The effectiveness of e-interventions on fall, neuromuscular functions and quality of life in community-dwelling older adults: A systematic review and meta-analysis

Chan, Janice Kuang Yeung; Klainin‐Yobas, Piyanee; Chi, Yuchen; Gan, Javeil Ke En; Chow, Gigi; Wu, Vivien Xi

doi:10.1016/j.ijnurstu.2020.103784

Cited by 40 publications

(40 citation statements)

References 67 publications

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“…29 In line with evidence on fall prevention and functional health, the very nature of online delivery of MMYM enabled participants to safely execute light exercises in small indoor spaces. 33 …”

Section: Discussionmentioning

confidence: 99%

Make Movement Your Mission: Evaluation of an online digital health initiative to increase physical activity in older people during the COVID-19 pandemic

et al. 2022

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Objective To formatively evaluate the Make Movement Your Mission (MMYM) digital health initiative to promote physical activity (PA) levels and help avert the negative consequences of sedentary behaviours in older adults during the SARS-CoV2 pandemic. Methods Mixed-method study to explore activity levels, changes in physical function and Activities of Daily Living (ADLs), quality-of-life, social engagement, technology use, and accessibility. Survey data were analysed descriptively. Qualitative interviews were analysed using framework analysis. Results Forty-one respondents completed the survey (Mean age 68.4 (8.9) years; 34 Female), 68% aged ≥ 65 years. Average attendance was 14.3 sessions per week (3.5 h). 73% had been with MMYM for >1 year, 90% reported they were engaging in more movement on a typical day, and 75% reported improvement in ability to perform moderate PA. Since starting MMYM, participation in activities targeting strength, balance and flexibility increased (by 48%, 73% and 75%, respectively). 83% met strength and 90% balance PA guidelines for health (≥ 2x per week). Between 18% and 53% of respondents reported improvements in ADLs, 53% reported better quality-of-life, and 28% increased use of the internet. Eight participants were interviewed (Mean age 70.7 (6.7) years; 7 Female). Activity levels were promoted by having direct support from the instructor through Facebook messages pre and post live sessions, having group expectation about quality and level of engagement, having a sense of control and encouragement from others, MMYMs regularity, choice around level of engagement and accessibility. Noticing short-term outcomes in balance and posture helped boost confidence and continued participation. Conclusion Clinical trials need to robustly assess its effectiveness and acceptability.

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Section: Discussionmentioning

confidence: 99%

Make Movement Your Mission: Evaluation of an online digital health initiative to increase physical activity in older people during the COVID-19 pandemic

et al. 2022

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“…The emergence of home‐based online exercises has become useful as activities can be executed in small indoor spaces to promote better functional health and strengths of lower limbs, prevention of fall, and decrease stress and anxiety in older adults (Chan et al, 2021; Chua et al, 2019; Goethals et al, 2020). It is important to maintain these older adults’ physical activity because sedentary behaviours during the quarantine could lead to the potential deterioration of chronic health conditions (Cunningham & O’Sullivan, 2020).…”

Section: Discussionmentioning

confidence: 99%

Psychological impacts and online interventions of social isolation amongst older adults during COVID‐19 pandemic: A scoping review

Rodrigues

Han

et al. 2021

Journal of Advanced Nursing

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Aim To summarise the psychological impacts of social isolation amongst older adults during COVID‐19 and review the benefits and limitations of online interventions used to combat social isolation. Design A scoping review was performed. Data Sources A systematic search was performed from October 2020 to January 2021 in seven electronic databases: China National Knowledge Infrastructure (CNKI), PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Cochrane Library and Web of Science. A hand search of the reference lists of included papers and WHO publications was performed. Grey literature search was carried out from Scopus, ProQuest Dissertation and Google Scholar. Review Methods Studies were screened, appraised and extracted independently by two reviewers. Thematic analysis was used to synthesise data, which were presented in a descriptive manner and organised into categories and themes. Results Totally, 33 studies were included. Four themes and eight sub‐themes emerged: (1) negative impacts and experiences of older adults during social isolation, (2) adopting coping behaviours in the midst of COVID‐19, (3) online interventions to combat the consequences of social isolation, (4) barriers to online intervention. Conclusion The COVID‐19 pandemic has taken an emotional toll on older adults’ psychological wellbeing and has highlighted the untapped strengths of older adults facing isolation. Online interventions, which could be a new normal in the COVID era, were beneficial in combating social isolation. Strategies by various stakeholders were recommended to tackle the barriers of online interventions. Impact With the COVID‐19 pandemic still in progress, this review provides insights on the psychological impacts of social isolation amongst older adults. Nurses in the community and long‐term care facilities could adopt strategies and online intervention to better support the older adults, contribute to a stronger COVID‐19 response and support system, and an overall better road to recovery from this crisis.

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“…This is valuable information given the possibility of future pandemics, along with the increasing prevalence of e-health interventions and the delivery of exercise interventions via telehealth platforms (e.g., Zoom ® , Skype ® , MS Teams ® , FaceTime ® ) for older adults with cancer [ 60 ]. Fall prevention interventions in the general geriatric population are increasingly using technology, especially e-interventions, to reduce falls in community-dwelling older adults, and have demonstrated success in this and in improving balance and strength [ 61 ]. It is important for people to exercise in a safe environment with the support of exercise specialists [ 59 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of a Remotely Delivered Strength and Balance Training Program for Older Adults with Cancer

et al. 2021

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Falls are a major issue among older adults with cancer and lead to interruptions in cancer treatment. Resistance and balance training can prevent falls in older adults, but minimal evidence is available regarding the older cancer population, who often have unique risk factors. We used a pre–post design to assess the feasibility of a remotely delivered exercise program that progressed in difficulty and its efficacy on lower body strength, balance, and falls in older adults with cancer who had prior in-person exercise experience. Twenty-six older adults with cancer completed the intervention. Attendance rate for the virtual component was 97.6% and for the independent component was 84.7%. Participants perceived the program as rewarding and enjoyable (100%), felt this program prepared them to exercise on their own (92%), were confident to continue exercising on their own (81%), and would recommend the program to other patients (100%). The median balance score at baseline and end-of-study was 4 (IQR = 0). The median chair-stand time decreased from 9.2 s (IQR = 3.13) to 7.7 s (IQR = 4.6). A statistically significant difference in lower body strength (r = 0.68, p = 0.001) was detected post-intervention. The findings from this study can inform the design of a larger randomized trial.

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The effectiveness of e-interventions on fall, neuromuscular functions and quality of life in community-dwelling older adults: A systematic review and meta-analysis

Cited by 40 publications

References 67 publications

Make Movement Your Mission: Evaluation of an online digital health initiative to increase physical activity in older people during the COVID-19 pandemic

Make Movement Your Mission: Evaluation of an online digital health initiative to increase physical activity in older people during the COVID-19 pandemic

Psychological impacts and online interventions of social isolation amongst older adults during COVID‐19 pandemic: A scoping review

Feasibility of a Remotely Delivered Strength and Balance Training Program for Older Adults with Cancer

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