The BRiMS education component aims to improve exercise self-efficacy and support the development of individualised falls prevention and management practices through the acquisition and application of relevant knowledge and skills.
The majority of the falls prevention content is based on the Safe at Home BAASE programme, developed by Finlayson and Peterson (Finlayson et al, 2009).
The exercise self-efficacy content draws on new work undertaken by one of our team members (Jackie Andrade) on imagery and motivation to support goal setting, action planning and adherence.
The BRiMS exercise component is designed to achieve a minimum of 120 minutes of individualised, progressive, gait, balance and functional training per week.
The content is guided by a literature review of MS balance exercise interventions (Gunn et al, 2015b), whilst structure and format is informed by comprehensive stakeholder input (Gunn et al, 2015c).
The BRiMS exercise component has been designed to be predominantly home-based, with exercise planning and progression undertaken in partnership between the participant and the programme leader.
The group sessions include exercise activities to encourage peer support and problem solving. Motivational support is built into both elements.
Additionally, BRiMS integrates an online exercise prescription resource (Paul et al, 2014) to support and guide participants’ home-based practice (webbasedphysio.com).
This resource is a novel web-based physiotherapy system which has been developed by two of the BRiMS team (Lorna Paul, Linda Renfrew).
BRiMS website: www.brims.org.uk