Promotion of physical activity interventions for community dwelling older adults: A systematic review of reviews.

Ania Zubala (Lead / Corresponding author), Stephen MacGillivray, Helen Frost, Thilo Kroll, Dawn A. Skelton, Anna Gavine, Nicola M. Gray, Madalina Toma, Jacqui Morris

Research output: Contribution to journalReview article

22 Citations (Scopus)
143 Downloads (Pure)

Abstract

Objectives: While there is strong evidence that regular participation in physical activity (PA) brings numerous health benefits to older adults, and interventions to effectively promote PA are being developed and tested, the characteristics and components of the most effective interventions remain unclear. This systematically conducted review of systematic reviews evaluated the effects and characteristics of PA promotion interventions aimed at community dwelling people over 50 years old.

Methods: Major databases were searched for reviews from January 1990 to May 2015. TIDieR guidelines aided data extraction and the ROBIS tool was used to assess the risk of bias. Primary outcomes were objective and self-reported levels of PA. Indicators of psychological wellbeing and participation rates were secondary outcomes.

Results: Of 1284 records identified, 19 reviews met inclusion criteria and eight included metaanalyses. Interventions typically incorporated behaviour change techniques (BCTs) and were delivered as face-to-face, remote, group, individual or as combined interventions. Despite their heterogeneity, interventions often resulted in sustained improvements in PA over the study period, typically at 12 months, and led to improvements in general wellbeing. However, ways to ensure effective maintenance beyond one year are unclear. Certain intervention components were more clearly associated with positive effects (e.g. tailoring promotion strategy with combination of cognitive and behavioural elements, low to moderate intensity activity recommended). We found no evidence that certain other intervention characteristics were superior in achieving positive outcomes (e.g. mode of delivery, setting, professional background of the intervention provider, type of PA recommended).

Conclusion: The evidence suggests that interventions to promote PA among older adults are generally effective but there is uncertainty around the most beneficial intervention components. There are indications that purely cognitive strategies and BCTs might be less suitable for older adults than motivators more meaningful to them, including social and environmental support, and enjoyment coming from being physically active. A whole system-oriented approach is required that is tailored to meet the needs of older adults and aligned with social, individual and environmental factors.
Original languageEnglish
Article numbere0180902
Pages (from-to)1-36
Number of pages36
JournalPLoS ONE
Volume12
Issue number7
DOIs
Publication statusPublished - 10 Jul 2017

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Independent Living
systematic review
Insurance Benefits
Systems Analysis
physical activity
Uncertainty
Maintenance
Databases
Guidelines
Psychology
behavior change
Health
uncertainty
methodology
environmental factors

Keywords

  • physical activity
  • older people
  • Older adults
  • aging
  • physical activity promotion
  • review of reviews
  • community dwelling
  • behaviour change strategies

Cite this

@article{78970a38482447d4ae25a0863d8b5001,
title = "Promotion of physical activity interventions for community dwelling older adults: A systematic review of reviews.",
abstract = "Objectives: While there is strong evidence that regular participation in physical activity (PA) brings numerous health benefits to older adults, and interventions to effectively promote PA are being developed and tested, the characteristics and components of the most effective interventions remain unclear. This systematically conducted review of systematic reviews evaluated the effects and characteristics of PA promotion interventions aimed at community dwelling people over 50 years old.Methods: Major databases were searched for reviews from January 1990 to May 2015. TIDieR guidelines aided data extraction and the ROBIS tool was used to assess the risk of bias. Primary outcomes were objective and self-reported levels of PA. Indicators of psychological wellbeing and participation rates were secondary outcomes.Results: Of 1284 records identified, 19 reviews met inclusion criteria and eight included metaanalyses. Interventions typically incorporated behaviour change techniques (BCTs) and were delivered as face-to-face, remote, group, individual or as combined interventions. Despite their heterogeneity, interventions often resulted in sustained improvements in PA over the study period, typically at 12 months, and led to improvements in general wellbeing. However, ways to ensure effective maintenance beyond one year are unclear. Certain intervention components were more clearly associated with positive effects (e.g. tailoring promotion strategy with combination of cognitive and behavioural elements, low to moderate intensity activity recommended). We found no evidence that certain other intervention characteristics were superior in achieving positive outcomes (e.g. mode of delivery, setting, professional background of the intervention provider, type of PA recommended).Conclusion: The evidence suggests that interventions to promote PA among older adults are generally effective but there is uncertainty around the most beneficial intervention components. There are indications that purely cognitive strategies and BCTs might be less suitable for older adults than motivators more meaningful to them, including social and environmental support, and enjoyment coming from being physically active. A whole system-oriented approach is required that is tailored to meet the needs of older adults and aligned with social, individual and environmental factors.",
keywords = "physical activity, older people, Older adults, aging, physical activity promotion, review of reviews, community dwelling, behaviour change strategies",
author = "Ania Zubala and Stephen MacGillivray and Helen Frost and Thilo Kroll and Skelton, {Dawn A.} and Anna Gavine and Gray, {Nicola M.} and Madalina Toma and Jacqui Morris",
note = "We are grateful to Bob Laventure, Michael Tornow, Jolanda Strachan and the Members of the SISCC Older People Advisory Group for their advice and ongoing support offered to this project.",
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Promotion of physical activity interventions for community dwelling older adults : A systematic review of reviews. . / Zubala, Ania (Lead / Corresponding author); MacGillivray, Stephen; Frost, Helen; Kroll, Thilo; Skelton, Dawn A.; Gavine, Anna; Gray, Nicola M.; Toma, Madalina; Morris, Jacqui.

