Journal of frailty, sarcopenia and falls最新文献

Comparison of Muscle Strength and The Ability of Activities of Daily Living in Older Adults Requiring Care With and Without Hypertension. 有和无高血压需要护理的老年人肌力和日常生活活动能力的比较

Journal of frailty, sarcopenia and falls Pub Date : 2025-09-01 DOI: 10.22540/JFSF-10-157

Daisuke Takagi, Masatoshi Kageyama

{"title":"Comparison of Muscle Strength and The Ability of Activities of Daily Living in Older Adults Requiring Care With and Without Hypertension.","authors":"Daisuke Takagi, Masatoshi Kageyama","doi":"10.22540/JFSF-10-157","DOIUrl":"10.22540/JFSF-10-157","url":null,"abstract":"Objectives: Few studies have examined whether older adults requiring care who have hypertension have lower muscle mass, muscle strength, physical function, and activities of daily living (ADL) capacity than those without hypertension.Methods: This study included 163 participants aged ≥65 years who required care. The appendicular muscle mass was measured using bioelectrical impedance analysis. Handgrip and leg muscle strength (LMS) were used to assess muscle strength, and short physical performance batteries were used to assess physical function. The ADL capacity was evaluated using the Barthel Index. Participants were divided into two groups based on the absence or presence of hypertension (non-HY and HY groups, respectively).Results: LMS and ADL capacity were significantly lower in HY group than that in non-HY group. Multiple logistic regression analysis showed that LMS and ADL capacity were significantly associated with the absence or presence of hypertension, even after adjusting for confounding factors (p < 0.05). Moreover, LMS was a significant independent predictor of ADL capacity (bathing and ascending and descending stairs, p < 0.05).Conclusions: These results suggest that maintaining or improving LMS may help preserve ADL capacity in older adults requiring care who have hypertension.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 3","pages":"157-162"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Influence of Muscle Morphology on Oncological Outcomes: A Review. 肌肉形态对肿瘤预后的影响：综述。

Journal of frailty, sarcopenia and falls Pub Date : 2025-09-01 DOI: 10.22540/JFSF-10-163

Sophie Bastijns, Blanca Alabadi, Thiago Gonzalez Barbosa-Silva, Charlotte Beaudart, Kristoffer Brockhattingen, Scott Lamers, Karolina Piotrowicz, Carly Welch, Anne-Marie De Cock, Stany Perkisas

{"title":"The Influence of Muscle Morphology on Oncological Outcomes: A Review.","authors":"Sophie Bastijns, Blanca Alabadi, Thiago Gonzalez Barbosa-Silva, Charlotte Beaudart, Kristoffer Brockhattingen, Scott Lamers, Karolina Piotrowicz, Carly Welch, Anne-Marie De Cock, Stany Perkisas","doi":"10.22540/JFSF-10-163","DOIUrl":"10.22540/JFSF-10-163","url":null,"abstract":"Cancer is a common disease with significant impact on patients and society. Cancer and oncological treatment can negatively affect muscle, and muscle health impacts oncologic outcomes. This review studied the effect of different muscle parameters on oncologic outcomes. A systematic search was performed until April 2023. Parameters included were muscle thickness, cross-sectional area, skeletal muscle index, skeletal muscle mass, pennation angle, fascicle length, muscle density, echo intensity and elastography. Imaging methods included were computerized tomography, magnetic resonance imaging, ultrasound and dual-energy X-ray absorptiometry. Outcome parameters assessed were survival, chemotoxicity, surgical outcome, treatment response, duration of hospitalization, and quality of life. This review included 117 articles. Individuals with reduced skeletal muscle index or muscle density had lower survival rates, higher chemotoxicity and surgical complications, more hospitalizations, less treatment response and lower quality of life. Reduced muscle quantity and quality can impact oncological outcomes, either through primary or secondary sarcopenia. These findings warrant the need for holistic assessment by using comprehensive geriatric assessment to establish a correct treatment dosage. These results also suggest a beneficial effect of exercise and nutritional support. Further research can be useful to better understand the underlying mechanisms and optimize specific treatments for muscle in oncological patients.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 3","pages":"163-199"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Behaviour Change for Parkinson's Disease: A Randomised Controlled Feasibility Study to Promote Physical Activity and Exercise Adherence Among People with Parkinson's Disease. 帕金森病的行为改变：一项促进帕金森病患者体育活动和坚持运动的随机对照可行性研究

