Facilitators of Attendance and Adherence to Group-Based Physical Activity for Older Adults: A Literature Synthesis

Lacy-Vawdon, Cassandra de; Klein, Ruth; Schwarzman, Joanna; Nolan, Genevieve A.; Silva, Renee de; Menzies, David; Smith, Ben J.

doi:10.1123/japa.2016-0363

Cited by 28 publications

(27 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The intensity of an exercise programme is an important factor for determining the physiological stress and subsequent adaption an individual can experience through training. If the frequency and intensity of the training programme is too high, muscular damage may occur and this can negatively affect adherence to programmes [64]. The Borg Scale is a valid and simple measure of controlling intensity that has been utilised within the studies analysed [16, 26, 27, 29, 30, 34, 36].…”

Section: Discussionmentioning

confidence: 99%

Does aquatic exercise improve commonly reported predisposing risk factors to falls within the elderly? A systematic review

et al. 2019

View full text Add to dashboard Cite

Background According to the World Health Organization, the elderly are at the highest risk of injury or death from a fall. Age-related changes in strength, balance and flexibility are degenerative factors that may increase the risk of falling, and an aquatic training may offer a favourable environment to improve these modifiable risk factors. Methods A systematic review was conducted to assess the potential preventative role of aquatic exercise for reducing the risk of falls in the elderly by improving predisposing risk factors. Electronic databases and reference lists of pertinent articles published between 2005 and 2018 were searched. Randomized controlled trials (RCTs) that directly or indirectly addressed the effect of aquatic exercise for the prevention of falls in healthy participants were included within the synthesis. Studies were included if they were reported between January 2005 and May 2018 within a population aged between 60 and 90 years old that were without exercise-effecting comorbidities. Data related to participant demographics, study design, methodology, interventions and outcomes was extracted by one reviewer. Methodological quality assessment was independently performed by two reviewers using the PEDro (Physiotherapy Evidence Database) scale. Results Fourteen trials met the inclusion criteria. Exercise intervention duration and frequency varied from 2 to 24 weeks, from 2 to 3 times per week, from 40 to 90 min per session. Fall rate was not reported in any of the studies analysed. However, aquatic exercise improved key predisposing physical fitness components that are modifiable and internal risk factors for falling. Conclusions There is limited, low-quality evidence to support the use of aquatic exercise for improving physiological components that are risk factors for falling. Although the evidence is limited, and many interventions are not well described, these results should be considered by health and exercise professionals when making evidence-based, clinical decisions regarding training programmes to reduce the risk of falling.

show abstract

Section: Discussionmentioning

confidence: 99%

Does aquatic exercise improve commonly reported predisposing risk factors to falls within the elderly? A systematic review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In another study, Fennell et al [43] found a significant increases in level of physical activity and muscular endurance when training intervention was supervised by exercise professionals; however, when receiving only recommendations for the practice of physical activity without supervision, the participants returned to baseline scores, losing the acquired effects. Probably these results can be explained by motivational factors [44,45]. In this context, it was demonstrated that high level of satisfaction can be reached in activities that are more pleasant cause highest levels of life satisfaction [46].…”

Section: Discussionmentioning

confidence: 99%

Does Health Professional Counseling Impact the Quality-of-Life Levels of Older Adults Enrolled in Physical Activity Programs?

