Facilitators and barriers to the implementation of dietary nutrition interventions for community-dwelling older adults with physical frailty and sarcopenia: A qualitative meta-synthesis

Chen, Lijuan; Huang, Huanhuan; Jiang, Siqi; Yao, Haiyan; Xu, Li; Huang, Qi; Xiao, Mingzhao; Zhao, Qinghua

doi:10.1016/j.ijnss.2023.12.007

Cited by 2 publications

(1 citation statement)

References 72 publications

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“…The TDF has also been used in the context of frailty [ 12 ]. A recent qualitative meta-synthesis of ten nutrition interventions (including six that were nutrition–exercise) for older adults with physical frailty found that themes emerged at the individual level (knowledge, behaviour, physical changes), external-environment level (social support, physical and human environment, socioeconomic), and intervention-related level (intervention protocol, implementation personnel, and products) [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Barriers and Enablers to a Hospital-to-Home, Combined Exercise and Nutrition, Self-Managed Program for Pre-Frail and Frail Hospitalised Older Adults

Han,

Middleton,

Doh

et al. 2024

Healthcare

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Introduction: Self-managed exercise and nutrition interventions can alleviate pre-frailty and frailty but understanding of adherence to them is lacking. This study aimed to explore the experiences of, and barriers and enablers to, a hospital-to-home self-managed combined exercise and nutrition program for hospitalised older adults living with pre-frailty and frailty. Methods: A hybrid approach to data- and theory-driven descriptive thematic analysis identified experiences, barriers, and enablers to participation in a 3-month, self-managed, exercise–nutrition, hospital-to-home frailty-support program. Pre-frail and frail older adult patients ≥ 65 years admitted to the acute medical unit at a South Australian tertiary hospital were recruited. Individual semi-structured interviews were audio-recorded, transcribed verbatim, and analysed descriptively, using the Theoretical Domains Framework. Results: The nutrition component of the program found 11 common barriers and 18 common enablers. The exercise component included 14 barriers and 24 enablers. Intentions, Social influences, Environmental context/resource and Emotions served as primary barriers towards adherence to both components. Common enablers for both components included Knowledge, Social identity, Environmental context/resource, Social influences, and Emotions. Conclusions: this research revealed important factors affecting adherence to a self-managed exercise–nutrition program in pre-frail and frail older adults within the environment, resources, and emotion domains that should be considered when designing other intervention programs in this population group.

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Section: Introductionmentioning

confidence: 99%

Barriers and Enablers to a Hospital-to-Home, Combined Exercise and Nutrition, Self-Managed Program for Pre-Frail and Frail Hospitalised Older Adults

Han,

Middleton,

Doh

et al. 2024

Healthcare

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Exploration of the Fertility Decision‐Making Experiences of Women of Reproductive Age With Cancer: A Qualitative Systematic Review

Zhang,

Deng

et al. 2024

Research in Nursing & Health

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Women of reproductive age with cancer face unique considerations in terms of fertility. The related decision‐making process is complicated, and insufficient support can lead to decisional conflict. The aim of this qualitative systematic review was to identify and integrate qualitative evidence regarding the fertility decision‐making process of women of reproductive age undergoing treatment for cancer. A qualitative systematic review was conducted following the Joanna Briggs Institute's methodology. Eight electronic databases were searched from inception to June 2023 for articles describing qualitative studies of the fertility decision‐making process of women of reproductive age with cancer. Only original, full‐text literature was examined, no limitation was placed on the publication language. Finally, 18 studies were included in a thematic analysis. We identified three analytical themes, namely “Perceived changes in fertility,” “Influential participants in the decision‐making process” and “Hard fertility decision‐making processes of women,” and nine descriptive themes that described the three analytical themes in detail. The results of qualitative synthesis emphasized that for women of reproductive age with cancer, fertility decision‐making is a complex and dynamic process. These patients had experienced decisional conflict. Decision support from health care professionals was considered to be essential, and the use of patient decision aids in clinical settings was recommended. The synthesis results clarify women's fertility decision‐making process, decision needs and the influencing factors, which offer evidence to guide the development of applicable patient decision aid tools to provide high‐quality fertility services to women.Trial RegistrationPROSPERO Registration Number: CRD42023434490.

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Facilitators and barriers to the implementation of dietary nutrition interventions for community-dwelling older adults with physical frailty and sarcopenia: A qualitative meta-synthesis

Cited by 2 publications

References 72 publications

Barriers and Enablers to a Hospital-to-Home, Combined Exercise and Nutrition, Self-Managed Program for Pre-Frail and Frail Hospitalised Older Adults

Barriers and Enablers to a Hospital-to-Home, Combined Exercise and Nutrition, Self-Managed Program for Pre-Frail and Frail Hospitalised Older Adults

Exploration of the Fertility Decision‐Making Experiences of Women of Reproductive Age With Cancer: A Qualitative Systematic Review

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