Location monitoring of physical activity and participation in community dwelling older people: a scoping review

Gough, Claire; Weber, Heather; George, Stacey; Maeder, Anthony; Lewis, Lucy

doi:10.1080/09638288.2019.1618928

Cited by 14 publications

(7 citation statements)

References 56 publications

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“…Findings from 12 countries suggest that living in a low-income/high-deprivation area and a lack of safety within the community can serve as significant barriers to physical activity among older adults (56). Within high-income countries, older adults of middle and higher socioeconomic status have higher levels of physical activity participation (93), whereas among low-income countries, those in lower-income categories are more likely to be physically active (52).…”

Section: Variations In Active Aging Between and Within Societiesmentioning

confidence: 99%

Active Aging and Public Health: Evidence, Implications, and Opportunities

Dogra

Dunstan

Sugiyama

et al. 2022

Annu. Rev. Public Health

106

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By 2050, 20% of the world's population will be over the age of 65 years, with projections that 80% of older adults will be living in low- to middle-income countries. Physical inactivity and sedentary time are particularly high in older adults, presenting unique public health challenges. In this article, we first review evidence that points to multiple beneficial outcomes of active aging, including better physical function, cognitive function, mental health, social health, and sleep and suggest the need to shift the research focus from chronic disease outcomes to more relevant outcomes that affect independence and quality of life. Second, we review the critical role of age-friendly environments in facilitating active aging equitably across different countries and cultures. Finally, we consider emerging opportunities related to social engagement and technology-enabled mobility that can facilitate active aging. In all these contexts, it is a priority to understand and address diversity within the global aging population. Expected final online publication date for the Annual Review of Public Health, Volume 43 is April 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

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Section: Variations In Active Aging Between and Within Societiesmentioning

confidence: 99%

Active Aging and Public Health: Evidence, Implications, and Opportunities

Dogra

Dunstan

Sugiyama

et al. 2022

Annu. Rev. Public Health

106

View full text Add to dashboard Cite

show abstract

“…Despite a standardized process of information provision, regular reminders, the participants had difficulty keeping the devices charged and consistently carrying them when they left the house for their activity over the 7-day data collection period. The QSTARZ BT-Q1000XT is considered the gold standard for research with accuracy within one meter (28), and we have previously utilized to effectively collect full data sets for people following amputations (n = 47) (30) and community dwelling older people (n = 46) (29) to measure community mobility. Figure 2 shows how the data is recorded and can be presented to show community participation journeys.…”

Section: Discussionmentioning

confidence: 99%

“…When considering targeting intervention at community participation, the use of outcome measurements to evaluate effectiveness needs to be considered. A recent scoping review recommends a mixed method approach including Global Positioning Systems (GPS) for quantitative data (distance and location), and qualitative data including self-reported participation diaries to provide insight into where and why individuals chose to complete certain community activities (28). GPS has been used effectively in older community dwelling adults (29) and people with lower limb amputations (30) to measure community participation in observational cross-sectional studies.…”

Section: Introductionmentioning

confidence: 99%

Effects of the CarFreeMe Traumatic Injuries, a Community Mobility Group Intervention, to Increase Community Participation for People With Traumatic Injuries: A Randomized Controlled Trial With Crossover