Journal of frailty, sarcopenia and falls Pub Date : 2025-09-01 DOI: 10.22540/JFSF-10-128

Leanne Ahern, Suzanne Timmons, Sarah E Lamb, Ruth McCullagh

{"title":"Behaviour Change for Parkinson's Disease: A Randomised Controlled Feasibility Study to Promote Physical Activity and Exercise Adherence Among People with Parkinson's Disease.","authors":"Leanne Ahern, Suzanne Timmons, Sarah E Lamb, Ruth McCullagh","doi":"10.22540/JFSF-10-128","DOIUrl":"10.22540/JFSF-10-128","url":null,"abstract":"Objective: Exercise reduces fall risk, sarcopenia and frailty in Parkinson's disease, but motor and non-motor symptoms hinder adherence. This study aimed to feasibility test an exercise intervention with behaviour change techniques, examining recruitment, procedures, and measure responsiveness.Methods: A mixed-methods parallel-arm, single-blinded, randomized feasibility study. Participants (Hoehn and Yahr 1-3) were randomly allocated to intervention or control groups. Both received 12-weeks of education, supervised exercise, and home exercises. The intervention group received additional behaviour change techniques. Enrolment, attendance, adherence, and adverse events were recorded. Outcomes included walking activity, balance, falls, strength, and exercise self-efficacy. Surveys and interviews explored acceptability.Results: Twenty-six people were screened; sixteen randomized, fourteen completed. Exercise class attendance in both groups was high. Adherence to home exercises was higher in the intervention group (70% vs 63%). No serious adverse events. Time resources were acceptable. Walking activity and aerobic endurance reached minimally important differences. Interviews indicated participants enjoyed the group dynamic and gained skills. Feedback will improve acceptability.Conclusion: The intervention is feasible and well-accepted. While not designed to measure frailty, sarcopenia, or fall risk directly, enhancing adherence through behaviour change techniques and tailoring interventions to individual preferences maybe a promising strategy to support long-term exercise engagement. ClinicalTrials.gov: ID: NCT06192628.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 3","pages":"128-149"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Sarcopenic Obesity on Frailty, Cognition, and Function in Community-Dwelling Older Adults. 在社区居住的老年人中，肌肉减少型肥胖对虚弱、认知和功能的影响。

Journal of frailty, sarcopenia and falls Pub Date : 2025-09-01 DOI: 10.22540/JFSF-10-150

Le Alicia How, Xin Xiang Lee, Sarah Ann Lee Hui-En, Yao Hao Teo, Kar Cheng Goh, Li Feng Tan

