Adherence to community based group exercise interventions in older people: a systematic review

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e372-e373 ◽  
Author(s):  
C. Farrance ◽  
F. Tsofliou ◽  
C.J. Clark
Keyword(s):  
Systematic Review ◽  
Older People ◽  
Group Exercise ◽  
Community Based ◽  
Exercise Interventions

Home- and Community-Based Occupational Therapy Improves Functioning in Frail Older People: A Systematic Review

2017 ◽  
Vol 65 (8) ◽  
pp. 1863-1869 ◽  
Author(s):  
Leen De Coninck ◽  
Geertruida E. Bekkering ◽  
Leen Bouckaert ◽  
Anja Declercq ◽  
Maud J. L. Graff ◽  
...  
Keyword(s):  
Systematic Review ◽  
Occupational Therapy ◽  
Older People ◽  
Frail Older People ◽  
Community Based

scholarly journals Barriers and facilitators to adherence to walking group exercise in older people living with dementia in the community: a systematic review

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
J. Vseteckova ◽  
K. Dadova ◽  
R. Gracia ◽  
G. Ryan ◽  
E. Borgstrom ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older People ◽  
Environmental Issues ◽  
Barriers And Facilitators ◽  
Mental Wellbeing ◽  
Social Aspect ◽  
Group Exercise ◽  
Relationship Dynamics ◽  
Physical Ability ◽  
Walking Group

Summary Background & Aims Evidence suggests that targeted exercise is important for people living with dementia. The aim of this review was to collect and synthesize evidence on the known barriers and facilitators to adherence to walking group exercise of older people living with dementia in the community. Methods We have searched appropriate electronic databases between January 1990 until September 2019, in any language. Additionally, we searched trial registries (clinicaltrial.gov and WHO ICTRP) for ongoing studies. We included all study designs. Studies were excluded when participants were either healthy older people or people suffering from dementia but living in residential care. Narrative synthesis was used. Findings 10 papers met the inclusion criteria. The narrative analysis focused on barriers, facilitators, and adherence. All studies reported on barriers and facilitators. Barriers included: bio-medical reasons (including mental wellbeing and physical ability); relationship dynamics; and socio-economic reasons and environmental issues. Facilitators included: bio-medical benefits & benefits related to physical ability; staff, group relationship dynamics and social aspect of walking group; environmental issues and individual tailoring; and participants perceptions about the walks & the program. Most studies did not provide data about adherence or attendance; where reported, adherence ranged from 47 to 89%. Conclusions This systematic review of literature has highlighted known barriers and facilitators to adherence to walking groups type of exercise for people living with dementia in community. Carers’ willingness to engage, their circumstances, perspectives and previous experiences of exercise seem to play a key role in facilitating adherence but there is little research that explores these. Also, the design, location and organisation of walking groups facilitate adherence. This reflects the need for such activities to be part of a wider ‘program of care’, tailored to the needs of the individual, flexible and convenient. Knowledgeable and well-trained instructors or healthcare professionals are recommended as group exercise leaders.

Sign in / Sign up

Export Citation Format

Share Document