Iäkkäiden etäohjattu liikunta

Implementaatiota edistävät ja vaikeuttavat tekijät kunnissa

Authors

• Sonja Iltanen Ikäinstituutti
• Katja Borodulin Ikäinstituutti
• Eerika Saloranta Ikäinstituutti
• Sakari Taipale Jyväskylän yliopisto
• Päivi Topo Vanhusasiavaltuutettu

DOI: https://doi.org/10.23990/sa.142126

Keywords:

older people, remote services, health enhancing physical activity, implementation

Abstract

Online exercise for older adults – Factors facilitating and hindering the implementation in municipalities

In the National Programme on Ageing 2030, a key objective is to explore ways to maintain mobility of older adults and support independent living at home. This follow-up study explored factors that facilitate or hinder the implementation of online health exercise for older adults. We examined seven municipalities, conducting elicitation interviews and an email survey with employees (n=14). In the analysis, factors influencing the implementation of remote exercise were explored: information about participants, views on older adults, management strategies, tasks executed by organizations and employees, and solutions aimed to support functional capacity of the participants. The results and process of implementation were examined from the perspectives of acceptability, adoption, appropriateness, feasibility, fidelity, costs, coverage, and sustainability. Local organizational culture, resources, and views on older adults were reflected in decisions related to online exercise. Implementation was facilitated by built-in structures, well-managed personnel changes, positive perceptions of the learning potential of older adults, and addressing problems in a solution-focused manner. Flexibility of the online exercise concept facilitated implementation in diverse municipalities and situations. Implementation was hindered due to unforeseen changes in personnel and property resources, limitations in inter-organizational collaboration, and negative perceptions of older adults as users of technology. We suggest that online exercise can contribute to solving health promotion challenges for vulnerable groups and could be considered by municipalities and wellbeing services counties. However, the challenges of implementation need to be carefully considered.