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