et al. 2022

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IntroductionAfter traumatic injuries community participation is a common goal, promoting wellbeing and independence. Community mobility and transportation influence an individual's independence in community participation. With the ability to drive safely often compromised after traumatic injuries, the adverse consequences of driving cessation include a loss of identity and reduced participation in chosen activities. In rehabilitation, individualized community mobility intervention is not routinely provided. The primary aim of this trial was to evaluate whether a group-based intervention, the CarFreeMe TI program was more effective than standard intervention, an information sheet of alternative transport, in improving community mobility for people following traumatic injuries. The secondary aim of this study was to evaluate the effect: types of transport used, transport satisfaction, community mobility self-efficacy, quality of life, goal satisfaction and performance, for people following traumatic injuries; and to undertake a preliminary assessment of the potential resource use associated with the intervention, and lessons for implementation.DesignProspective, pilot, randomized, blind observer, controlled trial with crossover.ParticipantsTwenty individuals with traumatic injuries.InterventionSix-week group-based support and education program, the CarFreeMe TI delivered in community settings (intervention) and standard information related to transport options available (control).Primary Outcome MeasuresCommunity participation using a Global Positioning System device to record the location and number of outings from home.Secondary Outcome MeasuresCarFreeMe TI Transport Questionnaire, Community Mobility Self-efficacy Scale, quality of life measures, Modified Canadian Occupational Performance Measure for goals (importance and satisfaction), participant satisfaction survey results and researcher logs.ResultsThose who received the intervention were more likely to use public transport and transport services and had an improved quality of life, when compared to the control group. The intervention group also reported high levels of improvement in goal performance and satisfaction. Global Positioning System data collection was incomplete, with geolocation data unusable. There was no significant change in number/type of visits away from home.ConclusionsA group-based community mobility education program promoted modes of active independent transport but did not impact on outings from home. Future research could include passive collection methods using a smartphone to record community participation.Clinical Trial Registrationhttps://www.anzctr.org.au/, identifier: ACTRN12616001254482.

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“…Discontinuous data recording can affect comprehensive analysis. The current technical challenges to using accelerometry and GPS for assessment of enacted mobility have been detailed in recent reviews [12,13,75]. Even so, the objective information about variability in mobility that these wearable technologies can provide have numerous applications.…”

Section: Sensor Technology For Measurement Of Enacted Mobilitymentioning

confidence: 99%

“…Existing systematic reviews in the literature are focused on methodological issues, such as sensor properties, device placement, and sedentary and physical activity level cut-offs for older adults [10][11][12]. Additionally, studies utilizing GPS to monitor location of activity and participation in older adults (above 50 years) have been reviewed [13]. However, no existing reviews have assessed the factors associated with accelerometry and GPS-based measures of mobility in natural environments.…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers to real-life mobility in community-dwelling older adults: a narrative review of accelerometry- and global positioning system-based studies

et al. 2022

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Real-life mobility, also called "enacted" mobility, characterizes an individual's activity and participation in the community. Real-life mobility may be facilitated or hindered by a variety of factors, such as physical abilities, cognitive function, psychosocial aspects, and external environment characteristics. Advances in technology have allowed for objective quantification of real-life mobility using wearable sensors, specifically, accelerometry and global positioning systems (GPSs). In this review article, first, we summarize the common mobility measures extracted from accelerometry and GPS. Second, we summarize studies assessing the associations of facilitators and barriers influencing mobility of community-dwelling older adults with mobility measures from sensor technology. We found the most used accelerometry measures focus on the duration and intensity of activity in daily life. Gait quality measures, e.g., cadence, variability, and symmetry, are not usually included. GPS has been used to investigate mobility behavior, such as spatial and temporal measures of path traveled, location nodes traversed, and mode of transportation. Factors of note that facilitate/hinder community mobility were cognition and psychosocial influences. Fewer studies have included the influence of external environments, such as sidewalk quality, and socio-economic status in defining enacted mobility. Increasing our understanding of the facilitators and barriers to enacted mobility can inform wearable technology-enabled interventions targeted at delaying mobility-related disability and improving participation of older adults in the community.

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Location monitoring of physical activity and participation in community dwelling older people: a scoping review

Cited by 14 publications

References 56 publications

Active Aging and Public Health: Evidence, Implications, and Opportunities

Active Aging and Public Health: Evidence, Implications, and Opportunities

Effects of the CarFreeMe Traumatic Injuries, a Community Mobility Group Intervention, to Increase Community Participation for People With Traumatic Injuries: A Randomized Controlled Trial With Crossover

Facilitators and barriers to real-life mobility in community-dwelling older adults: a narrative review of accelerometry- and global positioning system-based studies

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