Mobility Agreement practice for embedding physical exercises in home care visits¶
Design · All designs
Evidence · 1 claim (1 for) · 1 study (1 qualitative),q2· 0 of 1 report an effect size · 1 claim rests on one study
Description¶
The Mobility Agreement is a plan negotiated and prepared jointly by the home care worker and the elderly client, with the objective of promoting daily exercises such as stand-ups from a chair, balancing exercises and taking the stairs. It is "primarily an embodied agreement that is re-enacted within regular encounters, in joint physical actions and accompanying verbal and gestural exchanges." It is supported by an illustrated booklet graphically describing typical exercises, recorded in the client's care plan, and designed to break the vicious cycle of fear-of-falling by integrating mobility work into daily chores at home.
Design Implications¶
Context¶
Requirements¶
- Joint preparation and negotiation between client and home care worker
- Integration into regular recurring home care visits
- Support of an illustrated exercise booklet
- Recording in the client's care plan
Constraints¶
- Its potentials and benefits are only disclosed when the dominant script of home care encounters is qualitatively transformed
- Each client's life situation is different and the practice must be creatively adapted
- Embedding and anchoring exercise actions into daily routines takes time and needs persistent pursuit
Target Learners¶
- Elderly home care clients with reduced physical mobility
- Home care workers in municipal services
Learning Goals¶
- Improving muscle strength, balance and functionality
- Rediscovering the potentials of one's body
- Breaking the vicious cycle of fear of falling and activity restriction
Claims¶
- Home Care Cycle Combination Distribution [+M]
- Expansive Learning Cycle Micro Cycles Work Encounters [+M]
Related Designs¶
Examples¶
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Key Sources¶
- Nummijoki, J., Engeström, Y., & Sannino, A. (2018). Defensive and expansive cycles of learning: A study of home care encounters. Journal of the Learning Sciences, 27(2), 224-264. https://doi.org/10.1080/10508406.2017.1412970
Page metadata
| Field | Value |
|---|---|
type |
design |
id |
mobility-agreement-practice-home-care |
title |
Mobility Agreement practice for embedding physical exercises in home care visits |
description |
The Mobility Agreement is a plan negotiated and prepared jointly by the home care worker and the elderly client, with the objective of promoting daily exercises such as stand-ups from a chair, balancing exercises and... |
status |
review |
generated |
by process:settle-candidates on 2026-10-18 |
trust |
unverified — no one has confirmed this page's content |
sources |
1 — nummijoki-2018 |
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