Levels of physical activity and sleep patterns among older people with dementia living in long-term care facilities: A 24-h snapshot

Moyle, Wendy; Jones, Cindy; Murfield, Jenny; Draper, Brian; Beattie, Elizabeth; Shum, David; Thalib, Lukman; O’Dwyer, Siobhan; Mervin, Cindy

doi:10.1016/j.maturitas.2017.05.015

Cited by 30 publications

(26 citation statements)

References 31 publications

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“…Despite evidence suggesting that use of these devices in dementia are acceptable (Erickson, Barr, Weinstein, & Banducci, 2013), others have raised concerns about poor adherence (Hauer et al, 2011). One study notably reported that 53.7% of people with severe dementia did not meet the valid wear-time for their study (Moyle et al, 2017). Further research is needed to better understand factors that may influence better adherence and compliance in people with dementia.…”

Section: Discussionmentioning

confidence: 99%

Use of Physical Activity Questionnaires in People With Dementia: A Scoping Review

Farina¹,

Hughes²,

Watts³

et al. 2019

Journal of Aging and Physical Activity

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Physical activity questionnaires are an important means to assess habitual physical activity. It remains unclear what questionnaires are used and whether they are appropriate for people with dementia who have impaired information recall but are also often largely sedentary. This scoping review aimed to identify and quantify the use of physical activity questionnaires within a dementia population. Eighteen studies met the inclusion criteria for this review. The majority of studies used questionnaires that were validated for use within an older adult population (e.g., Modified Baecke Questionnaire for the Elderly), though none had specifically been validated for use in people with dementia. Interestingly, just over half of studies (N= 10, 55.6%) adapted the questionnaires from the original validated version by allowing a proxy to provide input into the responses. Future research needs to robustly validate the use of proxy-report measures of physical activity in people with dementia.

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Section: Discussionmentioning

confidence: 99%

Use of Physical Activity Questionnaires in People With Dementia: A Scoping Review

Farina¹,

Hughes²,

Watts³

et al. 2019

Journal of Aging and Physical Activity

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“…Certainly, cognitive impairment amongst older adults is associated with a higher likelihood of nonconsent to wearing activity monitors . Others have noted that people with dementia may have issues with compliance (ie, nonwear time), with one such study reporting compliance being as low as 46.3% in a 24‐hour period in people with severe dementia . Reasons for noncompliance are not always clearly reported, although they may include repeatedly removing devices and refusing to wear devices at night …”

Section: Introductionmentioning

confidence: 99%

Acceptability and feasibility of wearing activity monitors in community‐dwelling older adults with dementia

Farina

Sherlock

Thomas

et al. 2019

Int J Geriat Psychiatry

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Objectives Measuring physical activity is complicated particularly in people with dementia, where activity levels are low and subjective measures are susceptible to inaccurate recall. Activity monitors are increasingly being used within research; however, it is unclear how people with dementia view wearing such devices and what aspects of the device effect wear time. The aim of the study was to evaluate the acceptability and feasibility of people with dementia wearing activity monitors. Methods Twenty‐six, community‐dwelling, people with mild dementia were asked to wear an activity monitor (GENEactiv Original) over a 1‐month period. Perceptions of the device were measured using the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) 2.0, alongside qualitative interviews. Device diary and activity monitor data were used to assess compliance. Results Participants tended to find wearing the activity monitors acceptable, with only three participants (12%) withdrawing prior to the study end date. Participants were generally satisfied with wearing the devices as measured by the QUEST (Mdn = 4.4, IQR = 1.1). Four themes were identified that influenced perceptions of wearing the device: external influences, design, routine, and perceived benefits. Discussion Asking people with dementia to wear a wrist‐worn activity monitor for prolonged periods appears to be both feasible and acceptable. Researchers need to consider the needs and preferences of the sample population prior to selecting activity monitors.

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“…Frailty and dementia are frequent and debilitating comorbidities experienced by adults who live in residential aged care (De Souto Barreto et al., 2016; Livingston et al., 2017). Residents typically engage in reduced levels of exercise and physical activity (De Souto Barreto et al., 2016) and spend long periods of time in sitting (Van Alphen, Hortobaggyi, & van Heuvelen, 2016) or lying down (Moyle et al., 2017). Often there are few incentives to walk or exercise (Van Alphen et al., 2016).…”

Section: Introductionmentioning

confidence: 99%

Therapeutic Dancing for Frail Older People in Residential Aged Care: A Thematic Analysis of Barriers and Facilitators to Implementation

Gomaa

Slade

Tamplin

et al. 2019

Int J Aging Hum Dev

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Background Adults who live in residential aged care can have reduced participation in physical activities and sit for prolonged periods. Therapeutic dancing aims to optimize movement, creative expression, well-being, and social interaction. Objectives To investigate the benefits, challenges, and facilitators to implementing therapeutic dancing in residential aged care. Methods Thematic analysis of semistructured interviews of residential aged care staff and therapists. Interviews were digitally audio-recorded and thematically analyzed. Findings: Four main themes were identified: (a) despite frailty, dancing classes afforded motor and nonmotor benefits, (b) music and dance genre selections were key to success, (c) the skills of the dance instructor were associated with successful outcomes, and (d) there were modifiable and nonmodifiable facilitators and barriers to implementation. Conclusion Enablers included support from management, resident supervision, age-appropriate music with a strong rhythmical beat, and a dance instructor skilled in comprehensive care. Barriers included multimorbidity, frailty, severe cognitive impairment, and funding.

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Levels of physical activity and sleep patterns among older people with dementia living in long-term care facilities: A 24-h snapshot

Abstract: Levels of physical activity and sleep patterns among older people with dementia living in long-term care facilities: A 24-hour snapshot.Maturitas http://dx

Cited by 30 publications

References 31 publications

Use of Physical Activity Questionnaires in People With Dementia: A Scoping Review

Use of Physical Activity Questionnaires in People With Dementia: A Scoping Review

Acceptability and feasibility of wearing activity monitors in community‐dwelling older adults with dementia

Therapeutic Dancing for Frail Older People in Residential Aged Care: A Thematic Analysis of Barriers and Facilitators to Implementation

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