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Barriers and Facilitators to Physical Activity Among Older Adults in Residential Aged Care Facilities

A Mixed Methods Systematic Review Using the Social Ecological Model

Bibliographic Data

ID12178799
AuthorsSumana Baidya (Flinders University), Cathy Connolly (Flinders University), Cath J Connolly (Flinders University), Jasmine M Petersen (0000-0001-6667-206X, Flinders University), Claire Baldwin (0000-0002-5022-8498, Flinders University), Maayken E L van den Berg (Flinders University), Isobel Marion Harris (0000-0001-8125-3832, Flinders University), Isobel Harris (Flinders University), Lucy K Lewis (0000-0001-9579-9991, Flinders University, corresponding author)
Year2024
Volume37
Issue10
Pages702-720
Publication date2024-11-22
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Aging and Health (JOURNAL)
Journal identifiersISSN: 1552-6887 • E-ISSN: 0898-2643
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/08982643241302209
PMID39576885
OpenAlexW4404627384
LanguageEN
Citations received2
References cited100

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

Interpersonal communication · Interpersonal relationship · Intrapersonal communication · Multimethodology · Qualitative property · Qualitative research · Social ecological model · Social support · Sociology · Thematic analysis · Geriatric Care and Nursing Homes · Health disparities and outcomes · Medicine · Physical Activity and Health · Psychology · Social Psychology · Gerontology

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Unique citing works2
Citations per year2
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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