Incorporating Physical Activity Assessments and Behavior Change Techniques Into Geriatrics
Ninety-one percent of adults 65 years and older do not perform the recommended levels of physical activity (PA), resulting in increased risk of disability, morbidity, and mortality. Despite knowing the benefits of PA and acknowledging the importance of assessing and addressing inadequate PA levels,...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Archives of Rehabilitation Research and Clinical Translation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109523000496 |
| _version_ | 1797398990222786560 |
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| author | Mariana Wingood, DPT, PhD, MPH Jonathan F. Bean, MD, MPH Amy M. Linsky, MD, MSc |
| author_facet | Mariana Wingood, DPT, PhD, MPH Jonathan F. Bean, MD, MPH Amy M. Linsky, MD, MSc |
| author_sort | Mariana Wingood, DPT, PhD, MPH |
| collection | DOAJ |
| description | Ninety-one percent of adults 65 years and older do not perform the recommended levels of physical activity (PA), resulting in increased risk of disability, morbidity, and mortality. Despite knowing the benefits of PA and acknowledging the importance of assessing and addressing inadequate PA levels, 50%-75% of health care providers do not incorporate behavior change techniques into clinical practice. This clinical gap can be explained by a lack of knowledge or confidence in (1) assessing PA levels; (2) addressing inadequate PA levels; and (3) justifying the time needed to use these techniques in clinical practice. In this special communication, we address this gap by providing a 3-step theoretical-based clinical decision pathway that guides health care providers on how to identify older adults with inadequate PA levels, determine readiness to increase PA, and empower patents to develop an action plan that will increase their PA levels. We also provide a conceptual model that supports the use of techniques that assess and address inadequate PA by tying PA to the Age-Friendly Health System's 4Ms (ie, What Matters to the older adult, Mentation, Mobility, and Medications). |
| first_indexed | 2024-03-09T01:34:31Z |
| format | Article |
| id | doaj.art-bbea337ebeb44ad3ad25d69de1221033 |
| institution | Directory Open Access Journal |
| issn | 2590-1095 |
| language | English |
| last_indexed | 2024-03-09T01:34:31Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj.art-bbea337ebeb44ad3ad25d69de12210332023-12-09T06:07:38ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952023-12-0154100293Incorporating Physical Activity Assessments and Behavior Change Techniques Into GeriatricsMariana Wingood, DPT, PhD, MPH0Jonathan F. Bean, MD, MPH1Amy M. Linsky, MD, MSc2Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC; Sticht Center on Aging, Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC; Corresponding author Mariana Wingood, Wake Forest-School of Medicine, Department of Implementation Science, 475 Vine Street, Winston-Salem, NC 27101, USA.New England Geriatric Education and Clinical Center, Veterans Affairs Boston Healthcare System, Boston, MA; Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MASection of General Internal Medicine, Veterans Affairs Boston Healthcare System, Boston, MA; Center for Healthcare Organization and Implementation Research, Veterans Affairs Boston Healthcare System, Boston, MA; Section of General Internal Medicine, Boston University School of Medicine, Boston, MANinety-one percent of adults 65 years and older do not perform the recommended levels of physical activity (PA), resulting in increased risk of disability, morbidity, and mortality. Despite knowing the benefits of PA and acknowledging the importance of assessing and addressing inadequate PA levels, 50%-75% of health care providers do not incorporate behavior change techniques into clinical practice. This clinical gap can be explained by a lack of knowledge or confidence in (1) assessing PA levels; (2) addressing inadequate PA levels; and (3) justifying the time needed to use these techniques in clinical practice. In this special communication, we address this gap by providing a 3-step theoretical-based clinical decision pathway that guides health care providers on how to identify older adults with inadequate PA levels, determine readiness to increase PA, and empower patents to develop an action plan that will increase their PA levels. We also provide a conceptual model that supports the use of techniques that assess and address inadequate PA by tying PA to the Age-Friendly Health System's 4Ms (ie, What Matters to the older adult, Mentation, Mobility, and Medications).http://www.sciencedirect.com/science/article/pii/S2590109523000496ExercisePrimary preventionRehabilitation |
| spellingShingle | Mariana Wingood, DPT, PhD, MPH Jonathan F. Bean, MD, MPH Amy M. Linsky, MD, MSc Incorporating Physical Activity Assessments and Behavior Change Techniques Into Geriatrics Archives of Rehabilitation Research and Clinical Translation Exercise Primary prevention Rehabilitation |
| title | Incorporating Physical Activity Assessments and Behavior Change Techniques Into Geriatrics |
| title_full | Incorporating Physical Activity Assessments and Behavior Change Techniques Into Geriatrics |
| title_fullStr | Incorporating Physical Activity Assessments and Behavior Change Techniques Into Geriatrics |
| title_full_unstemmed | Incorporating Physical Activity Assessments and Behavior Change Techniques Into Geriatrics |
| title_short | Incorporating Physical Activity Assessments and Behavior Change Techniques Into Geriatrics |
| title_sort | incorporating physical activity assessments and behavior change techniques into geriatrics |
| topic | Exercise Primary prevention Rehabilitation |
| url | http://www.sciencedirect.com/science/article/pii/S2590109523000496 |
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