Poster Presentations


P-3: “That collaboration piece isn’t working”: Developing knowledge translation interventions to promote exercise in long-term care based on behaviour change theory

Caitlin McArthur


Caitlin McArthur*,
Christina Ziebart,
Alexandra Papaioannou,
Sid Feldman,
Angela M. Cheung,
Judi Laprade,
Linda Lee,
Ravi Jain,
Lora M. Giangregorio

McMaster University
GERAS Centre for Aging Research

Topic: Knowledge Translation

Introduction
Recommendations suggest that exercise be included as part of multifactorial fall and fracture prevention in long-term care (LTC). However, recommendations may not reach all LTC professionals. Targeted knowledge translation strategies are required. Our objectives were to: 1) identify barriers to implementing exercise for fall and fracture prevention in LTC; 2) map barriers onto intervention functions using the Behaviour Change Wheel (BCW); 3) select and tailor modes of intervention delivery.

Methods
We conducted focus groups with stakeholders in LTC to identify barriers. Focus groups were audio-recorded, transcribed and analysed using qualitative description and thematic content analysis. Themes were mapped onto the central component of the BCW, which posits that capability, opportunity, and motivation influence behaviour (COM-B). We linked the barriers to interventions functions, and selected modes of delivery using the BCW.

Results
We held focus groups in three LTC homes with 38 participants (kinesiologists, n=18; registered nurses, n=7; physiotherapists, n=4; personal support workers, n=2; other, n=7). Identified barriers were capability – point of care staff’s knowledge, modifications for residents’ physical and cognitive abilities, opportunity – lack of resources, time, and teamwork, motivation – point of care staff’s self efficacy. Intervention functions selected were: education, training, enablement, modelling, and persuasion. Video/media promotion were the chosen modes of delivery based on the ease of reaching people, and they enable modelling (e.g., visuals) and persuasive language. We developed four series of videos targeted to four team members (personal support workers, restorative care providers, physiotherapists, and group exercise instructors) to foster team work. The videos are short (1 to 3 minutes) as time was an identified barrier and we used modelling (e.g., featuring a personal support worker) and persuasive messaging (e.g., preventing fractures to improve quality of life).

Discussion
We developed videos that included intervention functions linked to identified barriers to implementing exercise for fall and fracture prevention in LTC. Next, we will evaluate the reach of the videos after a targeted, month-long promotional campaign.