Eliciting older people's preferences for exercise programs: A best-worst scaling choice experiment

Franco, MR; Howard, K; Sherrington, C; Ferreira, PH; Rose, J; Gomes, JL; Ferreira, ML

Eliciting older people's preferences for exercise programs: A best-worst scaling choice experiment

Franco, MR Howard, K Sherrington, C Ferreira, PH Rose, J Gomes, JL Ferreira, ML

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Publication Type:: Journal Article
Citation:: Journal of Physiotherapy, 2015, 61 (1), pp. 34 - 41
Issue Date:: 2015-01-01

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Field	Value	Language
dc.contributor.author	Franco, MR	en_US
dc.contributor.author	Howard, K	en_US
dc.contributor.author	Sherrington, C	en_US
dc.contributor.author	Ferreira, PH	en_US
dc.contributor.author	Rose, J	en_US
dc.contributor.author	Gomes, JL	en_US
dc.contributor.author	Ferreira, ML	en_US
dc.date.available	2014-11-05	en_US
dc.date.issued	2015-01-01	en_US
dc.identifier.citation	Journal of Physiotherapy, 2015, 61 (1), pp. 34 - 41	en_US
dc.identifier.issn	1836-9553	en_US
dc.identifier.uri	http://hdl.handle.net/10453/119302
dc.description.abstract	© 2014 Australian Physiotherapy Association. Question: What relative value do older people with a previous fall or mobility-related disability attach to different attributes of exercise? Design: Prospective, best-worst scaling study. Participants: Two hundred and twenty community-dwelling people, aged 60 years or older, who presented with a previous fall or mobility-related disability. Methods: Online or face-to-face questionnaire. Outcome measures: Utility values for different exercise attributes and levels. The utility levels were calculated by asking participants to select the attribute that they considered to be the best (ie, they were most likely to want to participate in programs with this attribute) and worst (ie, least likely to want to participate). The attributes included were: exercise type; time spent on exercise per day; frequency; transport type; travel time; out-of-pocket costs; reduction in the chance of falling; and improvement in the ability to undertake tasks inside and outside of home. Results: The attributes of exercise programs with the highest utility values were: home-based exercise and no need to use transport, followed by an improvement of 60% in the ability to do daily tasks at home, no costs, and decreasing the chances of falling to 0%. The attributes with the lowest utility were travel time of 30 minutes or more and out-of-pocket costs of AUD50 per session. Conclusion: The type of exercise, travel time and costs are more highly valued by older people than the health benefits. These findings suggest that physical activity engagement strategies need to go beyond education about health benefits and focus on improving accessibility to exercise programs. Exercise that can be undertaken at or close to home without any cost is most likely to be taken up by older people with past falls and/or mobility-related disability.	en_US
dc.relation.ispartof	Journal of Physiotherapy	en_US
dc.relation.isbasedon	10.1016/j.jphys.2014.11.001	en_US
dc.subject.classification	Rehabilitation	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Exercise	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Accidental Falls	en_US
dc.subject.mesh	Time Factors	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Disabled Persons	en_US
dc.subject.mesh	Patient Participation	en_US
dc.subject.mesh	Health Expenditures	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Mobility Limitation	en_US
dc.subject.mesh	Patient Preference	en_US
dc.title	Eliciting older people's preferences for exercise programs: A best-worst scaling choice experiment	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	61	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1106 Human Movement and Sports Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Strength - BIDA - Business Intelligence and Data Analytics
utslib.copyright.status	closed_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	61	en_US

Abstract:

© 2014 Australian Physiotherapy Association. Question: What relative value do older people with a previous fall or mobility-related disability attach to different attributes of exercise? Design: Prospective, best-worst scaling study. Participants: Two hundred and twenty community-dwelling people, aged 60 years or older, who presented with a previous fall or mobility-related disability. Methods: Online or face-to-face questionnaire. Outcome measures: Utility values for different exercise attributes and levels. The utility levels were calculated by asking participants to select the attribute that they considered to be the best (ie, they were most likely to want to participate in programs with this attribute) and worst (ie, least likely to want to participate). The attributes included were: exercise type; time spent on exercise per day; frequency; transport type; travel time; out-of-pocket costs; reduction in the chance of falling; and improvement in the ability to undertake tasks inside and outside of home. Results: The attributes of exercise programs with the highest utility values were: home-based exercise and no need to use transport, followed by an improvement of 60% in the ability to do daily tasks at home, no costs, and decreasing the chances of falling to 0%. The attributes with the lowest utility were travel time of 30 minutes or more and out-of-pocket costs of AUD50 per session. Conclusion: The type of exercise, travel time and costs are more highly valued by older people than the health benefits. These findings suggest that physical activity engagement strategies need to go beyond education about health benefits and focus on improving accessibility to exercise programs. Exercise that can be undertaken at or close to home without any cost is most likely to be taken up by older people with past falls and/or mobility-related disability.

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http://hdl.handle.net/10453/119302