TY - JOUR
T1 - Barriers and Facilitators to Physical Activity Among Older Adults in Residential Aged Care Facilities
T2 - A Mixed Methods Systematic Review Using the Social Ecological Model
AU - Baidya, Sumana
AU - Connolly, Cath J
AU - Petersen, Jasmine M
AU - Baldwin, Claire
AU - van den Berg, Maayken E L
AU - Harris, Isobel
AU - Lewis, Lucy K
PY - 2024/11/22
Y1 - 2024/11/22
N2 - 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.
AB - 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.
KW - assisted living
KW - barriers
KW - exercise
KW - facilitators
KW - physical activity
KW - PROSPERO CRD42018104818
UR - http://www.scopus.com/inward/record.url?scp=85210452601&partnerID=8YFLogxK
U2 - 10.1177/08982643241302209
DO - 10.1177/08982643241302209
M3 - Review article
AN - SCOPUS:85210452601
SN - 0898-2643
SP - 1
EP - 19
JO - Journal of Aging and Health
JF - Journal of Aging and Health
ER -