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Title

Barriers to Physical Activity and Restorative Care for Residents in Long-Term Care: A Review of the Literature.

Authors

Benjamin, Kathleen; Edwards, Nancy; Ploeg, Jenny; Legault, Frances

Abstract

Despite the benefits of physical activity, residents living in long-term care (LTC) are relatively sedentary. Designing successful physical activity and restorative care programs requires a good understanding of implementation barriers. A database search (2002-2013) yielded seven studies (nine articles) that met our inclusion criteria. We also reviewed 31 randomized controlled trials (RCTs) to determine if the authors explicitly discussed the barriers encountered while implementing their interventions. Eleven RCTs (13 articles) included a discussion of the barriers. Hence, a total of 18 studies (22 articles) were included in this review. Barriers occurred at resident (e.g., health status), environmental (e.g., lack of space for physical activity), and organizational (e.g., staffing and funding constraints) levels. These barriers intersect to adversely affect the physical activity of older people living in LTC. Future studies targeting physical activity interventions for residents living in LTC are needed to address these multiple levels of influence.

Subjects

ACCIDENTAL falls; ECOLOGY; LONG-term health care; MOTIVATION (Psychology); PEER relations; PHYSICAL activity; OLD age; PSYCHOLOGY

Publication

Journal of Aging & Physical Activity, 2014, Vol 22, Issue 1, p154

ISSN

1063-8652

Publication type

Academic Journal

DOI

10.1123/japa.2012-0139

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