Abstract
AimTo develop and validate a physical exercise programme aimed at delaying the functional decline in frail older adults.DesignThe revised guideline of Criteria for Reporting the Development and Evaluation of Complex Interventions in health care was followed.MethodsThe physical exercise programme was designed and validated by exercise specialists to be implemented by healthcare professionals. The physical exercise programme underwent three stages of development, piloting and evaluation. It includes a portfolio of exercises in different support materials (posters, e‐book and website). A testing intervention was delivered to the target population.ResultsThe Criteria for Reporting the Development and Evaluation of Complex Interventions in health care process has the potential to help practitioners in developing and planning complex interventions, such as an exercise programme. Its components can be adjusted to the context and to the characteristics of the target population. A study protocol and a pilot study will be developed to test the effectiveness of the physical exercise programme on delaying the functional decline of frail older adults.
Highlights
The ageing process leads to the increasing demand of locomotor tasks aimed at maintaining autonomy and independence in daily life
Encouraging frail older adults to take up a specific exercise pro‐ gramme is crucial in the management of the frailty condition (Jadczak et al, 2018)
A physical exercise programme can be considered a complex intervention, since it is tailored to a specific population and setting and it is affected by several components regarding effectiveness and safety
Summary
The ageing process leads to the increasing demand of locomotor tasks aimed at maintaining autonomy and independence in daily life. Recent systematic reviews and meta‐analysis showed strong evidence of the effectiveness of exercise in the prevention of falls and fractures in the older population (Chang et al, 2004; Gillespie et al, 2003; Shekelle et al, 2003; Sherrington, Tiedemann, Fairhall, Close, & Lord, 2011) further state that exercise can be con‐ sidered the best approach to fall prevention at a population level and that up to 42% of falls can be prevented by well‐designed exer‐ cise programmes These findings may be highly relevant because, in addition to the many positive health effects of exercise, the conse‐ quent reduction in fractures and other injuries associated with falls ought to have a beneficial impact on healthcare costs (Rose & Hernandez, 2010; Shumway‐Cook et al, 2009)
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