Barriers and enablers to physical activity in patients during hospital stay: a scoping review
Abstract Background Low levels of physical activity are common during the hospital stay and have been associated with negative health outcomes. Understanding barriers and enablers to physical activity during a hospital stay can improve the development and implementation of tailored interventions aim...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-11-01
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| Series: | Systematic Reviews |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13643-021-01843-x |
| _version_ | 1818751267203186688 |
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| author | Sven Jacobus Gertruda Geelen Hanneke Corine van Dijk - Huisman Robert Adriaan de Bie Cindy Veenhof Raoul Engelbert Marike van der Schaaf Antoine François Lenssen |
| author_facet | Sven Jacobus Gertruda Geelen Hanneke Corine van Dijk - Huisman Robert Adriaan de Bie Cindy Veenhof Raoul Engelbert Marike van der Schaaf Antoine François Lenssen |
| author_sort | Sven Jacobus Gertruda Geelen |
| collection | DOAJ |
| description | Abstract Background Low levels of physical activity are common during the hospital stay and have been associated with negative health outcomes. Understanding barriers and enablers to physical activity during a hospital stay can improve the development and implementation of tailored interventions aimed at improving physical activity. Previous studies have identified many barriers and enablers, but a comprehensive overview is lacking. This study aimed to identify and categorize all published patient- and healthcare professional-reported barriers and enablers to physical activity during a hospital stay for acute care, using the Theoretical Domains Framework (TDF). Methods We conducted a scoping review of Dutch and English articles using MEDLINE, CINAHL Plus, EMBASE, PsycINFO, and Cochrane Library (inception to September 2020), which included quantitative, qualitative, and mixed-methods studies reporting barriers and enablers to physical activity during a hospital stay for acute care, as perceived by patients or healthcare professionals. Two reviewers systematically extracted, coded, and categorized all barriers and enablers into TDF domains. Results Fifty-six articles were included in this review (32 qualitative, 7 quantitative, and 17 mixed-methods). In total, 264 barriers and 228 enablers were reported by patients, and 415 barriers and 409 enablers by healthcare professionals. Patient-reported barriers were most frequently assigned to the TDF domains Environmental Context & Resources (ECR, n = 148), Social Influences (n = 32), and Beliefs about Consequences (n = 25), while most enablers were assigned to ECR (n = 67), Social Influences (n = 54), and Goals (n = 32). Barriers reported by healthcare professionals were most frequently assigned to ECR (n = 210), Memory, Attention and Decision Process (n = 45), and Social/Professional Role & Identity (n = 31), while most healthcare professional-reported enablers were assigned to the TDF domains ECR (n = 143), Social Influences (n = 76), and Behavioural Regulation (n = 54). Conclusions Our scoping review presents a comprehensive overview of all barriers and enablers to physical activity during a hospital stay and highlights the prominent role of the TDF domains ECR and Social Influences in hospitalized patients’ physical activity behavior. This TDF-based overview provides a theoretical foundation to guide clinicians and researchers in future intervention development and implementation. Scoping review registration No protocol was registered for this review. |
| first_indexed | 2024-12-18T04:32:51Z |
| format | Article |
| id | doaj.art-578af5936f6140cab98844a32d2e3a6b |
| institution | Directory Open Access Journal |
| issn | 2046-4053 |
| language | English |
| last_indexed | 2024-12-18T04:32:51Z |
| publishDate | 2021-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Systematic Reviews |
