Barriers and facilitators to adherence to group exercise in institutionalized older people living with dementia: a systematic review

2.50
Hdl Handle:
http://hdl.handle.net/10547/623155
Title:
Barriers and facilitators to adherence to group exercise in institutionalized older people living with dementia: a systematic review
Authors:
Vseteckova, Jitka ( 0000-0001-8802-9892 ) ; Deepak-Gopinath, Manik; Borgstrom, Erica ( 0000-0002-1009-2928 ) ; Holland, Caroline ( 0000-0002-5792-690X ) ; Draper, Jan; Pappas, Yannis ( 0000-0003-3087-860X ) ; McKeown, Eamonn; Dadova, Klara; Gray, Steve
Abstract:
Research suggests targeted exercise is important for people living with dementia, especially those living in residential care. The aim of this review was to collect and synthesize evidence on the known barriers and facilitators to adherence to group exercise of institutionalized older people living with dementia. We searched all available electronic databases. Additionally, we searched trial registries (clinicaltrial.gov, and WHO ICTRP) for ongoing studies. We searched for and included papers from January 1990 until September 2017 in any language. We included randomized, non-randomized trials. Studies were not eligible if participants were either healthy older people or people suffering from dementia but not living in an institution. Studies were also excluded if they were not focused on barriers and facilitators to adherence to group exercise. Using narrative analysis, we identified the following themes for barriers: bio-medical reasons and mental wellbeing and physical ability, relationships dynamics, and socioeconomic reasons. The facilitators were grouped under the following thematic frames: bio-medical benefits and benefits related to physical ability, feelings and emotions and confidence improvements, therapist and group relationships dynamics and activity related reasons. We conclude that institutionalized older people living with dementia, even those who are physically frail, incontinent and/or have mild dementia can demonstrate certain level of exercise adherence, and therefore can respond positively to exercise programs. Tailored, individually-adjusted and supported physical activity, led by a knowledgeable, engaging and well communicating therapist/facilitator improves the adherence to group exercise interventions of institutionalized older people living with dementia. Objectives Methods Results Conclusions
Affiliation:
Open University; University of Bedfordshire; City, University of London; Charles University, Prague
Citation:
Vseteckova J, Deepak-Gopinath M, Borgstrom E, Holland C, Draper J, Pappas Y, McKeown E, Dadova K, Gray S (2018) 'Barriers and facilitators to adherence to group exercise in institutionalized older people living with dementia: a systematic review', European Review of Aging and Physical Activity, 15 (11), pp.-.
Publisher:
BioMed Central
Journal:
European Review of Aging and Physical Activity
Issue Date:
28-Dec-2018
URI:
http://hdl.handle.net/10547/623155
DOI:
10.1186/s11556-018-0200-3
PubMed ID:
30455778
PubMed Central ID:
PMC6225693
Additional Links:
https://eurapa.biomedcentral.com/articles/10.1186/s11556-018-0200-3; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6225693/
Type:
Article
Language:
en
ISSN:
1813-7253
Appears in Collections:
Health

Full metadata record

DC FieldValue Language
dc.contributor.authorVseteckova, Jitkaen
dc.contributor.authorDeepak-Gopinath, Maniken
dc.contributor.authorBorgstrom, Ericaen
dc.contributor.authorHolland, Carolineen
dc.contributor.authorDraper, Janen
dc.contributor.authorPappas, Yannisen
dc.contributor.authorMcKeown, Eamonnen
dc.contributor.authorDadova, Klaraen
dc.contributor.authorGray, Steveen
dc.date.accessioned2019-02-14T13:41:22Z-
dc.date.available2019-02-14T13:41:22Z-
dc.date.issued2018-12-28-
dc.identifier.citationVseteckova J, Deepak-Gopinath M, Borgstrom E, Holland C, Draper J, Pappas Y, McKeown E, Dadova K, Gray S (2018) 'Barriers and facilitators to adherence to group exercise in institutionalized older people living with dementia: a systematic review', European Review of Aging and Physical Activity, 15 (11), pp.-.en
dc.identifier.issn1813-7253-
dc.identifier.pmid30455778-
dc.identifier.doi10.1186/s11556-018-0200-3-
dc.identifier.urihttp://hdl.handle.net/10547/623155-
dc.description.abstractResearch suggests targeted exercise is important for people living with dementia, especially those living in residential care. The aim of this review was to collect and synthesize evidence on the known barriers and facilitators to adherence to group exercise of institutionalized older people living with dementia. We searched all available electronic databases. Additionally, we searched trial registries (clinicaltrial.gov, and WHO ICTRP) for ongoing studies. We searched for and included papers from January 1990 until September 2017 in any language. We included randomized, non-randomized trials. Studies were not eligible if participants were either healthy older people or people suffering from dementia but not living in an institution. Studies were also excluded if they were not focused on barriers and facilitators to adherence to group exercise. Using narrative analysis, we identified the following themes for barriers: bio-medical reasons and mental wellbeing and physical ability, relationships dynamics, and socioeconomic reasons. The facilitators were grouped under the following thematic frames: bio-medical benefits and benefits related to physical ability, feelings and emotions and confidence improvements, therapist and group relationships dynamics and activity related reasons. We conclude that institutionalized older people living with dementia, even those who are physically frail, incontinent and/or have mild dementia can demonstrate certain level of exercise adherence, and therefore can respond positively to exercise programs. Tailored, individually-adjusted and supported physical activity, led by a knowledgeable, engaging and well communicating therapist/facilitator improves the adherence to group exercise interventions of institutionalized older people living with dementia. Objectives Methods Results Conclusionsen
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttps://eurapa.biomedcentral.com/articles/10.1186/s11556-018-0200-3en
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6225693/en
dc.rightsGreen - can archive pre-print and post-print or publisher's version/PDF-
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectadherenceen
dc.subjectbarriersen
dc.subjectfacilitatorsen
dc.subjectgroup exerciseen
dc.subjectageingen
dc.subjectdementiaen
dc.subjectB741 Geriatric Nursingen
dc.titleBarriers and facilitators to adherence to group exercise in institutionalized older people living with dementia: a systematic reviewen
dc.typeArticleen
dc.contributor.departmentOpen Universityen
dc.contributor.departmentUniversity of Bedfordshireen
dc.contributor.departmentCity, University of Londonen
dc.contributor.departmentCharles University, Pragueen
dc.identifier.journalEuropean Review of Aging and Physical Activityen
dc.identifier.pmcidPMC6225693-
dc.date.updated2019-02-14T13:37:21Z-
dc.description.noteOA article with Creative Commons Attribution 4.0-

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