Losing Ground Following Community Exercise Programme Closures: A Qualitative Descriptive Study of the Impact of COVID-19 Related Pandemic Restrictions on Exercise Participation, Physical Activity, and Health of Older Adults With Balance and Mobility Limitations

Purpose: To understand the impact of COVID-19-related closures of community-based exercise programmes (CBEPs) on exercise participation, physical activity, and health of older adults with balance and mobility limitations; facilitators, and barriers to exercise and physical activity; and preferred su...

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Published in:Physiotherapy Canada Vol. 77; no. 3; pp. 303 - 311
Main Authors: Bercovitch, Dayna, Rindlisbacher, Andi Reppas, Ng, Hillary, Mulvihill, Sarah, Sum, Brandon, Patel, Sajan, Aitken, Lyndsay, Marques, Meagan, Aravind, Gayatri, Salbach, Nancy M.
Format: research tables/charts Journal Article
Published: University of Toronto Press Aug2025
Online Access:View this record in EBSCOhost
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      dt: Aug2025
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      pub: University of Toronto Press
      place: North York, Ontario
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        10.3138/ptc-2023-0049
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        atl: Losing Ground Following Community Exercise Programme Closures: A Qualitative Descriptive Study of the Impact of COVID-19 Related Pandemic Restrictions on Exercise Participation, Physical Activity, and Health of Older Adults With Balance and Mobility Limitations
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          Bercovitch, Dayna
          Rindlisbacher, Andi Reppas
          Ng, Hillary
          Mulvihill, Sarah
          Sum, Brandon
          Patel, Sajan
          Aitken, Lyndsay
          Marques, Meagan
          Aravind, Gayatri
          Salbach, Nancy M.
        affil: From the: Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada
      sug:
        subj:
          Community Programs
          Balance Training, Physical
          COVID-19 Pandemic
          Therapeutic Exercise
          Physical Activity
          Health Status
          Mobility Training
          Stay-at-Home Orders
          Human
          Qualitative Studies
          Descriptive Research
          Ontario
          Support, Psychosocial
          Semi-Structured Interview
          Middle Age
          Aged
          Suburban Areas Ontario
          Thematic Analysis
          Mental Health
          Interpersonal Relations
          Communication
          Male
          Female
          Audiorecording
          Descriptive Statistics
          Data Analysis Software
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab:
        Purpose: To understand the impact of COVID-19-related closures of community-based exercise programmes (CBEPs) on exercise participation, physical activity, and health of older adults with balance and mobility limitations; facilitators, and barriers to exercise and physical activity; and preferred support from recreation centres and health care providers. Method: This qualitative descriptive study involved semi-structured interviews with seven older adults (aged 50–76 years) with balance and mobility limitations, enrolled in CBEPs at a recreation centre in a suburban area in Canada prior to the COVID-19 pandemic. We conducted a thematic analysis. Results: One major theme, losing ground in the absence of structured exercise, was identified. Despite engaging in alternative at-home or outdoor activities, participants perceived a worsening of their balance and mobility, dissatisfaction with the extent of exercises and physical activity, and loss of social connectedness. Participants desired structured, individualized exercise resources, and frequent check-ins from exercise instructors to stay physically active during programme suspension. Conclusions: Following CBEP closures, older adults with balance and mobility limitations from a single recreation centre perceived declines in physical and mental health, exercise participation and social interaction, and desired personalized exercises and communication from exercise instructors. The small sample size may have limited achievement of saturation.
        Résumé: Objectif : comprendre les conséquences de la fermeture des programmes d'exercice communautaire (PEC) liée à la COVID-19 sur la participation à l'exercice, l'activité physique et la santé des aînés ayant des limites d'équilibre et de mobilité; les incitations et les obstacles à l'exercice et à l'activité physique; ainsi que le soutien souhaité de la part des centres de loisirs et des dispensateurs de soins. Méthodologie : cette étude descriptive qualitative était formée d'entrevues semi-structurées auprès de sept adultes âgés (de 50 à 76 ans) ayant des limites d'équilibre et de mobilité, inscrits à un PEC au centre de loisirs d'une région suburbaine du Canada avant la pandémie de COVID-19. Les chercheurs ont procédé à une analyse thématique. Résultats : le déclin en l'absence d'exercice structuré est le thème majeur qui est ressorti. Malgré la participation à d'autres activités intérieures ou extérieures, les participants ont eu l'impression de voir leur équilibre et leur mobilité se détériorer, n'étaient pas satisfaits de l'étendue des exercices et de l'activité physique et perdaient de la connectivité sociale. Les participants avaient besoin de ressources structurées et personnalisées et de vérifications fréquentes de la part d'instructeurs de conditionnement physique pour demeurer actifs physiquement pendant la suspension des programmes. Conclusions : après la fermeture des PEC, les adultes âgées d'un seul centre de loisirs ayant des limites d'équilibre et de mobilité ont perçu une baisse de leur santé physique et mentale, de leur participation à l'exercice et de leurs interactions sociales et souhaitaient recevoir des exercices personnalisés et des communications de la part d'instructeurs de conditionnement physique. Le petit nombre de participants peut avoir limité l'obtention d'un résultat saturé.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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