Physical activity promotion for older adults living in the community - PowerPoint PPT Presentation

Dr Ania Zubala and Dr Jacqui Morris Scottish Improvement Science Collaborating Centre Dr Steve MacGillivray Dr Helen Frost Dr Anna Gavine Dr Nicola Gray Dr Madalina Toma Prof. Thilo Kroll …and others Physical activity promotion for older adults living in the community A review of reviews

our aim to determine the nature and effects of interventions to promote the uptake and maintenance of physical activity in community dwelling older adults

data…

ROBIS Assessment Domain 1: Domain 2: Domain 3: Domain 4: Risk of Concerns Concerns Concerns Concerns Review & year bias regarding regarding regarding used to regarding the specification of methods used to collect data and synthesis and appraise studies findings study eligibility identify and/or criteria select studies Arbesman 2012 High High High N/A High ROBIS Chase 2015 High Unclear High High High Conn 2002 High High High High High Assessment Conn 2003 High High High N/A High Foster 2013 Low Low Low Low Low French 2014 High High High High High Geraedts 2013 Low Unclear High N/A High only 2 reviews Hobbs 2013 Unclear Low High High High of low risk of bias Kassavou 2013 High High High High High King 1998 High High High N/A High Moore 2015 High High High N/A High Müller 2014 High High Low N/A High O'Brien 2015 Unclear Low Low Low High Ostrander 2014 High High High N/A High Richards 2013 Low Low Low N/A Low Stevens 2013 High High Unclear N/A High Van der Bij 2002 High High High N/A High Van der Deijl 2014 High High High Unclear High Van Stralen 2009 High High High Unclear High

participants

context

theories

interventions Physical activity promotion as part of larger health management programmes ✦ Home-based physical activity interventions with remote feedback ✦ Non-face-to-face interventions ✦ Multimodal interventions: physical activity and lifestyle counselling ✦ Behaviour change techniques ✦ Practical encouragement ✦ Interventions to promote walking in groups ✦

PA levels – self-reported PA levels – objective walking time/speed/distance PA outcomes self-efficacy cardiorespiratory fitness quality of life balance depression blood pressure outcomes ‘mental outlook’ heart rate BMI psychological outcomes chronic pain & fatigue physiological outcomes initial/sustained adherence functioning (physical & social) compliance confidence in daily activities participation functional outcomes

facilitators of sustained participation in exercise * person-centred, tailored interventions * behavioural / cognitive-behavioural strategies * ongoing support and frequent feedback * non face-to-face and supervised interventions – both effective * home-based group formats and walking in groups

