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

Vseteckova, Jitka; Deepak Gopinath, Manik; Borgstrom, Erica; Holland, Caroline; Draper, Jan; Pappas, Yannis; McKeown, Eamonn; Dadova, Klara and Gray, Steve (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, article no. 11.

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DOI (Digital Object Identifier) Link: https://doi.org/10.1186/s11556-018-0200-3
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Abstract

Objectives

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.

Methods

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.

Results

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.

Conclusions

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.

Item Type: Journal Item
Copyright Holders: 2018 The Authors
ISSN: 1861-6909
Keywords: Adherence; barriers; facilitators; group exercise; ageing; dementia
Academic Unit/School: Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care > Health and Social Care
Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care
Faculty of Wellbeing, Education and Language Studies (WELS)
Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care > Nursing
Learner and Discovery Services (LDS) > Library Services
Learner and Discovery Services (LDS)
Item ID: 56748
Depositing User: Jitka Vseteckova
Date Deposited: 26 Sep 2018 12:39
Last Modified: 13 Jun 2019 05:21
URI: http://oro.open.ac.uk/id/eprint/56748
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