A mixed methods evaluation of yoga as a fall prevention strategy for older people in India
Authors
Lisa Keay
Injury Division, The George Institute for Global Health Australia, The University of Sydney, Level 5,1 King Street Newtown, Sydney, 2042 Australia
Devarsetty Praveen
Population Health Division, The George Institute for Global Health India, 301, Second Floor, ANR Centre, Road No 1, Banjara Hills, Hyderabad, 500034 India
Abdul Salam
Cardiovascular Division, The George Institute for Global Health India, 301, Second Floor, ANR Centre, Road No 1, Banjara Hills, Hyderabad, 500034 India
K Rajasekhar
Centre for Physical Fitness and Sports Sciences, University of Hyderabad, Rao Rd, CUC, Gachibowli, Hyderabad, Telangana 500046 India
Anne Tiedemann
Musculoskeletal Health Sydney, Sydney, Sydney School of Public Health, The University of Sydney, King George V Building, Sydney, 2042 Australia
Vimala Thomas
Osmania Medical College, Hyderabad, India
Jagnoor Jagnoor
Injury Division, The George Institute for Global Health Australia, The University of Sydney, Level 5,1 King Street Newtown, Sydney, 2042 Australia
Cathie Sherrington
Musculoskeletal Health Sydney, Sydney, Sydney School of Public Health, The University of Sydney, King George V Building, Sydney, 2042 Australia
Rebecca Ivers
Injury Division, The George Institute for Global Health Australia, The University of Sydney, Level 5,1 King Street Newtown, Sydney, 2042 Australia
Keywords:
Fall prevention, India, Mixed methods, Older people, Yoga
Abstract
Falls are an emerging public health issue in India, with the impact set to rise as the population ages. We sought to evaluate the acceptability, feasibility and likely impact of a yoga-based program aimed at improving balance and mobility for older residents in urban India.
Methods
Fifty local residents aged 60 years and older were recruited from urban Hyderabad, Andhra Pradesh. They were invited to attend a 1-h yoga class, twice weekly for 3 months. Mixed methods were used to evaluate the acceptability and feasibility (qualitative) and likely impact (quantitative). Two focus groups and eight interviews with participants were conducted to evaluate the acceptability and feasibility of a yoga program. Thematic analysis was conducted in context of perceptions, barriers and benefits of yoga participation and fall ascertainment. Physical performance using the Short Physical Performance Battery, fear of falling, blood pressure and weight loss were measured before and after the program.
Results
The interviews and focus groups provided insights into the preferred format for classes, including session times, level of supervision and location. Improvements were seen in the Short Falls Efficacy Scale-International (Short FES-I (15.9 ± 4.0 vs 13.8 ± 2.1 s, p = 0.002)), the number of steps taken in the timed 4-m walk (T4MW (9.0 ± 1.8 vs 8.6 ± 1.8, p = 0.04)), Short FES-I scores (9.4 ± 2.9 vs 8.6 ± 2.9, p = 0.02) and weight (63.8 ± 12.4 vs 62.1 ± 11.6, p = 0.004) were lower. No changes were seen in standing balance, blood pressure or T4MW time.
Conclusion
Yoga was well accepted and resulted in improved ability to rise from a chair, weight loss, increased step length and reduced fear of falling. These results provide impetus for further research evaluating yoga as a fall prevention strategy in India.
Keywords: Fall prevention, India, Mixed methods, Older people, Yoga
Author Biography
Vimala Thomas, Osmania Medical College, Hyderabad, India
Medical Education Office, State Government of Andhra Pradesh, Hyderabad, India
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