“We are all there for the same purpose”: Support for an integrated community exercise program for older adults with HF and COPD

BackgroundDespite well-established improvements following rehabilitation, functional gains often diminish following discharge.ObjectiveTo explore the attitudes of older adults with HF and COPD, who have completed rehabilitation, toward community-based exercise maintenance.MethodsSemi-structured interviews were conducted with 11 individuals with HF or COPD.ResultsDeductive thematic analysis uncovered three themes: 1) transitioning to community exercise is challenging, highlighting participants' struggle with unstructured maintenance and a lack of appropriate programs; 2) a structured, group-based program tailored to functional ability facilitates adherence, describing participants views on the importance of routine, and accountability; and 3) “We are all there for the same purpose” - participant support for integrated exercise, including the benefit of multiple perspectives and sustainability.ConclusionsA motivating program leader and access to appropriate facilities are key features to support adherence to prescribed activity. Tailored programs can be delivered consecutively to older adults with HF and COPD.