In: PLoS ONE, Vol. 12, No. 7, e0180902, 10.07.2017, p. 1-36.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Promotion of physical activity interventions for community dwelling older adults

T2 - A systematic review of reviews.

AU - Zubala, Ania

AU - MacGillivray, Stephen

AU - Frost, Helen

AU - Kroll, Thilo

AU - Skelton, Dawn A.

AU - Gavine, Anna

AU - Gray, Nicola M.

AU - Toma, Madalina

AU - Morris, Jacqui

N1 - We are grateful to Bob Laventure, Michael Tornow, Jolanda Strachan and the Members of the SISCC Older People Advisory Group for their advice and ongoing support offered to this project.

PY - 2017/7/10

Y1 - 2017/7/10

N2 - Objectives: While there is strong evidence that regular participation in physical activity (PA) brings numerous health benefits to older adults, and interventions to effectively promote PA are being developed and tested, the characteristics and components of the most effective interventions remain unclear. This systematically conducted review of systematic reviews evaluated the effects and characteristics of PA promotion interventions aimed at community dwelling people over 50 years old.Methods: Major databases were searched for reviews from January 1990 to May 2015. TIDieR guidelines aided data extraction and the ROBIS tool was used to assess the risk of bias. Primary outcomes were objective and self-reported levels of PA. Indicators of psychological wellbeing and participation rates were secondary outcomes.Results: Of 1284 records identified, 19 reviews met inclusion criteria and eight included metaanalyses. Interventions typically incorporated behaviour change techniques (BCTs) and were delivered as face-to-face, remote, group, individual or as combined interventions. Despite their heterogeneity, interventions often resulted in sustained improvements in PA over the study period, typically at 12 months, and led to improvements in general wellbeing. However, ways to ensure effective maintenance beyond one year are unclear. Certain intervention components were more clearly associated with positive effects (e.g. tailoring promotion strategy with combination of cognitive and behavioural elements, low to moderate intensity activity recommended). We found no evidence that certain other intervention characteristics were superior in achieving positive outcomes (e.g. mode of delivery, setting, professional background of the intervention provider, type of PA recommended).Conclusion: The evidence suggests that interventions to promote PA among older adults are generally effective but there is uncertainty around the most beneficial intervention components. There are indications that purely cognitive strategies and BCTs might be less suitable for older adults than motivators more meaningful to them, including social and environmental support, and enjoyment coming from being physically active. A whole system-oriented approach is required that is tailored to meet the needs of older adults and aligned with social, individual and environmental factors.

AB - Objectives: While there is strong evidence that regular participation in physical activity (PA) brings numerous health benefits to older adults, and interventions to effectively promote PA are being developed and tested, the characteristics and components of the most effective interventions remain unclear. This systematically conducted review of systematic reviews evaluated the effects and characteristics of PA promotion interventions aimed at community dwelling people over 50 years old.Methods: Major databases were searched for reviews from January 1990 to May 2015. TIDieR guidelines aided data extraction and the ROBIS tool was used to assess the risk of bias. Primary outcomes were objective and self-reported levels of PA. Indicators of psychological wellbeing and participation rates were secondary outcomes.Results: Of 1284 records identified, 19 reviews met inclusion criteria and eight included metaanalyses. Interventions typically incorporated behaviour change techniques (BCTs) and were delivered as face-to-face, remote, group, individual or as combined interventions. Despite their heterogeneity, interventions often resulted in sustained improvements in PA over the study period, typically at 12 months, and led to improvements in general wellbeing. However, ways to ensure effective maintenance beyond one year are unclear. Certain intervention components were more clearly associated with positive effects (e.g. tailoring promotion strategy with combination of cognitive and behavioural elements, low to moderate intensity activity recommended). We found no evidence that certain other intervention characteristics were superior in achieving positive outcomes (e.g. mode of delivery, setting, professional background of the intervention provider, type of PA recommended).Conclusion: The evidence suggests that interventions to promote PA among older adults are generally effective but there is uncertainty around the most beneficial intervention components. There are indications that purely cognitive strategies and BCTs might be less suitable for older adults than motivators more meaningful to them, including social and environmental support, and enjoyment coming from being physically active. A whole system-oriented approach is required that is tailored to meet the needs of older adults and aligned with social, individual and environmental factors.

KW - physical activity

KW - older people

KW - Older adults

KW - aging

KW - physical activity promotion

KW - review of reviews

KW - community dwelling

KW - behaviour change strategies

U2 - 10.1371/journal.pone.0180902

DO - 10.1371/journal.pone.0180902

M3 - Review article

C2 - 28700754

VL - 12

SP - 1

EP - 36

JO - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 7

M1 - e0180902

ER -