| spelling | doaj.art-578af5936f6140cab98844a32d2e3a6b2022-12-21T21:20:55ZengBMCSystematic Reviews2046-40532021-11-0110111310.1186/s13643-021-01843-xBarriers and enablers to physical activity in patients during hospital stay: a scoping reviewSven Jacobus Gertruda Geelen0Hanneke Corine van Dijk - Huisman1Robert Adriaan de Bie2Cindy Veenhof3Raoul Engelbert4Marike van der Schaaf5Antoine François Lenssen6Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam UMC, University of AmsterdamDepartment of Physical Therapy, Maastricht University Medical CentreCAPHRI School for Public Health and Primary Care, Maastricht UniversityPhysical Therapy Research, Department of Rehabilitation, Physical Therapy Sciences & Sports, University Medical Centre Utrecht, Utrecht UniversityDepartment of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam UMC, University of AmsterdamDepartment of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam UMC, University of AmsterdamDepartment of Physical Therapy, Maastricht University Medical CentreAbstract Background Low levels of physical activity are common during the hospital stay and have been associated with negative health outcomes. Understanding barriers and enablers to physical activity during a hospital stay can improve the development and implementation of tailored interventions aimed at improving physical activity. Previous studies have identified many barriers and enablers, but a comprehensive overview is lacking. This study aimed to identify and categorize all published patient- and healthcare professional-reported barriers and enablers to physical activity during a hospital stay for acute care, using the Theoretical Domains Framework (TDF). Methods We conducted a scoping review of Dutch and English articles using MEDLINE, CINAHL Plus, EMBASE, PsycINFO, and Cochrane Library (inception to September 2020), which included quantitative, qualitative, and mixed-methods studies reporting barriers and enablers to physical activity during a hospital stay for acute care, as perceived by patients or healthcare professionals. Two reviewers systematically extracted, coded, and categorized all barriers and enablers into TDF domains. Results Fifty-six articles were included in this review (32 qualitative, 7 quantitative, and 17 mixed-methods). In total, 264 barriers and 228 enablers were reported by patients, and 415 barriers and 409 enablers by healthcare professionals. Patient-reported barriers were most frequently assigned to the TDF domains Environmental Context & Resources (ECR, n = 148), Social Influences (n = 32), and Beliefs about Consequences (n = 25), while most enablers were assigned to ECR (n = 67), Social Influences (n = 54), and Goals (n = 32). Barriers reported by healthcare professionals were most frequently assigned to ECR (n = 210), Memory, Attention and Decision Process (n = 45), and Social/Professional Role & Identity (n = 31), while most healthcare professional-reported enablers were assigned to the TDF domains ECR (n = 143), Social Influences (n = 76), and Behavioural Regulation (n = 54). Conclusions Our scoping review presents a comprehensive overview of all barriers and enablers to physical activity during a hospital stay and highlights the prominent role of the TDF domains ECR and Social Influences in hospitalized patients’ physical activity behavior. This TDF-based overview provides a theoretical foundation to guide clinicians and researchers in future intervention development and implementation. Scoping review registration No protocol was registered for this review.https://doi.org/10.1186/s13643-021-01843-xPhysical activityMobilityHospitalBarrierEnablerTheoretical domains framework |
| spellingShingle | Sven Jacobus Gertruda Geelen Hanneke Corine van Dijk - Huisman Robert Adriaan de Bie Cindy Veenhof Raoul Engelbert Marike van der Schaaf Antoine François Lenssen Barriers and enablers to physical activity in patients during hospital stay: a scoping review Systematic Reviews Physical activity Mobility Hospital Barrier Enabler Theoretical domains framework |
| title | Barriers and enablers to physical activity in patients during hospital stay: a scoping review |
| title_full | Barriers and enablers to physical activity in patients during hospital stay: a scoping review |
| title_fullStr | Barriers and enablers to physical activity in patients during hospital stay: a scoping review |
| title_full_unstemmed | Barriers and enablers to physical activity in patients during hospital stay: a scoping review |
| title_short | Barriers and enablers to physical activity in patients during hospital stay: a scoping review |
| title_sort | barriers and enablers to physical activity in patients during hospital stay a scoping review |
| topic | Physical activity Mobility Hospital Barrier Enabler Theoretical domains framework |
| url | https://doi.org/10.1186/s13643-021-01843-x |
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