Experience, facilitators, and barriers to the implementation of a multicomponent programme in older people living in the community, +AGIL Barcelona: A qualitative study

Other authors

Institut Català de la Salut

[Canet-Vélez O] Facultat Ciències de la Salut Blanquerna, Universitat Ramon Llull, Barcelona, Spain. Research Group Global Health, Gender and Society (GHenderS), Barcelona, Spain. [Solis-Navarro L] Programa de Doctorat-Facultat Ciències de la Salut Blanquerna, Universitat Ramon Llull, Barcelona, Spain. Global Research on Wellbeing (GRoW), Barcelona, Spain. [Sitjà-Rabert M] Facultat Ciències de la Salut Blanquerna, Universitat Ramon Llull, Barcelona, Spain. Global Research on Wellbeing (GRoW), Barcelona, Spain. [Pérez LM, Soto-Bagaria L] Grup de Recerca en Envelliment, Fragilitat i Transicions a Barcelona (REFiTBcn), Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Parc Sanitari Pere Virgili, Barcelona, Spain. [Roca J] Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain. Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Spain. Health Education, Nursing, Sustainability and Innovation Research Group (GREISI), University of Lleida, Lleida, Spain. [Inzitari M] Grup de Recerca en Envelliment, Fragilitat i Transicions a Barcelona (REFiTBcn), Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Parc Sanitari Pere Virgili, Barcelona, Spain. Faculty of Health Sciences and eHealth Center, Universitat Oberta de Catalunya (UOC), Barcelona, Spain

Vall d'Hebron Barcelona Hospital Campus

Publication date

2023-05-02T10:54:11Z

2023-05-02T10:54:11Z

2023-03-30



Abstract

Exercise; Exercise implementation programme; Frailty


Ejercicio; Programa de ejecución de ejercicios; Fragilidad


Exercici; Programa d'execució d'exercicis; Fragilitat


Introduction: The +AGIL Barcelona programme is a multicomponent care intervention for frail older adults (FOAs) living in the community. To improve the programme, it is essential to investigate the experience of all participants. Our objective was to explore the perspective of FOA and professionals about the barriers, facilitators, and improvement elements of the development of the +AGIL Barcelona programme. Qualitative descriptive approach. Were included FOA and professionals who participated in the +AGIL Barcelona programme. Methods: Three focus groups and four interviews were conducted. These were analyzed following the qualitative method of content analysis. The criteria of scientific rigor of credibility, dependence, and transferability were ensured throughout the study. Results: Three themes and seven sub-themes were developed: facilitators (positive experience and perceived benefits), barriers (self-perceived health status, digital divide, and continuity of the programme at home), and improvements elements (programme continuity and adaptation of technology). All the participants felt satisfied, highlighting aspects such as interpersonal relationships and social contact, face-to-face sessions guided by a physiotherapist, and the functional improvement achieved. Some of the difficulties were the self-perception of frailty, the need for technological support, and continuing the exercise programme at home. Conclusion: The FOA who participated in the +AGIL Barcelona programme perceived direct benefits for their health and physical condition due to the development of self-confidence by being able to perform physical exercise despite their baseline condition, and the professionals experienced an improvement in the quality of care due to work in a multidisciplinary team.


This study was partially supported by Subvencions de L'institut de Cultura de Barcelona per a Projectes de Recerca i Innovació del Pla Barcelona Ciència 2019 (ID 19S01576-006).

Document Type

Article


Published version

Language

English

Publisher

Frontiers Media

Related items

Frontiers in Public Health;11

https://doi.org/10.3389/fpubh.2023.1161883

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Attribution 4.0 International

http://creativecommons.org/licenses/by/4.0/

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