老年护理机构中老年人体育锻炼的障碍和促进因素:使用社会生态模型的混合方法系统性综述。

IF 2.2 3区 医学 Q2 GERONTOLOGY
Sumana Baidya, Cath J Connolly, Jasmine M Petersen, Claire Baldwin, Maayken E L van den Berg, Isobel Harris, Lucy K Lewis
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引用次数: 0

摘要

目的从住户、员工和家人的角度,确定老年护理机构(RACFs)中老年人进行体育活动(PA)的障碍和促进因素:方法:以社会生态模型(SEM)为基础,采用混合方法进行系统综述。检索了从开始到 2024 年 5 月的五个数据库。数据综合采用聚合综合法,对相关定量数据进行 "定性",并利用主题综合法对定性数据进行综合:本综述包括 67 项研究(40 项定性研究、16 项混合方法研究和 11 项定量研究)。专题综合确定了 51 个关键主题(27 个促进因素和 24 个障碍),涵盖了 SEM 的各个层面。在 RACF 中,人际因素(如社会支持)是最常见的促进因素(n = 55 项研究):讨论:在制定和实施促进住宿和餐饮设施中体育锻炼的策略时,必须考虑多层次因素的相互作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers and Facilitators to Physical Activity Among Older Adults in Residential Aged Care Facilities: A Mixed Methods Systematic Review Using the Social Ecological Model.

Objective: To ascertain the barriers and facilitators to physical activity (PA) for older adults in Residential Aged Care Facilities (RACFs), from the perspective of residents, staff, and family.

Methods: A mixed-methods systematic review, underpinned by the Social Ecological Model (SEM). Five databases were searched from inception to May 2024. Data synthesis followed a convergent integrated approach, with relevant quantitative data 'qualitised' and synthesised with qualitative data using thematic synthesis.

Results: This review included 67 studies (40 qualitative, 16 mixed-methods, and 11 quantitative). Thematic synthesis identified 51 key themes (27 facilitators and 24 barriers), spanning all levels of the SEM. Intrapersonal factors (e.g. poor general health) were the most commonly cited barriers (n = 53 studies), and interpersonal factors (e.g. social support) the most commonly reported facilitators (n = 55 studies) to PA in RACFs.

Discussion: An interplay of multi-level factors must be addressed in the development and implementation of strategies to promote PA in RACFs.

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来源期刊
CiteScore
5.60
自引率
3.60%
发文量
113
期刊介绍: The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.
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