A mixed methods evaluation of yoga as a fall prevention strategy for older people in India

Pilot and Feasibility Studies

Abdul Salam¹  K. V. Rajasekhar²  Jagnoor Jagnoor³  Lisa Keay³  Rebecca Q. Ivers³  Cathie Sherrington⁴  Anne Tiedemann⁴  Vimala Thomas⁵  Devarsetty Praveen⁶ 

[1] Cardiovascular Division, The George Institute for Global Health India;Centre for Physical Fitness and Sports Sciences, University of Hyderabad;Injury Division, The George Institute for Global Health Australia, The University of Sydney;Musculoskeletal Health Sydney, Sydney, Sydney School of Public Health, The University of Sydney;Osmania Medical College;Population Health Division, The George Institute for Global Health India;

关键词: Fall prevention;    India;    Mixed methods;    Older people;    Yoga;   

DOI  :  10.1186/s40814-018-0264-x

来源: DOAJ

【 摘 要 】

Abstract Background Falls are an emerging public health issue in India, with the impact set to rise as the population ages. We sought to evaluate the acceptability, feasibility and likely impact of a yoga-based program aimed at improving balance and mobility for older residents in urban India. Methods Fifty local residents aged 60 years and older were recruited from urban Hyderabad, Andhra Pradesh. They were invited to attend a 1-h yoga class, twice weekly for 3 months. Mixed methods were used to evaluate the acceptability and feasibility (qualitative) and likely impact (quantitative). Two focus groups and eight interviews with participants were conducted to evaluate the acceptability and feasibility of a yoga program. Thematic analysis was conducted in context of perceptions, barriers and benefits of yoga participation and fall ascertainment. Physical performance using the Short Physical Performance Battery, fear of falling, blood pressure and weight loss were measured before and after the program. Results The interviews and focus groups provided insights into the preferred format for classes, including session times, level of supervision and location. Improvements were seen in the Short Falls Efficacy Scale-International (Short FES-I (15.9 ± 4.0 vs 13.8 ± 2.1 s, p = 0.002)), the number of steps taken in the timed 4-m walk (T4MW (9.0 ± 1.8 vs 8.6 ± 1.8, p = 0.04)), Short FES-I scores (9.4 ± 2.9 vs 8.6 ± 2.9, p = 0.02) and weight (63.8 ± 12.4 vs 62.1 ± 11.6, p = 0.004) were lower. No changes were seen in standing balance, blood pressure or T4MW time. Conclusion Yoga was well accepted and resulted in improved ability to rise from a chair, weight loss, increased step length and reduced fear of falling. These results provide impetus for further research evaluating yoga as a fall prevention strategy in India.

【 授权许可】

Unknown