Lira¹,

Taveira²,

Rufo-Tavares³

et al. 2020

Medicina

View full text Add to dashboard Cite

Background and objectives: There are studies showing that exercise counseled by health professionals can improve physical fitness. However, less is known about the effects of exercise counseling on quality of life. The aim of this study was to investigate health-related quality of life of older adults who received or did not receive physical exercise counseling by sport and exercise professionals or physicians. Materials and Methods: This was a cross-sectional study that investigated quality of life of older adults who did or did not receive exercise counseling from health professionals. Older adults who were physically active took part in this study: 45 participants performed exercise advised by sport and exercise professionals (SEPCG), 19 participants performed exercise advised by physicians (PCG), and 26 participants performed exercise without counseling (NCG). Participants answered the SF-36 to estimate quality of life. Results: Analysis revealed that responses on all SF-36 subscales were higher in those participants who received counseling by sport and exercise professionals (Functioning capacity, β = −26.283, p < 0.001 and β = −26.482, p < 0.001, Role limitations due to physical problems, β = −43.372, p < 0.001 and β = −45.177, p < 0.001, Pain, β = −17.634, p < 0.001 and β = −16.015, p < 0.001, General health perceptions, β = −38.008, p < 0.001 and β = −32.529, p < 0.001, Vitality, β = −18.573, p < 0.001 and β = −16.406, p = 0.001, Social functioning, β = −37.963, p < 0.001 and β = −29.224, p < 0.001, Role limitations due to emotional problems, β = −52.246, p < 0.001 and β = −40.173, p < 0.001, Mental health, β = −17.381, p < 0.001 and β = −12.121, p < 0.001, PCG and NCG respectively). Conclusions: The results showed that those older adults who were counseled by sport and exercise professionals presented better quality of life, possibly because these professionals counseled exercise based on current guidelines for exercise prescription.

show abstract

“…Firstly, the first telephone calls were mainly used to form the relationship between the counsellor and the participant and rarely for actual MI-content. Secondly, the participants included in this trial were mainly well-educated, active and resourceful older adults with high levels of health literacy, which might affect the generalizability to the background population of older adults, as previous research has shown that exercise and physical activity adherence are associated with resources such as social support and the ability to understand the benefits of physical activity [ 74 – 76 ].…”

Section: Discussionmentioning

confidence: 99%

The MIPAM trial – motivational interviewing and physical activity monitoring to enhance the daily level of physical activity among older adults – a randomized controlled trial

Larsen

Korfitsen

Keller

et al. 2021

Eur Rev Aging Phys Act

View full text Add to dashboard Cite

Background One in four older adults in Denmark and almost half of the very old above 75 do not meet the World Health Organization’s recommendations for a minimum of physical activity (PA). A cost-efficient and effective way to increase focus on and motivation for daily walking might be to use Physical Activity Monitors (PAMs) in combination with behavioural change intervention. Thus, the objective of this randomized controlled study was to investigate the effect of Motivational Interviewing (MI) as an add-on intervention to a PAM-based intervention measured in community-dwelling older adults. Methods This two-arm parallel group randomized controlled effectiveness trial compared a 12-weeks PAM-based intervention with additional MI (PAM+MI group) with a PAM-based intervention alone (PAM group). The primary outcome, average daily step count, was analysed with a linear regression model, adjusted for sex and baseline daily step count. Following the intention-to-treat principle, multiple imputation based on baseline step count, sex and age was performed. Results In total, 38 participants were randomized to the PAM intervention and 32 to the PAM+MI intervention arm. During the intervention period, PAM+MI participants walked on average 909 more steps per day than PAM participants, however insignificant (95%CI: − 71; 1889) and reported 2.3 points less on the UCLA Loneliness Scale (95%CI: − 4.5; − 1.24). Conclusion The use of MI, in addition to a PAM-based intervention among older adults in PA promoting interventions hold a potential clinically relevant effect on physical activity and should thus be investigated further with adequately powered RCTs. Trial registration This study was pre-registered in the clinicaltrials.gov database with identifier: NCT03906162.

show abstract

Facilitators of Attendance and Adherence to Group-Based Physical Activity for Older Adults: A Literature Synthesis

Cited by 28 publications

References 43 publications

Does aquatic exercise improve commonly reported predisposing risk factors to falls within the elderly? A systematic review

Does aquatic exercise improve commonly reported predisposing risk factors to falls within the elderly? A systematic review

Does Health Professional Counseling Impact the Quality-of-Life Levels of Older Adults Enrolled in Physical Activity Programs?

The MIPAM trial – motivational interviewing and physical activity monitoring to enhance the daily level of physical activity among older adults – a randomized controlled trial

Contact Info

Product

Resources

About