{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T08:50:31Z","timestamp":1758271831315},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,4,25]],"date-time":"2014-04-25T00:00:00Z","timestamp":1398384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Rationale, aims and objectives<\/jats:title><jats:p>In the context of an ageing population, increasing numbers of older people with long\u2010term conditions are presenting to secondary health care facilities in the <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>nited <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>ingdom having experienced a fall or fall\u2010related injury. Despite such observations, falls and long\u2010term conditions have traditionally been regarded as entirely separate entities. The purpose of this study was to explore the process of behaviour change in a small sample of older people with the fall\u2010associated chronic liver disease primary biliary cirrhosis (<jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content>) receiving either a standard or an enhanced programme of strength and balance training (<jats:styled-content style=\"fixed-case\">SBT<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A qualitatively driven mixed\u2010methods approach was employed that juxtaposed semi\u2010structured interviews with graphical representations of patient\u2010reported outcome measures collected during the course of an experimental case series in nine older people with the fall\u2010associated chronic liver disease <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants receiving both the standard and enhanced intervention completed the programme of <jats:styled-content style=\"fixed-case\">SBT<\/jats:styled-content> as instructed throughout the course of the case series. However, only the enhanced intervention, which focused on self\u2010determination and self\u2010management support, was associated with continued active participation on completion of the programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Longer, but not necessarily more intensive, periods of clinical intervention are necessary to support individuals at risk of falling to move through the incremental stages of behaviour change. Effective self\u2010management support should focus on the development of a wide range of strategies and behaviours to empower older people with long\u2010term conditions develop an ongoing active commitment to <jats:styled-content style=\"fixed-case\">SBT<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.12128","type":"journal-article","created":{"date-parts":[[2014,4,25]],"date-time":"2014-04-25T11:14:42Z","timestamp":1398424482000},"page":"318-326","source":"Crossref","is-referenced-by-count":10,"title":["Promoting self\u2010management and adherence with strength and balance training for older people with long\u2010term conditions: a mixed\u2010methods study"],"prefix":"10.1111","volume":"20","author":[{"given":"Lisa","family":"Robinson","sequence":"first","affiliation":[{"name":"Falls and Syncope Service and NIHR Biomedical Research Centre in Ageing Newcastle upon Tyne Hospitals NHS Foundation Trust  Newcastle UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia L.","family":"Newton","sequence":"additional","affiliation":[{"name":"Institute for Ageing and Health Newcastle University  Newcastle UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Jones","sequence":"additional","affiliation":[{"name":"Faculty of Health and Life Sciences Northumbria University  Newcastle UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela","family":"Dawson","sequence":"additional","affiliation":[{"name":"Faculty of Health and Life Sciences York St John University  York UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,4,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/29.4.305"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.02014.x"},{"key":"e_1_2_11_4_1","volume-title":"Interventions for Preventing Falls for Older People Living in the Community. 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