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

J. Vseteckova, M. Deepak-Gopinath, E. Borgstrom, C. Holland, J. Draper, Y. Pappas, E. McKeown, K. Dadova, S. Gray,

. 2018 ; 15 (-) : 11. [pub] 20181109

Language English Country Germany

Document type Journal Article, Review

Persistent link   https://www.medvik.cz/link/bmc19001530

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.

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$a Borgstrom, Erica $u 1School of Wellbeing and Social Care, Faculty of Wellbeing, Education and Language Studies, The Open University, Walton Hall, Milton Keynes, MK7 6AA UK.
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$a Holland, Caroline $u 1School of Wellbeing and Social Care, Faculty of Wellbeing, Education and Language Studies, The Open University, Walton Hall, Milton Keynes, MK7 6AA UK.
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$a Draper, Jan $u 1School of Wellbeing and Social Care, Faculty of Wellbeing, Education and Language Studies, The Open University, Walton Hall, Milton Keynes, MK7 6AA UK.
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$a Pappas, Yannis $u 2Institute for Health Research, University of Bedfordshire, Luton, UK.
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$a McKeown, Eamonn $u 3Health Services Research & Management Division in the School of Health Sciences at City, University of London, London, UK.
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$a Dadova, Klara $u 4Department of Adapted Physical Activity and Sports Medicine, Faculty of Physical education and Sport, Charles University, Prague, Czech Republic.
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