{"title":"The Impact of Sarcopenic Obesity on Frailty, Cognition, and Function in Community-Dwelling Older Adults.","authors":"Le Alicia How, Xin Xiang Lee, Sarah Ann Lee Hui-En, Yao Hao Teo, Kar Cheng Goh, Li Feng Tan","doi":"10.22540/JFSF-10-150","DOIUrl":"10.22540/JFSF-10-150","url":null,"abstract":"Objectives: The impact of sarcopenic obesity (SO) on frailty, cognition, and function compared to sarcopenia and obesity alone remains unclear. This study examined SO's effects on these domains in community-dwelling older adults.Methods: We assessed 202 older adults (mean age 80.4 ±7.3 years) attending a community frailty screening clinic. Obesity was defined as BMI≥25, and sarcopenia was assessed using Asian Working Group for Sarcopenia guidelines. SO was defined as the presence of both conditions. Assessments included the Clinical Frailty Scale, Modified Barthel Index, Singapore-modified Mini-Mental State Examination, and mobility aid use.Results: Multivariate regression showed SO was significantly associated with frailty (OR 4.71), impaired function (ß: -16.53), and mobility limitations (OR 5.73). SO was also linked to cognitive impairment (OR 3.56). Sarcopenia alone was associated with frailty (OR 3.39), impaired function (ß -11.46), and mobility limitations (OR 3.32), but not cognition. Obesity alone showed no associations. SO posed higher risks for frailty, cognitive impairment, functional decline, and mobility limitations compared to sarcopenia or obesity alone.Conclusions: SO is associated with greater risks of frailty, cognitive impairment, functional decline, and mobility limitations than sarcopenia or obesity alone.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 3","pages":"150-156"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bioimpedance-Derived Phase Angle Was Associated with Faster Blood Pressure Stabilisation Following Orthostatic Challenge in Older Adults. 生物阻抗导出的相位角与老年人直立挑战后更快的血压稳定有关。

Journal of frailty, sarcopenia and falls Pub Date : 2025-09-01 DOI: 10.22540/JFSF-10-200

Román Romero Ortuño, Eoin Duggan

{"title":"Bioimpedance-Derived Phase Angle Was Associated with Faster Blood Pressure Stabilisation Following Orthostatic Challenge in Older Adults.","authors":"Román Romero Ortuño, Eoin Duggan","doi":"10.22540/JFSF-10-200","DOIUrl":"10.22540/JFSF-10-200","url":null,"abstract":"Phase Angle (PA), derived from bioelectrical impedance analysis, reflects cellular health and may indicate physiological resilience in ageing. We examined the relationship between PA and blood pressure (BP) recovery following an orthostatic challenge in 107 older adults attending a specialist falls clinic. Participants underwent active stand testing with continuous, beat-to-beat BP monitoring over 180 seconds. PA was categorised into tertiles (low, medium, high), and changes in systolic (SBP) and diastolic BP (DBP) were analysed using linear mixed-effects models, adjusted for age, sex, diabetes, hypertension, and cardiovascular and psychotropic medication use. Compared to the low PA tertile, individuals in the medium and high PA tertiles demonstrated faster recovery in both SBP and DBP during the 10-20 second post-stand period (all p < 0.001). No significant differences were observed in recovery between the 20-30 and 30-40 second intervals. Furthermore, participants in the high PA tertile showed, in contrast to the low PA tertile, full mean BP recovery at 40 seconds, with no further upward trend thereafter (p = 0.001 for SBP, p = 0.005 for DBP). PA could be a simple, non-invasive biomarker of dynamic physiological resilience, potentially identifying older adults at increased risk of early orthostatic haemodynamic instability.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 3","pages":"200-205"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Conference Abstracts "Bridges in Rehabilitation" of the 2^nd Physical Medicine and Rehabilitation Department, National Rehabilitation Center EKA (Ethniko Kentro Apokatastasis) 14-15 December 2024, National Rehabilitation Center EKA, Ilion, Athens, Greece. 会议摘要“康复中的桥梁”第二届物理医学与康复科，国家康复中心EKA (Ethniko Kentro Apokatastasis) 2024年12月14-15日，国家康复中心EKA，伊利永，希腊雅典。

Journal of frailty, sarcopenia and falls Pub Date : 2025-06-01 DOI: 10.22540/JFSF-10-114

引用次数: 0

The Effect of Muscle Strength and Visual Contrast Sensitivity on Fall Risk Sway Velocity Index. 肌力和视觉对比敏感度对跌倒危险摇摆速度指数的影响。

Journal of frailty, sarcopenia and falls Pub Date : 2025-06-01 DOI: 10.22540/JFSF-10-054

