Physical activity promotion in care homes

Turpie, Lindsay; Whitelaw, Sandy; Topping, Christopher

doi:10.1108/wwop-07-2017-0016

Cited by 5 publications

(8 citation statements)

References 25 publications

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“…Table 2 provides an overview of the included studies. The studies were from different countries: Canada ( n = 3) [ 42 , 43 , 45 , 46 , 51 ], Australia ( n = 3)[ 47 , 49 , 50 ], the Netherlands ( n = 3) [ 57 , 60 , 61 ], the UK ( n = 2) [ 52 , 56 , 58 ], the USA ( n = 3) [ 44 , 53 , 59 ], and Germany ( n = 2) [ 48 , 62 ]. They were published between 2006 and 2020.…”

Section: Resultsmentioning

confidence: 99%

“…They were published between 2006 and 2020. A variety of designs were used within the studies and their sub-studies, including a qualitative design ( n = 5)[ 43 , 49 , 50 , 53 , 59 ], mixed methods ( n = 3) [ 56 , 57 , 61 ], process/scientific evaluation ( n = 3) [ 46 , 48 , 60 ], case study ( n = 2) [ 47 , 58 ], quasi-experimental pilot study ( n = 1) [ 51 ], cluster randomized trial ( n = 2)[ 45 , 62 ], quality improvement project ( n = 1) [ 44 ], cohort study ( n = 1) [ 52 ], and quantitative pre-post-design ( n = 1) [ 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…In total, we identified 32 of the 37 influencing factors of the CFIR (Table 4 )[ 29 ]. The five most frequent influencing factors were available resources ( n = 14)[ 43 , 44 , 46 – 51 , 53 , 56 , 58 – 60 , 62 ], access to knowledge and information ( n = 12)[ 43 , 44 , 46 – 48 , 53 , 56 , 58 – 62 ], patient needs and resources ( n = 10)[ 43 , 47 – 50 , 52 , 53 , 56 , 58 , 59 , 62 ], knowledge and beliefs about the intervention ( n = 10)[ 43 , 44 , 46 , 48 , 49 , 53 , 56 – 58 , 62 ] and compatibility ( n = 9)[ 43 , 48 – 50 , 53 , 58 – 60 , 62 ].…”

Section: Resultsmentioning

confidence: 99%

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Implementation of interventions to maintain and promote the functional mobility of nursing home residents – a scoping review

Quasdorf,

Manietta,

Rommerskirch-Manietta

et al. 2023

BMC Geriatr

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Background To provide an overview of the available evidence on the implementation of direct and capacity-building interventions to promote and maintain the functional mobility of nursing home residents. Methods We conducted a scoping review following the methodological guidance for the conduct of scoping reviews as described by the Joanna Briggs Institute. We searched for studies in MEDLINE (via PubMed) and CINAHL (via EBSCO). We conducted a qualitative content analysis of the included studies with deductive categories based on the Consolidated Framework for Implementation Research (CFIR). Results Ultimately, we included 8 studies on direct interventions, 6 studies on capacity-building interventions, and 2 studies on both types of interventions in our review. Seven studies provided evidence on implementation strategies comprising discrete as well as multifaceted, multilevel strategies. Most of the studies did not systematically evaluate the strategies but remained at a descriptive level. All 16 studies provided evidence of influencing factors. We identified 32 of the 37 influencing factors of the CFIR. The five most frequent influencing factors were available resources (n = 14), access to knowledge and information (n = 12), patient needs and resources (n = 10), knowledge and beliefs about the intervention (n = 10) and compatibility (n = 9). Conclusions The available evidence on the implementation of functional mobility interventions in nursing homes is rather limited. This emphasizes the need for further research. Regarding implementation strategies, the systematic evaluation and further development of the reported promising approaches might be a starting point.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Implementation of interventions to maintain and promote the functional mobility of nursing home residents – a scoping review

Quasdorf,

Manietta,

Rommerskirch-Manietta

et al. 2023

BMC Geriatr

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“…The prevalence of pain in older people in the community is 25–76% [ 59 , 60 , 61 , 62 ], whereas in residential care, it is assumed to be far greater, at 62–93% of the population [ 63 , 64 , 65 , 66 ]. Pain is a major burden of illness experienced by older people in care homes, but it is unclear whether pain is based on disease processes or resulting from the sedentary lifestyle experienced within these institutions [ 67 ]. Older adults in care homes are prone to physical inactivity and sedentary behaviour [ 68 ], and older adults and the care workforce often collude in promoting inactivity [ 68 ] with, for example, ‘wandering’ activity perceived as unsafe and disruptive [ 69 ].…”

