Integration of Physical Activity in Reablement for Community Dwelling Older Adults: A Systematic Scoping Review

• Main Authors: Mjøsund HL, Moe CF, Burton E, Uhrenfeldt L
• Format: Article in Journal/Newspaper
• Language: English
• Published: Dove Medical Press 2020
• Subjects: rehabilitation; exercise therapy; health services for the aged; aged; 80 and over; physical fitness; health personnel; Medicine (General); R5-920; Norway; Bodø; Burton; Moe; Fredriksen; Mjøsund; Nordland
• Online Access: https://doaj.org/article/3c7bdf14e48b40cbb2aeb43926e78722

Hanne Leirbekk Mjøsund,1 Cathrine Fredriksen Moe,1,2 Elissa Burton,3 Lisbeth Uhrenfeldt1,4 1Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway; 2Centre for Work and Mental Health, Nordland Hospital Trust, Bodø, Norway; 3School of Physiotherapy & Exercise Science, Curtin University, Perth, Australia; 4Danish Centre of Systematic Review, a JBI Centre of Excellence, Center of Clinical Guidelines, Department of Clinical Medicine, Aalborg University, Aalborg, DenmarkCorrespondence: Hanne Leirbekk MjøsundNord University, Universitetsallèen 11, Bodø 8026, NorwayTel [phone]Email [e-mail]: Reablement is a rehabilitative intervention provided to homecare receivers with the aim of improving function and independence. There is limited evidence of the effectiveness of reablement, and the content of these interventions is variable. Physical activity (PA) is known to be important for improving and maintaining function among older adults, but it is unclear how PA is integrated in reablement.Purpose: To map existing evidence of how PA strategies are integrated and explored in studies of reablement for community dwelling older adults and to identify knowledge gaps.Methods: An a priori protocol was published. Studies of time-limited, interdisciplinary reablement for community-dwelling older adults were considered for inclusion. Eight databases were searched for studies published between 1996 and June 2020, in addition to reference and citation searches. Study selection and data extraction were made independently by two reviewers.Results: Fifty-one studies were included. Exercise strategies and practice of daily activities were included in the majority of intervention studies, but, in most cases, little information was provided about the intensity of PA. Interventions aiming to increase general PA levels or reduce sedentary behavior were rarely described. None of the studies explored older adults’, healthcare providers’ or family members’ experiences with PA in a reablement ...