Barriers to Physical Activity and Restorative Care for Residents in Long-Term Care: A Review of the Literature

被引:81
作者
Benjamin, Kathleen [1 ]
Edwards, Nancy [1 ]
Ploeg, Jenny [2 ]
Legault, Frances [1 ]
机构
[1] Univ Ottawa, Sch Nursing, Ottawa, ON, Canada
[2] McMaster Univ, Sch Nursing, Hamilton, ON, Canada
基金
加拿大健康研究院;
关键词
exercise; nursing homes; homes for the aged; assisted living; residential; NURSING-HOME RESIDENTS; RANDOMIZED CONTROLLED-TRIAL; EXERCISE PROGRAM; OLDER-ADULTS; NONPHARMACOLOGICAL INTERVENTION; INCONTINENCE INTERVENTION; ECOLOGICAL APPROACH; HEALTH; PERSPECTIVES; STRENGTH;
D O I
10.1123/japa.2012-0139
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Despite the benefits of physical activity, residents living in long-term care (LTC) are relatively sedentary. Designing successful physical activity and restorative care programs requires a good understanding of implementation barriers. A database search (2002-2013) yielded seven studies (nine articles) that met our inclusion criteria. We also reviewed 31 randomized controlled trials (RCTs) to determine if the authors explicitly discussed the barriers encountered while implementing their interventions. Eleven RCTs (13 articles) included a discussion of the barriers. Hence, a total of 18 studies (22 articles) were included in this review. Barriers occurred at resident (e.g., health status), environmental (e.g., lack of space for physical activity), and organizational (e.g., staffing and funding constraints) levels. These barriers intersect to adversely affect the physical activity of older people living in LTC. Future studies targeting physical activity interventions for residents living in LTC are needed to address these multiple levels of influence.
引用
收藏
页码:154 / 165
页数:12
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