Evidence map›Paper›PMID 32973961›Full record

ReviewEuropean review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity2020

Barriers and facilitators to adherence to walking group exercise in older people living with dementia in the community: a systematic review.

J Vseteckova, K Dadova, R Gracia, G Ryan, E Borgstrom, J Abington, M Gopinath, Y Pappas

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

J VseteckovaFaculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, MK7 6AA UK.ORCID 0000-0001-8802-9892
K DadovaFaculty of Physical Education and Sport, Charles University, Prague, Czech Republic.
R GraciaFaculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, MK7 6AA UK.
G RyanFaculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, MK7 6AA UK.
E BorgstromFaculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, MK7 6AA UK.
J AbingtonFaculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, MK7 6AA UK.
M GopinathFaculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, MK7 6AA UK.
Y PappasInstitute for Health Research, University of Bedfordshire, Bedford, UK.
The Open University · GBCharles University · CZUniversity of Bedfordshire · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsEvidence suggests that targeted exercise is important for people living with dementia. The aim of this review was to collect and synthesize evidence on the known barriers and facilitators to adherence to walking group exercise of older people living with dementia in the community.

methodsWe have searched appropriate electronic databases between January 1990 until September 2019, in any language. Additionally, we searched trial registries (clinicaltrial.gov and WHO ICTRP) for ongoing studies. We included all study designs. Studies were excluded when participants were either healthy older people or people suffering from dementia but living in residential care. Narrative synthesis was used.

findings10 papers met the inclusion criteria. The narrative analysis focused on barriers, facilitators, and adherence. All studies reported on barriers and facilitators. Barriers included: bio-medical reasons (including mental wellbeing and physical ability); relationship dynamics; and socio-economic reasons and environmental issues. Facilitators included: bio-medical benefits & benefits related to physical ability; staff, group relationship dynamics and social aspect of walking group; environmental issues and individual tailoring; and participants perceptions about the walks & the program. Most studies did not provide data about adherence or attendance; where reported, adherence ranged from 47 to 89%.

conclusionsThis systematic review of literature has highlighted known barriers and facilitators to adherence to walking groups type of exercise for people living with dementia in community. Carers' willingness to engage, their circumstances, perspectives and previous experiences of exercise seem to play a key role in facilitating adherence but there is little research that explores these. Also, the design, location and organisation of walking groups facilitate adherence. This reflects the need for such activities to be part of a wider 'program of care', tailored to the needs of the individual, flexible and convenient. Knowledgeable and well-trained instructors or healthcare professionals are recommended as group exercise leaders.

Indexed as

AdherenceAgeingBarriersDementiaFacilitatorsWalking group exercise

Identifiers

PMID32973961
PMCPMC7507295
OpenAlexW2920820466

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.