways to successfully promote regular exercise for patients in residential care. Several quantitative
studies have established the positive effects of exercise on biopsychosocial factors, such as self-efficacy in older
people; however, little is known regarding the qualitative aspects of participating in an exercise program among
older people with dementia. From the perspective of residents, we explored the experiences of participating in a
high-intensity functional exercise program among nursing home residents with dementia.
Methods:
The participants were eight elderly people with mild-to-moderate dementia. We conducted semi-
structured interviews one week after they had finished a 10-week supervised high-intensity exercise program. We
analyzed the data using an inductive content analysis.
Results:
Five overreaching and interrelated themes emerged from the interviews:
“
Pushing the limits,
”“
Being
invested in,
”“
Relationships facilitate exercise participation,
”“
Exercise revives the body, increases independence and
improves self-esteem
”
and
“
Physical activity is a basic human necessity
—
use it or lose it!
”
The results were
interpreted in light of Bandura
’
s self-efficacy theory. The exercise program seemed to improve self-efficacy through
several mechanisms. By being involved,
“
being invested in
”
and having something expected of them, the
participants gained a sense of empowerment in their everyday lives. The importance of social influences related to
the exercise instructor and the exercise group was accentuated by the participants.
Conclusions:
The nursing home residents had, for the most part, positive experiences with regard to participating
in the exercise program. The program seemed to increase their self-efficacy through several mechanisms. The
instructor competence emerged as an important facilitating factor. The participants emphasized the importance of
physical activity in the nursing home. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | BioMed Central | en_US |
dc.subject | Increased self-efficacy | en_US |
dc.subject | high-intensity exercise | en_US |
dc.subject | nursing home residents | en_US |
dc.subject | dementia | en_US |
dc.title | Increased self-efficacy: The experience of high-intensity exercise of nursing home residents with dementia - A qualitative study | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.identifier.doi | http://dx.doi.org/10.1186/s12913-015-1041-7 | |