The Feasibility of Adopting an Evidence-Informed Tailored Exercise Program within Adult Day Services: The Enhance Mobility Program

King, Diane K.; Faulkner, Sherilyn A.; Hanson, Bridget L.

doi:10.1080/01924788.2017.1391030

Cited by 2 publications

(14 citation statements)

References 33 publications

(35 reference statements)

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“… The use of walking within a wider set of activities to support people with dementia [ 36 , 42 , 44 ]. The program design, from the staff perspective, to support people with dementia [ 35 , 37 ]. …”

Section: Resultsmentioning

confidence: 99%

“…The flexible planning of the activities and the need to know the participants were also considered relevant to ensure adherence [ 42 , 44 ] as well as the time and human resource to encourage participants to take part [ 37 ]. The inflexibility of the programs and participants not being appropriately supported could be important barriers for participation.…”

Section: Resultsmentioning

confidence: 99%

“…The inflexibility of the programs and participants not being appropriately supported could be important barriers for participation. King et al [ 37 ] also pointed out the need to accept that participants may express a temporary or volatile disinterest in the activity, or they may just need a tailored approach.…”

Section: Resultsmentioning

confidence: 99%

“…Further to that, Bantry White and Montgomery [ 35 ] added factors such as fear of getting lost that represent a barrier to taking up walking as a regular activity. King et al [ 37 ] mentioned relocation of walks as a potential barrier, as the stability of the walking environment is important.…”

Section: Resultsmentioning

confidence: 99%

“… ? + + + + + Van Alphen et al, 2016 [ 34 ] + + + + + + + + + + + + + + King et al, 2017 [ 37 ] + + + + + + + + + + + + + + + yes/good; no/not good;? not sure/dubious + yes/good; no/not good; ?…”

Section: Methodsmentioning

confidence: 99%

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

Všetečková

Daďová

Gracia

et al. 2020

Eur Rev Aging Phys Act

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

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

Všetečková

Daďová

Gracia

et al. 2020

Eur Rev Aging Phys Act

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Factors that influence the implementation of innovation in aged care: a scoping review

Windle,

Marshall,

de la Perrelle

et al. 2023

JBI Evidence Implementation

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Objective: The objective of this scoping review is to identify factors that influence the implementation of innovation in aged care. Introduction: Aged care is a dynamic sector experiencing rapid change. Implementation of innovations in aged care has received relatively little research attention compared to health care. Inclusion criteria: This review included studies of any design, that examined the implementation of innovations in aged care settings. Methods: Searches were conducted in MEDLINE, CINAHL, AgeLine, and ProQuest Social Sciences Premium Collection for studies published between January 1, 2012 and December 31, 2022. The titles and abstracts of retrieved citations were screened by two independent reviewers. Full-text articles were screened by one reviewer to determine inclusion. Data were extracted in NVivo using a tool developed by the research team. Factors that influenced implementation were inductively coded, interpreted, and grouped into categories in a series of workshops. Results: Of the 2530 studies that were screened, 193 were included. Of the included papers, the majority (74%) related to residential aged care, 28% used an implementation theory or framework, and 15% involved consumers. Five key categories of factors influencing implementation were identified: organizational context including resourcing and culture; people's attitudes and capabilities; relationships between people; the intervention and its appropriateness; and implementation actions such as stakeholder engagement and implementation strategies. Conclusions: Our findings can be used to develop practical resources to support implementation efforts, and highlight the importance of resourcing for successful implementation. Attention to community-based aged care, and greater engagement with theory and community is needed to promote research rigor, relevance and applicability.

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The Feasibility of Adopting an Evidence-Informed Tailored Exercise Program within Adult Day Services: The Enhance Mobility Program

Cited by 2 publications

References 33 publications

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

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

Factors that influence the implementation of innovation in aged care: a scoping review

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