Physical activity programs for older people in the community receiving home care services: systematic review and meta-analysis.
Authors
Burton, ElissaFarrier, Kaela
Galvin, Rose
Johnson, Shanthi
Horgan, N Frances
Warters, Austin
Hill, Keith D
Issue Date
2019-01-01Keywords
community careexercise
physical function
reablement
seniors
OLDER PEOPLE
HOME CARE
PHYSICAL ACTIVITY
Metadata
Show full item recordDOI
10.2147/CIA.S205019PubMed ID
31239654Abstract
The proportion of older adults is increasing around the world and most wish to live in their home until they die. To achieve this, many will require services in the home to remain living independently. To maintain function (ie, strength, balance, and endurance), physical activity needs to be undertaken on a regular basis, and is essential as a person ages. Unfortunately, as people age there is a tendency to reduce activity levels, which often leads to loss of function and frailty, and the need for home care services. This updated systematic review includes a mix of study methodologies and meta-analysis, and investigated the effectiveness of physical activity/exercise interventions for older adults receiving home care services. Eighteen studies including ten randomized controlled trials meeting the selection criteria were identified. Many of the studies were multi-factorial interventions with the majority reporting aims beyond solely trying to improve the physical function of home care clients. The meta-analysis showed limited evidence for effectiveness of physical activity for older adults receiving home care services. Future exercise/physical activity studies working with home care populations should consider focusing solely on physical improvements, and need to include a process evaluation of the intervention to gain a better understanding of the association between adherence to the exercise program and other factors influencing effectiveness.Language
enISSN
1178-1998ae974a485f413a2113503eed53cd6c53
10.2147/CIA.S205019
Scopus Count
Collections
Related articles
- A Systematic Review of Physical Activity Programs for Older People Receiving Home Care Services.
- Authors: Burton E, Lewin G, Boldy D
- Issue date: 2015 Jul
- 'Physical activity at home (PAAH)', evaluation of a group versus home based physical activity program in community dwelling middle aged adults: rationale and study design.
- Authors: Freene N, Waddington G, Chesworth W, Davey R, Goss J
- Issue date: 2011 Nov 24
- Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: study protocol for a pragmatic randomised controlled trial.
- Authors: Burton E, Lewin G, Clemson L, Boldy D
- Issue date: 2013 Oct 18
- Effects, costs and feasibility of the 'Stay Active at Home' Reablement training programme for home care professionals: study protocol of a cluster randomised controlled trial.
- Authors: Metzelthin SF, Rooijackers TH, Zijlstra GAR, van Rossum E, Veenstra MY, Koster A, Evers SMAA, van Breukelen GJP, Kempen GIJM
- Issue date: 2018 Nov 13
- Time-limited home-care reablement services for maintaining and improving the functional independence of older adults.
- Authors: Cochrane A, Furlong M, McGilloway S, Molloy DW, Stevenson M, Donnelly M
- Issue date: 2016 Oct 11