PHysical activity Implementation Study In Community-dwelling AduLts (PHISICAL): study protocol
Background: Falls in older people are a leading causes of unintentional injury. Due to an ageing population, injuries are likely to increase unless more is done to reduce older people’s falls risk. In clinical trials, the Falls Management Exercise (FaME) programme has reduced the rate of falls and f...
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| Format: | Article |
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BMJ Publishing Group Ltd
2018
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| Online Access: | https://eprints.nottingham.ac.uk/48850/ |
| _version_ | 1848797862866976768 |
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| author | Carpenter, Hannah Audsley, Sarah Coupland, Carol Gladman, John R.F. Kendrick, Denise Lafond, Natasher Logan, Pip Skelton, Dawn A. Timblin, Clare Timmons, Stephen Ward, Derek Orton, Elizabeth |
| author_facet | Carpenter, Hannah Audsley, Sarah Coupland, Carol Gladman, John R.F. Kendrick, Denise Lafond, Natasher Logan, Pip Skelton, Dawn A. Timblin, Clare Timmons, Stephen Ward, Derek Orton, Elizabeth |
| author_sort | Carpenter, Hannah |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background: Falls in older people are a leading causes of unintentional injury. Due to an ageing population, injuries are likely to increase unless more is done to reduce older people’s falls risk. In clinical trials, the Falls Management Exercise (FaME) programme has reduced the rate of falls and falls-related injuries in community-dwelling older adults. However, the commissioning of FaME is inconsistent across England, potentially due to a lack of evidence that FaME can be delivered effectively in a ‘real world’ setting. The PHISICAL study is designed to study the implementation of FaME in a range of different settings in England.
Methods: The PHISICAL study will use mixed-methods triangulation multi-level design to explore the implementation of FaME. Framework analysis of semi-structured interviews with up to 90 stakeholders (exercise programme users, service providers, referrers and commissioners) and observational data from locally-led communities of practice will identify the factors that influence FaME’s implementation. Quantitative, anonymised, routine service data from up to 650 exercise programme users, including measures of falls and physical activity, will allow assessment of whether the benefits of FaME reported in clinical trials translate to the ‘real world’ setting.
Conclusion: The findings from this study will be used to develop a toolkit of resources and guidance to inform the commissioning and delivery of future FaME programmes. This study has the potential to inform public health prevention strategies, and in doing so may reduce the number of falls in the older population, whilst delivering cost savings to health and social care services. |
| first_indexed | 2025-11-14T20:10:37Z |
| format | Article |
| id | nottingham-48850 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T20:10:37Z |
| publishDate | 2018 |
| publisher | BMJ Publishing Group Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-488502020-05-04T19:25:39Z https://eprints.nottingham.ac.uk/48850/ PHysical activity Implementation Study In Community-dwelling AduLts (PHISICAL): study protocol Carpenter, Hannah Audsley, Sarah Coupland, Carol Gladman, John R.F. Kendrick, Denise Lafond, Natasher Logan, Pip Skelton, Dawn A. Timblin, Clare Timmons, Stephen Ward, Derek Orton, Elizabeth Background: Falls in older people are a leading causes of unintentional injury. Due to an ageing population, injuries are likely to increase unless more is done to reduce older people’s falls risk. In clinical trials, the Falls Management Exercise (FaME) programme has reduced the rate of falls and falls-related injuries in community-dwelling older adults. However, the commissioning of FaME is inconsistent across England, potentially due to a lack of evidence that FaME can be delivered effectively in a ‘real world’ setting. The PHISICAL study is designed to study the implementation of FaME in a range of different settings in England. Methods: The PHISICAL study will use mixed-methods triangulation multi-level design to explore the implementation of FaME. Framework analysis of semi-structured interviews with up to 90 stakeholders (exercise programme users, service providers, referrers and commissioners) and observational data from locally-led communities of practice will identify the factors that influence FaME’s implementation. Quantitative, anonymised, routine service data from up to 650 exercise programme users, including measures of falls and physical activity, will allow assessment of whether the benefits of FaME reported in clinical trials translate to the ‘real world’ setting. Conclusion: The findings from this study will be used to develop a toolkit of resources and guidance to inform the commissioning and delivery of future FaME programmes. This study has the potential to inform public health prevention strategies, and in doing so may reduce the number of falls in the older population, whilst delivering cost savings to health and social care services. BMJ Publishing Group Ltd 2018-01-05 Article PeerReviewed Carpenter, Hannah, Audsley, Sarah, Coupland, Carol, Gladman, John R.F., Kendrick, Denise, Lafond, Natasher, Logan, Pip, Skelton, Dawn A., Timblin, Clare, Timmons, Stephen, Ward, Derek and Orton, Elizabeth (2018) PHysical activity Implementation Study In Community-dwelling AduLts (PHISICAL): study protocol. Injury Prevention . ISSN 1475-5785 Physical activity; Implementation; Community-dwelling; Adults; Falls; Injury Prevention http://injuryprevention.bmj.com/content/early/2018/01/04/injuryprev-2017-042627 doi:10.1136/injuryprev-2017-042627 doi:10.1136/injuryprev-2017-042627 |
| spellingShingle | Physical activity; Implementation; Community-dwelling; Adults; Falls; Injury Prevention Carpenter, Hannah Audsley, Sarah Coupland, Carol Gladman, John R.F. Kendrick, Denise Lafond, Natasher Logan, Pip Skelton, Dawn A. Timblin, Clare Timmons, Stephen Ward, Derek Orton, Elizabeth PHysical activity Implementation Study In Community-dwelling AduLts (PHISICAL): study protocol |
| title | PHysical activity Implementation Study In Community-dwelling AduLts (PHISICAL): study protocol |
| title_full | PHysical activity Implementation Study In Community-dwelling AduLts (PHISICAL): study protocol |
| title_fullStr | PHysical activity Implementation Study In Community-dwelling AduLts (PHISICAL): study protocol |
| title_full_unstemmed | PHysical activity Implementation Study In Community-dwelling AduLts (PHISICAL): study protocol |
| title_short | PHysical activity Implementation Study In Community-dwelling AduLts (PHISICAL): study protocol |
| title_sort | physical activity implementation study in community-dwelling adults (phisical): study protocol |
| topic | Physical activity; Implementation; Community-dwelling; Adults; Falls; Injury Prevention |
| url | https://eprints.nottingham.ac.uk/48850/ https://eprints.nottingham.ac.uk/48850/ https://eprints.nottingham.ac.uk/48850/ |