The Oxford CLEAR Pathway
Lead Research Organisation:
Oxford University Hospitals NHS Trust
Department Name: Churchill Hospital
Abstract
For older adults, exercise improves fitness and health, maximises participation, increases functional independence and enhances quality of life. Higher fitness-levels are linked to lower levels of emotional distress and depression, improved mobility, functionality and independence encouraging a higher level of behavioural activation and social inclusion
Adherence and compliance with recommended exercise guidelines remains poor amongst ageing adults who frequently avoid participation for fear of falling, exacerbating symptoms or provoking pain or fatigue. The shortage of appropriately qualified trainers means some institutionalised elderly are sedentary for over 12 hours a day, their only energy expenditure being when getting in and out of bed.
We have created a series of bed and chair-based programs for older adults, some of whom may be resistant to exercise, providing a graduated course of physical activity suitable for everyone, from the very frail to the healthy agile.
We will engage older adults who may be isolated, bedbound, frail, have multiple health conditions, physical disabilities, learning difficulties or mental health issues, and lead them through specialised bed and chair-based exercises given remotely, linked by a live-stream platform such as Webinar or Zoom, presented on large-screen TV, through their own smartphone, tablet or laptop enabling everyone to work in a group. The sessions will be supplemented by videos and an App.
During the next 12 months we will complete the filming, select the live-stream platform and test the system in community settings with the aim of producing a solution ready to roll out to the Care Home sector.
Adherence and compliance with recommended exercise guidelines remains poor amongst ageing adults who frequently avoid participation for fear of falling, exacerbating symptoms or provoking pain or fatigue. The shortage of appropriately qualified trainers means some institutionalised elderly are sedentary for over 12 hours a day, their only energy expenditure being when getting in and out of bed.
We have created a series of bed and chair-based programs for older adults, some of whom may be resistant to exercise, providing a graduated course of physical activity suitable for everyone, from the very frail to the healthy agile.
We will engage older adults who may be isolated, bedbound, frail, have multiple health conditions, physical disabilities, learning difficulties or mental health issues, and lead them through specialised bed and chair-based exercises given remotely, linked by a live-stream platform such as Webinar or Zoom, presented on large-screen TV, through their own smartphone, tablet or laptop enabling everyone to work in a group. The sessions will be supplemented by videos and an App.
During the next 12 months we will complete the filming, select the live-stream platform and test the system in community settings with the aim of producing a solution ready to roll out to the Care Home sector.
People |
ORCID iD |
| Sheera Sutherland (Principal Investigator) |
| Description | We have produced a series of exercise videos for older adults with health conditions or impairments, living with learning difficulties or mental health issues and long-term single or multiple health conditions. The videos can be embedded on TVs and hand-held devices or accessed on-line or via an App. |
| Exploitation Route | We are in negotiation with our private and public sector collaborators to form a company to take the product to market. We are applying for funding to take the product through clinical trials in health and care settings and in private homes. |
| Sectors | Healthcare |
| Description | Patient Involvement- Focus groups |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Patients, carers and/or patient groups |
| Results and Impact | We approached 11 patients and nursing professionals about their views on the exercise videos. What works well? What does not work well and what needs to be improved. This generated some discussion as to what changes were needed and what could stay within the videos. Please note that the discussions were about the design of the videos and not the content of the exercises as this was discussed in previous PPI work. We gave feedback to video2web with all the comments and they were appreciative of the comments so that they could work towards modifying content to improve the videos moving forward. This was a valuable process. |
| Year(s) Of Engagement Activity | 2022 |
| Description | Smartline focus group (Exeter housing group) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Patients, carers and/or patient groups |
| Results and Impact | Prof Dawes attended the coffee morning for Smartline on Jan 16th 2022. lots of great feedback and comments from the group who do this exercises online already and they would be keen to participate in terms of giving us feedback on the usability of doing online exercises. . This is a perfect target group and we have some history as Prof Dawes ran a project years back evaluating community exercise programs for the NHS.. anyway the guy who ran was there and is keen. A colleague of Prof Dawes set up an exercise programme on his own back and was running prior to covid.. Lots of inputs and due to Smartline they are online already. and the plan is to evaluate teh technology and the videos through this group via them. Ethics now being written to support this moving forward. |
| Year(s) Of Engagement Activity | 2022 |