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Logo of bmcmudisBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Musculoskeletal Disorders
 
BMC Musculoskelet Disord. 2012; 13: 128.
Published online Jul 23, 2012. doi:  10.1186/1471-2474-13-128
PMCID: PMC3433330
The implementation of the functional task exercise programme for elderly people living at home
Margot A H Fleuren,#1 Susan Vrijkotte,#1,2,3 Marielle P Jans,#1,4 Renske Pin,#5 Ariette van Hespen,1 Nico L U van Meeteren,1 and Petra C Siemonsmacorresponding author1
1TNO, Healthy for life, PO Box 2215, 2301 CE, Leiden, The Netherlands
2University Medical Center Groningen, Center for Human Movement Sciences, AnthoniusDeusinglaan 1, 9713 AV, Groningen, The Netherlands
3Department of Human Physiology & Sports Medicine, VrijeUniversiteit Brussel, Pleinlaan 2, B-1050, Brussels, Belgium
4University of Applied Sciences, School of Physiotherapy, Bolognalaan 101, 3584 CJ, Utrecht, The Netherlands
5University of the Netherlands Antilles, Faculty of Social and Behavioral Sciences, PO Box 3059, Willemstad, Curaçao
corresponding authorCorresponding author.
#Contributed equally.
Margot A H Fleuren: margot.fleuren/at/tno.nl; Susan Vrijkotte: vrijsusan/at/hotmail.com; Marielle P Jans: marielle.jans/at/hu.nl; Renske Pin: renskepin/at/hotmail.com; Ariette van Hespen: ariette.vanhespen/at/tno.nl; Nico L U van Meeteren: nico.vanmeeteren/at/tno.nl; Petra C Siemonsma: petra.siemonsma/at/tno.nl
Received May 9, 2012; Accepted July 23, 2012.
Abstract
Background
The Functional Task Exercise programme is an evidence-based exercise programme for elderly people living at home. It enhances physical capacity with sustainable effects. FTE is provided by physiotherapists and remedial therapists. Although the intervention was found to be effective in a Randomised Controlled Trial, we may not assume that therapists will automatically supply the programme or that elderly people will automatically join the programme. This study protocol focuses on identifying determinants of implementation, developing implementation strategies and studying the effects of the implementation in daily practice.
Methods/Design
Phase 1: The systematic identification of determinants of the implementation of FTE among therapists and the elderly. A questionnaire study was conducted in a random sample of 100 therapists, and interviews took place with 23 therapists and 8 elderly people (aged 66 to 80 years). The determinants were broken down into four categories: the characteristics of the environment, the organisation, the therapists, and the training programme.
Phase 2: Developing and applying strategies adapted to the determinants identified. Fifteen physiotherapists will be trained to provide FTE and to recruit elderly people living at home. The therapists will then deliver the 12-week programme to two groups of elderly, each consisting of six to twelve people aged 70 years or older.
Phase 3: Study of implementation and the impact. To study the actual use of FTE: 1) therapists record information about the selection of participants and how they apply the key features of FTE, 2) the participating elderly will keep an exercise logbook, 3) telephone interviews will take place with the therapists and the elderly and there will be on-site visits. The effects on the elderly people will be studied using: 1) the Patient-Specific Questionnaire, the Timed Up and Go test and a two performance tests. All tests will be performed at the start of the FTE programme, half way through, and at the end of the programme.
Discussion
The number of older people will increase in many countries in the years to come and so the project outcomes will be of interest to policy-makers, insurance companies, health-care professionals and implementation researchers.
Keywords: Elderly, physical exercise, activities of daily living, functional training, determinant analysis, Implementation, Innovations, Health care
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