Kyle J Hackney, Miranda L Bradley, Sean Mahoney, Nathaniel R Johnson, Christopher J Kotarsky, Adam P Bradley, Sherri N Stastny, Ryan McGrath, Mark E McCourt

{"title":"The Effect of Muscle Strength and Visual Contrast Sensitivity on Fall Risk Sway Velocity Index.","authors":"Kyle J Hackney, Miranda L Bradley, Sean Mahoney, Nathaniel R Johnson, Christopher J Kotarsky, Adam P Bradley, Sherri N Stastny, Ryan McGrath, Mark E McCourt","doi":"10.22540/JFSF-10-054","DOIUrl":"10.22540/JFSF-10-054","url":null,"abstract":"Objectives: The purpose of this study was to examine if fall risk scores were affected by the interaction between muscle strength and visual contrast sensitivity.Methods: Ninety-one individuals aged 19-79 years completed assessments of knee extension strength, visual contrast sensitivity, and fall risk. Correlations and moderation analysis were completed in combination with analysis of variance. Data were categorized into groups: 1) higher strength-higher visual contrast sensitivity, 2) higher strength-lower visual contrast sensitivity; 3) lower strength- higher visual contrast sensitivity, and 4) lower strength-lower visual contrast sensitivity.Results: Knee extension strength via peak torque relative to body mass (R= -0.57, P<0.001) and visual contrast sensitivity (R=-0.63, P<0.001) were both negatively correlated with age, while fall risk scores were positively correlated with age (R=0.34, P=0.001). The interaction between muscle strength and visual contrast sensitivity was a significant predictor of fall risk scores (t=2.420, P=0.018) when controlling for age. Participants exhibiting lower strength-lower contrast sensitivity (12.96 ± 1.93) had significantly worse fall risk scores compared to higher strength-higher visual contrast sensitivity (11.53 ± 1.75, P=0.045).Conclusion: Lower levels of lower body muscle strength combined with lower visual contrast sensitivity interact to negatively influence fall risk.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 2","pages":"54-61"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bioimpedance-Estimated Metabolic Age in a Falls Clinic: Associations with Multimorbidity and Physical Frailty. 生物阻抗-估计代谢年龄在跌倒诊所：与多病和身体虚弱的关系。

Journal of frailty, sarcopenia and falls Pub Date : 2025-06-01 DOI: 10.22540/JFSF-10-108

Nicolás Martínez-Gómez, Nicolás Martínez Velilla, Eoin Duggan, Román Romero Ortuño

{"title":"Bioimpedance-Estimated Metabolic Age in a Falls Clinic: Associations with Multimorbidity and Physical Frailty.","authors":"Nicolás Martínez-Gómez, Nicolás Martínez Velilla, Eoin Duggan, Román Romero Ortuño","doi":"10.22540/JFSF-10-108","DOIUrl":"10.22540/JFSF-10-108","url":null,"abstract":"Bioelectrical impedance analysis (BIA) is a non-invasive method used to assess body composition and estimate metabolic age (MA). However, the clinical significance of BIA-estimated MA remains poorly understood. We explored the associations of MA with chronological age (CA), multimorbidity, and physical frailty (PF) in falls clinic attendees. Participants aged ≥50 years were assessed for multimorbidity using the Cumulative Illness Rating Scale-Geriatric, PF using the SHARE Frailty Instrument for Primary Care, and underwent BIA. Among 107 participants (mean age 69.8 years, 57% women), MA showed a moderate correlation with CA (r=0.62, p<0.001). On bivariate analysis, participants with MA>CA were younger, had higher multimorbidity, and were frailer compared to those with MA<CA. Multivariate linear regression analyses revealed that MA was independently associated with CA and BIA-estimated fat mass in both sexes, BIA-estimated muscle mass in men, and PF in women, but not with multimorbidity. BIA-estimated MA mostly reflects CA and BIA's own body composition estimates, but was significantly associated with PF in women. Research should externally validate this finding and investigate the responsiveness of BIA-estimated MA to interventions.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 2","pages":"108-113"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Older Adults' Perceptions Towards Falls and Fall Prevention in Kuwait - A Qualitative Study. 科威特老年人对跌倒和预防跌倒的认知-一项定性研究。

