Developing a Chinese version of adapted Integrating Lifestyle Functional Exercise (CLiFE) Programme and Testing its Feasibility
Abstract
Abstract title : Developing a Chinese version of the adapted Integrating Lifestyle Functional Exercise (CLiFE) Programme and Testing its Feasibility
Introduction
Adapted lifestyle-integrated exercise (aLiFE) programme, which seamlessly integrates balance and strength exercises into daily routines, is an alternative exercise intervention for falls prevention. This study aims to develop a Chinese version of aLiFE (CLiFE) and test its feasibility.
Method
There are four stages: Stage 1 involved focus groups and individual interviews to explore initial perceptions of the aLiFE programme; Stage 2 used a co-design workshop to draft the CLiFE programme; Stage 3 performed a four-week pre–post feasibility study, followed by follow-up interviews in Stage 4. Descriptive statistics and content analysis were used.
Results
Three focus groups with 18 older adults (aged 64–87) and three partners (Researcher, Community leader, and Health professional) interviews were recruited in Stage 1. Descriptive analysis indicated good feasibility of performing aLiFE movements within this population. The CLiFE programme was developed following a Stage 2 co-design workshop with seven older Chinese adults. Compared with aLiFE, CLiFE included a Chinese-translated manual, more pictures instead of text demonstrations, group teaching rather than individual home visits, simplified movement difficulty, and an easier daily data collection method. In Stage 3 and 4, 15 participants (aged 64–87) completed a 4-week pre–post feasibility test with follow-up interviews. Preliminary findings suggested high acceptability and feasibility of CLiFE among community-dwelling older Chinese adults in the UK. Reported barriers included health-related conditions, memory difficulties, low literacy, and the paper burden of data collection.
Conclusions
Findings indicated a high level of acceptance of CLiFE programme among older Chinese adults in the UK, but further cultural modifications are needed. A further pilot randomised controlled trial is needed in the future to test the feasibility of this programme.