Section: Resultsmentioning

confidence: 99%

Understanding the Needs and Priorities of People Living with Persistent Pain and Long-Term Musculoskeletal Conditions during the COVID-19 Pandemic—A Public Involvement Project

et al. 2022

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Background: Critiques of public involvement (PI) are associated with failing to be inclusive of under-represented groups, and this leads to research that fails to include a diversity of perspectives. Aim: The aim of this PI project was to understand the experiences and priorities of people from three seldom-heard groups whose musculoskeletal pain may have been exacerbated or treatment delayed due to COVID-19. Engaging representatives to report diverse experiences was important, given the goal of developing further research into personalised and integrated care and addressing population health concerns about access and self-management for people with musculoskeletal pain. Methods: The project was approved via Sheffield Hallam University Ethics but was exempt from further HRA approval. A literature review was conducted, followed by informal individual and group discussions involving professionals and people with lived experience of (a) fibromyalgia pain, (b) those waiting for elective surgery and (c) experts associated with the care home sector. Findings from the literature review were combined with the insights from the public involvement. Resulting narratives were developed to highlight the challenges associated with persistent pain and informed the creation of consensus statements on the priorities for service improvement and future research. The consensus statements were shared and refined with input from an expert steering group. Results: The narratives describe pain as a uniformly difficult experience to share with professionals; it is described as exhausting, frustrating and socially limiting. Pain leads to exclusion from routine daily activities and often resigns people to feeling and being unwell. In all cases, there are concerns about accessing and improving services and critical issues associated with optimising physical activity, functional wellbeing and managing polypharmacy. Exercise and/or mobilisation are important and commonly used self-management strategies, but opportunity and advice about safe methods are variable. Services should focus on personalised care, including self-management support and medication management, so that people’s views and needs are heard and validated by health professionals. Conclusions: More research is needed to explore the most effective pain management strategies, and public involvement is important to shape the most relevant research questions. Health and care systems evaluation is also needed to address the scale of the population health need. The pandemic appears to have highlighted pre-existing shortcomings in holistic pain management.

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“…As mentioned, self-care consists of various activities that promote emotional, spiritual and physical health in order to preserve the quality of life and prevent diseases (Rabie and Klopper, 2015). Physical activity and mental health are two significant predictors of the quality of life of elderly people (Demura and Sato, 2003;Turpie et al, 2017); however, ageing often decreases mobility and material condition, thereby, increasing the incidence of mental and physical illnesses which reflects on the quality of life (Hashemlu et al, 2015).…”

Section: Self-care and Healthmentioning

confidence: 99%

Does an impaired capacity for self-care impact the prevalence of social and emotional loneliness among elderly people?

Canjuga

Železnik

Neuberg

et al. 2018

WWOP

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Purpose The purpose of this paper is to explore the impact of self-care on the prevalence of loneliness among elderly people living in retirement homes and older people living in their homes/communities. Design/methodology/approach The research was conducted through standardized SELSA-L assessment loneliness questionnaires and the Self Care Assessment Worksheet for self-care assessment. The results were processed using the Kruskal–Wallis test. Findings The obtained results have shown that impaired self-care ability affects the prevalence of loneliness among the elderly almost the same in both groups of participants. However, regarding the relationship between the state of health and self-care, only a statistically significant difference in the prevalence of loneliness is found in the case of the participants living in their homes, with the worst health condition affecting the poorer psychological care. Research limitations/implications It is necessary to point out the limitations of the research, primarily sample limitations and the selected design of the study. The sample consisted of two different and relatively small groups of participants which could adversely affect the representativeness of the sample and reduce the possibility of generalising the results. The next limiting factor is the age distribution the authors used in the research, where the age of the participants as a very important variable was collected by age range and not precisely which consequently resulted in inequality in subgroup sizes. Thus, the middle age (75–85) covers up to ten years, which is a huge range at an older age and can mean major differences in functional ability, and can impact the self-care assessment. Practical implications Nurses are indispensable in care for the elderly and they need to promote and encourage self-care of the elderly through health care. Elderly people living in retirement homes should be allowed to participate equally in health care in order to preserve their own autonomy and dignity. However, to benefit those who live in their homes, nurses should be connected to the local community and thus stimulate various forms of preventative (testing blood sugar levels, blood pressure and educating on the importance of preventive examinations) or recreational activities in the environment of elderly people with the goal of preserving their functional abilities. Originality/value The impact of self-care on loneliness was not sufficiently researched, and this paper contributed to understanding the complexity of loneliness phenomena among the elderly with the aim of developing a model of prevention.

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Physical activity promotion in care homes

Cited by 5 publications

References 25 publications

Implementation of interventions to maintain and promote the functional mobility of nursing home residents – a scoping review

Implementation of interventions to maintain and promote the functional mobility of nursing home residents – a scoping review

Understanding the Needs and Priorities of People Living with Persistent Pain and Long-Term Musculoskeletal Conditions during the COVID-19 Pandemic—A Public Involvement Project

Does an impaired capacity for self-care impact the prevalence of social and emotional loneliness among elderly people?

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