Abstract

Aims The purpose of this research was to understand the experience of older adults who completed an 8-week cervical spine home exercise program (HEP) designed to reduce visual reliance for postural stability, potentially impacting fall risk. Methods Nineteen older adults completed a semi-structured, one-on-one interview. Qualitative verbatim data from one open-ended prompt, “Tell me about your experience with the home exercise program,” were analyzed using an inductive, emergent approach. Results Eleven subthemes emerged within two overarching themes: motivational factors and perceived barriers. Two subthemes within the motivational factors category aligned with the Self-Determination Theory (SDT): autonomy and competence, impacting motivation. Participants reported a positive HEP experience despite the perceived barriers of time and commitment required for HEP completion. Conclusion This study provides insight into the experiences of older adults participating in an HEP and highlights the importance of considering their fundamental psychological needs when designing HEPs, impacting motivation and adherence.

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