Evidence map›Paper›PMID 34893995›Full record

SynthesisScandinavian journal of caring sciences2022

Environment in institutional care settings as a promoting factor for older individuals' mobility: A systematic review.

Noora Narsakka, Riitta Suhonen, Minna Stolt

Abstract readSystematic Review
In one paragraph

Synthesis in Scandinavian journal of caring sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

3 authors.

Noora NarsakkaDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0002-9388-0531
Riitta SuhonenDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0002-4315-5550
Minna StoltDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0002-1845-9800

Funding

Turun Yliopistollinen Keskussairaala 13238
6 · The paper itself

Abstract

backgroundMobility is important for health and well-being; however, older individuals in institutional care settings are relatively sedentary. The environment has an increased influence on mobility in older age due to changes in individual functioning; thus, environmental mobility support solutions for this population are needed.

objectivesThe aim of this systematic review was to identify elements of the environment that have been used in the content and delivery of interventions to promote mobility and to assess the effects of these interventions on mobility outcomes.

designA systematic literature search was conducted using CINAHL and MEDLINE from the earliest date through 30 September 2020 for randomised controlled trials, quasi-experimental and pre-post design studies. Inclusion and critical appraisal of articles were conducted by two independent researchers. Data were extracted and synthesised. SETTING AND

participantsStudies were included if they had employed some element of the environment in the content and/or delivery of the intervention and had assessed mobility-related outcomes of older individuals in institutional long-term care settings providing full-time care. MEASURES: Studies were included if they reported data on mobility-related outcomes including aspects of physical activity, physical function, life space and functional autonomy.

resultsEight studies were included. Physical, social and symbolic elements of the environment were utilised in the interventions. Positive effects on mobility outcomes were reported in exercise interventions utilising environmental elements mostly as supportive components. CONCLUSIONS AND IMPLICATIONS: Empirical evidence about effective mobility interventions employing elements of the environment as main intervention components is lacking. A serious dilemma exists about the need for older individuals' independence and mobile/active late life and the lack of support for such initiatives in long-term care. Given the emphasised relationship of the environment and mobility with age due to changes in functioning, environmental solutions require further examination.

Indexed as

ExerciseHumansactivityenvironment/spatial areainstitutional care settingsliterature reviewmobilityolder people/individuals

Identifiers

PMID34893995
PMCPMC9300114

What OpenQuestion holds

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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.