Evidence map›Paper›PMID 40836212›Full record

ArticleBMC geriatrics2025

Barriers and facilitators to addressing sedentary behaviour and physical inactivity among nursing home residents: a qualitative study.

Yihan Mo, Helen Yue-Lai Chan, Yuxin Zhou, Linghui Chen, Guanxiu Tang, Anna Bone, Matthew Maddocks, Catherine Evans

Erratum issuedAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Yihan MoCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK. yihan.mo@kcl.ac.uk.
Helen Yue-Lai ChanThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, SAR, China.
Yuxin ZhouCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Linghui ChenCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Guanxiu TangDepartment of Geriatrics, The Third Xiangya Hospital, Central South University, Changsha, China.
Anna BoneCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Matthew MaddocksCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Catherine EvansCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.

Funding

China Scholarship Council K-CSC202106370016
6 · The paper itself

Abstract

backgroundSedentary behaviour and physical inactivity contribute to muscle-related decline (e.g., sarcopenia), chronic disease and disability. This study aims to (1) explore nursing home residents' and staff's perspectives and experiences regarding interventions addressing sedentary behaviour and physical inactivity; (2) refine a Theory of Change logic model for such interventions in nursing homes.

methodsAn exploratory qualitative study design. In-person interviews with 14 residents and 12 staff members at two urban nursing homes in China. Data were analysed applying codebook thematic analysis, mapped onto the Ecological Social Theory encompassing individual (micro), organisational (meso), family (exo) and societal (macro) contexts.

resultsFour themes were identified. (1) Microsystem: individual physical, psychosocial, cognitive, and educational constraints hindered participation in physical activity, while perceived potential for benefit encouraged participation. (2) Mesosystem: social interaction between residents impacted on activity participation both positively (e.g., encouragement) and negatively (e.g., peer pressure). Staff roles were key facilitators by coordinating intervention while insufficient activity management and resources constrained use. (3) Exosystem: family attitudes, support and bonds influenced the decision-making process and residents' motivation in activities. (4) Macrosystem: sufficient funding was important to provide and sustain activity interventions in nursing homes. Societal ties with the community external to nursing homes boosted residents' activity engagement.

conclusionsMultilevel factors from individual, organisational, family, and societal contexts were identified. A Theory of Change logic model was adapted by enhancing its applicability to specific context while maintaining its general framework. To optimise activity interventions in nursing homes, it is essential to enhance staff roles, refine activity management, leverage social interactions within nursing homes strategically, maintain family involvement, sustain financial input and collaborate with social organisations. Multilevel strategies are crucial for addressing the global challenges of sedentary behaviour and physical inactivity in nursing homes. Adapting the Theory of Change logic model to specific context opens opportunities for tailored application across diverse cultural settings. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Homes for the AgedMotor ActivityNursing HomesSedentary BehaviorAgedAged, 80 and overChinaFemaleHumansMaleMiddle AgedQualitative ResearchInterviewsNursing homesPhysical inactivityQualitativeSarcopeniaSedentary behaviour

Identifiers

PMID40836212
PMCPMC12366238

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.