Facilitators and barriers to enhancing physical activity in older patients during acute hospital stay: a systematic review
Abstract Background To improve older patients’ physical activity (PA) behavior, it is important to identify facilitators and barriers to enhancing PA in older patients (≥ 65 years) during hospitalization from the perspectives of patients, caregivers, and healthcare professionals (HCPs). Methods In t...
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | International Journal of Behavioral Nutrition and Physical Activity |
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| Online Access: | https://doi.org/10.1186/s12966-022-01330-z |
| _version_ | 1818018555626520576 |
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| author | F. Dijkstra G. van der Sluis H. Jager-Wittenaar L. Hempenius J. S. M. Hobbelen E. Finnema |
| author_facet | F. Dijkstra G. van der Sluis H. Jager-Wittenaar L. Hempenius J. S. M. Hobbelen E. Finnema |
| author_sort | F. Dijkstra |
| collection | DOAJ |
| description | Abstract Background To improve older patients’ physical activity (PA) behavior, it is important to identify facilitators and barriers to enhancing PA in older patients (≥ 65 years) during hospitalization from the perspectives of patients, caregivers, and healthcare professionals (HCPs). Methods In this systematic review, a search of PubMed, CINAHL, PsycINFO, EMBASE, and Web of Science (January 2000–May 2021) was performed, and quantitative, qualitative, and mixed-methods studies were included. The methodological quality of included studies was assessed using the Mixed Methods Appraisal Tool. Identified facilitators and barriers were categorized using the social ecological model at the intrapersonal, interpersonal, and institutional levels. Results The 48 included articles identified 230 facilitators and 342 barriers. The main facilitators at the intrapersonal level included: knowledge, awareness, and attitudes; interpersonal level: social support, including encouragement and interdisciplinary collaboration; and institutional level: stimulating physical environment, patient activities and schedules, and PA protocols. The main barriers at the intrapersonal level included: physical health status, having lines or drains, patients’ fear, and HCPs’ safety concerns; interpersonal level: patient-HCP relation and HCPs’ unclear roles; and institutional level: lack of space and resources, including time and equipment. Best evidence synthesis provided moderate level of evidence for three barriers: patients’ unwillingness or refusal to move, patients having symptoms, and patients having lines or drains. No moderate level of evidence was found for facilitators. Conclusion The PA behavior of older adults during hospitalization is multidimensional. Our overview highlights facilitators and barriers on multilevel scale (intrapersonal, interpersonal, and institutional levels) that guides patients, caregivers, HCPs, and researchers in future clinical practice, and intervention development and implementation. |
| first_indexed | 2024-04-14T07:41:09Z |
| format | Article |
| id | doaj.art-27f997177d584dd1a37947698086a239 |
| institution | Directory Open Access Journal |
| issn | 1479-5868 |
| language | English |
| last_indexed | 2024-04-14T07:41:09Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj.art-27f997177d584dd1a37947698086a2392022-12-22T02:05:29ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682022-07-0119111510.1186/s12966-022-01330-zFacilitators and barriers to enhancing physical activity in older patients during acute hospital stay: a systematic reviewF. Dijkstra0G. van der Sluis1H. Jager-Wittenaar2L. Hempenius3J. S. M. Hobbelen4E. Finnema5Research Group Living, Wellbeing and Care for Older People, NHL Stenden University of Applied SciencesResearch Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied SciencesResearch Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied SciencesGeriatric Center, Medical Center LeeuwardenResearch Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied SciencesResearch Group Living, Wellbeing and Care for Older People, NHL Stenden University of Applied SciencesAbstract Background To improve older patients’ physical activity (PA) behavior, it is important to identify facilitators and barriers to enhancing PA in older patients (≥ 65 years) during hospitalization from the perspectives of patients, caregivers, and healthcare professionals (HCPs). Methods In this systematic review, a search of PubMed, CINAHL, PsycINFO, EMBASE, and Web of Science (January 2000–May 2021) was performed, and quantitative, qualitative, and mixed-methods studies were included. The methodological quality of included studies was assessed using the Mixed Methods Appraisal Tool. Identified facilitators and barriers were categorized using the social ecological model at the intrapersonal, interpersonal, and institutional levels. Results The 48 included articles identified 230 facilitators and 342 barriers. The main facilitators at the intrapersonal level included: knowledge, awareness, and attitudes; interpersonal level: social support, including encouragement and interdisciplinary collaboration; and institutional level: stimulating physical environment, patient activities and schedules, and PA protocols. The main barriers at the intrapersonal level included: physical health status, having lines or drains, patients’ fear, and HCPs’ safety concerns; interpersonal level: patient-HCP relation and HCPs’ unclear roles; and institutional level: lack of space and resources, including time and equipment. Best evidence synthesis provided moderate level of evidence for three barriers: patients’ unwillingness or refusal to move, patients having symptoms, and patients having lines or drains. No moderate level of evidence was found for facilitators. Conclusion The PA behavior of older adults during hospitalization is multidimensional. Our overview highlights facilitators and barriers on multilevel scale (intrapersonal, interpersonal, and institutional levels) that guides patients, caregivers, HCPs, and researchers in future clinical practice, and intervention development and implementation.https://doi.org/10.1186/s12966-022-01330-zPhysical activityHospitalOlder adultsFacilitatorBarrierSystematic review |
| spellingShingle | F. Dijkstra G. van der Sluis H. Jager-Wittenaar L. Hempenius J. S. M. Hobbelen E. Finnema Facilitators and barriers to enhancing physical activity in older patients during acute hospital stay: a systematic review International Journal of Behavioral Nutrition and Physical Activity Physical activity Hospital Older adults Facilitator Barrier Systematic review |
| title | Facilitators and barriers to enhancing physical activity in older patients during acute hospital stay: a systematic review |
| title_full | Facilitators and barriers to enhancing physical activity in older patients during acute hospital stay: a systematic review |
| title_fullStr | Facilitators and barriers to enhancing physical activity in older patients during acute hospital stay: a systematic review |
| title_full_unstemmed | Facilitators and barriers to enhancing physical activity in older patients during acute hospital stay: a systematic review |
| title_short | Facilitators and barriers to enhancing physical activity in older patients during acute hospital stay: a systematic review |
| title_sort | facilitators and barriers to enhancing physical activity in older patients during acute hospital stay a systematic review |
| topic | Physical activity Hospital Older adults Facilitator Barrier Systematic review |
| url | https://doi.org/10.1186/s12966-022-01330-z |
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