Reviews included Arbesman M. Ar M., Mo Mosley L.J. (2012). Systematic review of occupation- and activity-based health management and maintenance interventions for community-dwelling older adults. The American Journal of Occupational Therapy, 66(3):277-83. doi: 10.5014/ajot.2012.003327. Chase J-A. Ch A.D. (2015). Interventions to Increase Physical Activity Among Older Adults: A Meta-Analysis. The Gerontologist, 55(4):706–718. doi:10.1093/geront/gnu090. Co Conn V. V.S., Va Valentine J.C. (2002). Interventions to Increase Physical Activity Among Aging Adults: A Meta-Analysis. Annals of Behavioral Medicine, 24(3):190–200. Fo Foster C. C., Richards J., Th Thorogood M. M., Hi Hillsdon M. M. (2013). Remote and web 2.0 interventions for promoting physical activity (Review). The Cochrane Library 2013, Issue 9. Fr French D. D.P., Ol Olander E. E.K., Chisholm A., Mc Sh Sharry J. J. (2014). Which behaviour change techniques are most effective at increasing older adults' self-efficacy and physical activity behaviour? A systematic review. Annals of Behavioral Medicine, 48(2):225-34. doi: 10.1007/s12160-014-9593-z. Ge Geraedts H. H., Zi Zijlstra A. A., Bu Bulstra S. S.K. K., St Stevens M., Zi Zijlstra W. W. (2013). Effects of remote feedback in home-based physical activity interventions for older adults: a systematic review. Patient Education and Counseling, 91(1):14-24. doi: 10.1016/j.pec.2012.10.018. Hobbs N. Ho N., Godfrey A., Lara J., Er Errington L. L., Meyer T.D., Rochester L. L., et al. (2013). Are behavioral interventions effective in increasing physical activity at 12 to 36 months in adults aged 55 to 70 years? A systematic review and meta-analysis. BioMed Central Medicine, 11, 75. Ka Kassavou A. A.,Tu Turner A. A.P., French D.P. (2 (2013). ). Do interventions to promote walking in groups increase physical activity? A meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 10:18, http://www.ijbnpa.org/content/10/1/18 Ki King A. A.C., Re Rejeski W. W.J., Buchner D.M. (1998). Physical activity interventions targeting older adults. A critical review and recommendations. American Journal of Preventive Medicine, 15(4):316-33. Mo Moore M. M., Warburton J. J., O’Halloran P.D., Shields N., Kingsley M. (2015). Effective Community-Based Physical Activity Interventions for Older Adults Living in Rural and Regional Areas: A Systematic Review, Journal of Aging and Physical Activity. doi: 10.1123/japa.2014-0218. Mü Müller A. A.M., Kh Khoo S. S. (2014). Non-face-to-face physical activity interventions in older adults: a systematic review. International Journal of Behavioral Nutrition and Physical Activity, 11(1):35. doi: 10.1186/1479-5868-11-35. O’ O’Brien N. N., McDonald S., Ar Araújo-So Soares V. V., Lara J., Er Errington L. L., Godfrey A., Meyer T.D., Rochester L. L., Ma Mathers J. J.C., White M., Sn Sniehotta F. F.F. F. (2015). The features of interventions associated with long- term effectiveness of physical activity interventions in adults aged 55–70 years: a systematic review and meta-analysis. Health Psychology Review, 9(4):417-433. doi: 10.1080/17437199.2015.1012177. Os Ostrander R. R.E., Thompson H.J., De Demiris G. G. (2014). Using targeted messaging to increase physical activity in older adults: a review. Journal of Gerontological Nursing, 40(9):36-48. doi: 10.3928/00989134-20140324-03. Richards J. Ri J., Th Thorogood M. M., Hi Hillsdon M. M., Foster C. (2013). Face-to-face versus remote and web 2.0 interventions for promoting physical activity (Review). The Cochrane Library 2013, Issue 9. St Stevens Z. Z., Barlow C., Kendrick D., Ma Masud T. T., Skelton D.A., Di Dinan-Yo Young S., Il Iliffe S. S. (2014). Effectiveness of general practice-based physical activity promotion for older adults: systematic review. Primary Health Care Research and Development, 15(2):190-201. doi: 10.1017/S1463423613000017. Van de Va der Bi Bij A. A.K., La Laurant M. M.G., We Wensing M. M. (2002). Effectiveness of physical activity interventions for older adults: a review. American Journal of Preventive Medicine, 22(2):120-33. Va Van de der De Deijl M. M., Et Etman A. A., Ka Kamphuis C. C.B., van Le Lenthe F. F.J. (2014). Participation levels of physical activity programs for community-dwelling older adults: a systematic review. BioMed Central Public Health, 14:1301. doi: 10.1186/1471-2458-14-1301. Va Van St Stralen M. M.M. M., De Vr Vries H. H., Mu Mudde A. A.N., Bo Bolman C. C., Le Lechner L. L. (2009). Determinants of initiation and maintenance of physical activity among older adults: a literature review. Health Psychology Review, 3(2):147-207. doi: 10.1080/17437190903229462.

thank you a.zubala@dundee.ac.uk

questions… outcomes Are we considering the right things? What is missing? facilitating factors and barriers Again, are we considering the right things? What is missing?

questions… outcomes Are we considering the right things? What is missing? facilitating factors and barriers Again, are we considering the right things? What is missing? key ingredients to sustained change at scale What would an ideal scalable intervention look like?