Barriers and facilitators to adherence to group exercise in institutionalized older people living with dementia: a systematic review
Authors
Vseteckova, JitkaDeepak-Gopinath, Manik
Borgstrom, Erica
Holland, Caroline
Draper, Jan
Pappas, Yannis
McKeown, Eamonn
Dadova, Klara
Gray, Steve
Affiliation
Open UniversityUniversity of Bedfordshire
City, University of London
Charles University, Prague
Issue Date
2018-12-28
Metadata
Show full item recordAbstract
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 ConclusionsCitation
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 CentralPubMed ID
30455778PubMed Central ID
PMC6225693Additional Links
https://eurapa.biomedcentral.com/articles/10.1186/s11556-018-0200-3https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6225693/
Type
ArticleLanguage
enISSN
1813-7253ae974a485f413a2113503eed53cd6c53
10.1186/s11556-018-0200-3
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