Which Behavior Change Techniques Are Effective in Promoting Physical Activity Among Older People With Dementia? A Call for Research Into Three Underexplored Avenues

Nyman, Samuel R.

doi:10.1123/japa.2018-0301

Cited by 5 publications

(3 citation statements)

References 40 publications

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“…This reflects two types of social support, instrumental support and companionship support, respectively (Wills & Shinar, 2000).The significance of the carer in motivating and supporting physical activity in people with dementia is a theme raised previously (Hobson, 2017;van Alphen, Hortobágyi, et al, 2016). Social support features in Michie et al's taxonomy of behavioural change techniques in general (Michie et al, 2013), and carers have an important place in behaviour change techniques to increase physical activity in people with dementia specifically (Nyman, 2019). This 'partnership with carers' has been identified as an area for future research (Nyman, 2019).…”

Section: Including Their Lifestyle Behavioursmentioning

confidence: 99%

“…Social support features in Michie et al's taxonomy of behavioural change techniques in general (Michie et al, 2013), and carers have an important place in behaviour change techniques to increase physical activity in people with dementia specifically (Nyman, 2019). This 'partnership with carers' has been identified as an area for future research (Nyman, 2019). It is possible that additional strategies could be adopted, utilising Michie et al's taxonomy, such as using prompts and cues (Michie et al, 2013).…”

Section: Including Their Lifestyle Behavioursmentioning

confidence: 99%

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Barriers, motivators and facilitators of physical activity in people with dementia and their family carers in England: dyadic interviews

Farina

Williams

Clarke

et al. 2020

Aging & Mental Health

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Introduction: Physical activity may have a number of physical and mental health benefits for people with dementia and their carers. However, there is limited evidence about factors that influence physical activity participation in these groups. This study therefore looks at the barriers, facilitators and motivators of physical activity in people with dementia, from both the perspective of the person with dementia and their carer. Method: Thirty participants (15 sets of community-dwelling people with dementia and their family carers) were recruited from the South East of England. The participants took part in semi-structured dyadic interviews about their views of physical activity. Interviews were analysed using inductive thematic analysis at an individual level and comparisons were made between the groups. Results: Common motivator themes across persons with dementia and family carers were emotional and physical wellbeing, and social connectedness. Physical health was seen as a common barrier in both groups. Physical activity in the person with dementia was encouraged and supported by the family carer. For the carer, their caring role, and limited time acted as barriers to their participation. Conclusion: Themes such as social connectedness, positive emotion and health were seen as key motivators to physical activity, which indicate that people with dementia and carers use physical activity as a means to maintain and improve their quality of life. Supporting family members to better facilitate such activities could encourage physical activity in people with dementia.

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Section: Including Their Lifestyle Behavioursmentioning

confidence: 99%

Section: Including Their Lifestyle Behavioursmentioning

confidence: 99%

Barriers, motivators and facilitators of physical activity in people with dementia and their family carers in England: dyadic interviews

Farina

Williams

Clarke

et al. 2020

Aging & Mental Health

View full text Add to dashboard Cite

show abstract

“…We mapped barriers to physical activity to potential behaviour change interventions. Similar to others’ recent conclusions, we considered behaviour change strategies reliant on memory or other cognitive abilities (e.g., education) unlikely to be effective (Nyman, 2019). Where we have limited ability to control the cognitive, physical, and sensory symptoms of dementia, strategies leveraging the support of others are more likely to be effective (Nyman et al, 2018).…”

Section: Discussion and Reflections On The Par Processmentioning

confidence: 98%

The dementia-inclusive choices in exercise project: Using participatory action research to improve physical activity supports for persons with dementia

Middleton,

Pelletier,

Koch

et al. 2023

Dementia

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Persons with dementia have the right to equal inclusion in rehabilitation, including physical activity. However, the perspectives of persons with dementia are rarely integrated into decision-making related to physical activity programming, services, and supports. Here, we describe the participatory action research (PAR) approach used to develop the Dementia-Inclusive Choices for Exercise (DICE) toolkit, which aims to increase the quality and number of physical activity opportunities available to persons with dementia. The DICE Research Team included persons with dementia, a family care partner, exercise professionals, community and dementia service providers, health care professionals, and researchers who worked to: 1) Engage/maintain the Research Team; 2) Set/navigate ways of engagement; 3) Understand barriers to physical activity; 4) Prioritize the audience and actions; 5) Develop the toolkit; 6) Conduct usability testing; and 7) Implement and evaluate. Guided by the Behaviour Change Wheel, and informed by interviews, focus groups, and existing research, our PAR Team chose to prioritize training exercise providers; exercise providers can enable exercise for persons with dementia if they understand common changes with dementia and how to support persons with dementia in exercise. The content and format of the toolkit was co-developed: drafted by our Research Team, adapted through a stakeholder workshop, and refined through iterative development and usability testing. The product of our PAR process, the DICE toolkit, includes videos meant to destigmatize dementia, training modules and a training manual for exercise providers, a physical activity handout for persons with dementia, and wallet cards to help persons with dementia communicate their abilities, needs, and preferences. Our usability study indicated that the toolkit could be used by exercise providers and may improve attitudes about dementia. Our vision is that our co-developed DICE toolkit will empower exercise providers to improve physical activity opportunities and support for persons with dementia.

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Analysis of behavioral change techniques used in exercise and nutritional interventions targeting adults around retirement age with sarcopenic obesity in a systematic review

Collazo-Castiñeira,

Sánchez-Izquierdo,

Reiter

et al. 2024

Archives of Gerontology and Geriatrics

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Which Behavior Change Techniques Are Effective in Promoting Physical Activity Among Older People With Dementia? A Call for Research Into Three Underexplored Avenues

Abstract: People with dementia represent a growing proportion of the older adult population. Estimates suggest that 46.8 million people worldwide had dementia in 2015, and this figure will rise to 131.5

Cited by 5 publications

References 40 publications

Barriers, motivators and facilitators of physical activity in people with dementia and their family carers in England: dyadic interviews

Barriers, motivators and facilitators of physical activity in people with dementia and their family carers in England: dyadic interviews

The dementia-inclusive choices in exercise project: Using participatory action research to improve physical activity supports for persons with dementia

Analysis of behavioral change techniques used in exercise and nutritional interventions targeting adults around retirement age with sarcopenic obesity in a systematic review

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