Journal of frailty, sarcopenia and falls Pub Date : 2025-06-01 DOI: 10.22540/JFSF-10-062

Hadeel Alsaleh, Amy K Drahota, Julie Udell

{"title":"Older Adults' Perceptions Towards Falls and Fall Prevention in Kuwait - A Qualitative Study.","authors":"Hadeel Alsaleh, Amy K Drahota, Julie Udell","doi":"10.22540/JFSF-10-062","DOIUrl":"10.22540/JFSF-10-062","url":null,"abstract":"Objectives: Despite global guidelines and evidence, fall prevention services in Kuwait are limited. This study sought to understand older people's perspectives towards falls and falls prevention within the context of limited fall prevention services.Methods: Qualitative interviews explored the perceptions of falls and fall prevention among Kuwaiti older people (50+ years) and their caregivers (N=16).Results: Falls prevention was an unfamiliar issue; participants' knowledge of falls came from personal and others' experiences, which motivated individuals to eliminate what they perceived as risk factors, but gaps in understanding remained (theme 1). Older people were found to have positive attitudes towards preventing falls, and beliefs around fate and autonomy towards falls prevention were found to independently co-exist (theme 2). Attitudes towards falls prevention were shaped by simplified understanding and concerns about falling (theme 3). Social networks were important in older people's lives, and valuable sources of support and influence were identified (theme 4). A new concept of 'circular care benefits' was developed, contributing an understanding that caring for others helps build subjective norms.Conclusions: The interview findings contribute to the Theory of Planned Behaviour in the context of falls prevention, with further contribution to the understanding of co-existing beliefs and 'subjective norms'.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 2","pages":"62-77"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Influencing the Implementation of Evidence-Based Falls Prevention Interventions for Older Persons Living in Residential long-term care settings - An Umbrella Review of Systematic Reviews. 对居住在长期护理机构的老年人实施以证据为基础的预防跌倒干预措施的影响因素——系统综述的总括性综述。

Journal of frailty, sarcopenia and falls Pub Date : 2025-06-01 DOI: 10.22540/JFSF-10-087

Anthony Scerri, Stephen Lungaro-Mifsud

{"title":"Factors Influencing the Implementation of Evidence-Based Falls Prevention Interventions for Older Persons Living in Residential long-term care settings - An Umbrella Review of Systematic Reviews.","authors":"Anthony Scerri, Stephen Lungaro-Mifsud","doi":"10.22540/JFSF-10-087","DOIUrl":"10.22540/JFSF-10-087","url":null,"abstract":"Falls among older adults in residential long-term care (RLTC) remain a significant concern, with prevention efforts often yielding inconsistent results due to the complexity of implementation. This umbrella review synthesised evidence from ten systematic reviews to explore the factors influencing the implementation of falls prevention interventions in RLTC, using the i-PARIHS framework. Six EBSCO databases and Scopus were searched without date or language limiters. Risk of bias was assessed using the AMSTAR-2 checklist. The review was conducted in accordance with the PRIOR guideline for overviews of reviews. Seventy-three specific factors were identified. Interventions that are simple, engaging, tailored, and supported by leadership were more effectively adopted. Staff knowledge, clarity of roles, and multidisciplinary collaboration and co-design further facilitated implementation, while organisational constraints such as limited resources, rigid routines, and under-resourcing posed substantial barriers. External contextual influences, including funding mandates and policy frameworks. Moreover, this review identified four factors that did not fall under any of the key characteristics of the i-PARIHS framework: the technological fit of innovations, the health status of residents, changes within the RLTC population, and facilitators' skills in navigating complexity. This review underscores the importance of contextually sensitive, system-wide strategies that consider the evolving realities of RLTC.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 2","pages":"87-107"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0