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Predictors of attendance to group exercise: a cohort study of older adults in long-term care facilities

Identifieur interne : 000D42 ( Ncbi/Merge ); précédent : 000D41; suivant : 000D43

Predictors of attendance to group exercise: a cohort study of older adults in long-term care facilities

Auteurs : Susanne Finnegan ; Julie Bruce ; Sarah E. Lamb ; Frances Griffiths

Source :

RBID : PMC:4392629

Abstract

Background

The benefits of regular exercise and physical activity are well known. Those living in long-term care are often frail, but have the potential to benefit from physical activity; yet are less likely to be offered exercise. Promoting exercise within residential and nursing homes may reduce health risks associated with inactivity in this population. The aim of this cohort study is to identify predictors of attendance at physiotherapy led exercise groups offered to older adults residing in long-term care in the United Kingdom.

Methods

One thousand and twenty three older adults residing in residential and nursing homes, were recruited to the Older People's Exercise in Residential and nursing Accommodation (OPERA) cluster randomised controlled trial. Secondary analysis of 428 adults (aged 75 to 107) randomised to twice-weekly physiotherapy-led group exercise sessions for 12 months was undertaken. Using attendance data, linear regression analysis was utilised to separately identify individual and home-level factors predictive of attendance at exercise in the residential and nursing homes.

Results

Of 428 older adults, 326 lived in residential homes and 102 in nursing homes. Mean age of the sample was 88.0 years and the majority of residents were female (324/428, 76%). Pre-intervention assessment suggested that most residents had moderate cognitive impairment; median (range) Mini Mental State Examination scores in residential homes were 19 (0–30) and 14 (0–29) in nursing homes. Median Geriatric Depression Scale (GDS-15) scores were 3 (0–13) and 5 (0–13) respectively, indicating low levels of depressive symptoms.

Over a 12-month period, 3191 exercise groups were delivered. Mean number of groups in the residential homes was 82 and 78 in the nursing homes. Number of attendances at group exercise was 11,534/21,292 (54.2%) and 3295/6436 (51.2%) respectively.

Linear regression analysis revealed that depression, social engagement, and socio-economic characteristics were significantly associated with participant attendance at exercise groups in the residential homes, but none of these factors predicted attendance at group exercise in nursing homes.

Conclusions

Older people living in long-term care are receptive to participating in exercise programmes, but there are individual and home-level reasons for attendance and non-attendance.


Url:
DOI: 10.1186/s12877-015-0043-y
PubMed: 25887989
PubMed Central: 4392629

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PMC:4392629

Le document en format XML

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<p>The benefits of regular exercise and physical activity are well known. Those living in long-term care are often frail, but have the potential to benefit from physical activity; yet are less likely to be offered exercise. Promoting exercise within residential and nursing homes may reduce health risks associated with inactivity in this population. The aim of this cohort study is to identify predictors of attendance at physiotherapy led exercise groups offered to older adults residing in long-term care in the United Kingdom.</p>
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<p>One thousand and twenty three older adults residing in residential and nursing homes, were recruited to the Older People's Exercise in Residential and nursing Accommodation (OPERA) cluster randomised controlled trial. Secondary analysis of 428 adults (aged 75 to 107) randomised to twice-weekly physiotherapy-led group exercise sessions for 12 months was undertaken. Using attendance data, linear regression analysis was utilised to separately identify individual and home-level factors predictive of attendance at exercise in the residential and nursing homes.</p>
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<p>Of 428 older adults, 326 lived in residential homes and 102 in nursing homes. Mean age of the sample was 88.0 years and the majority of residents were female (324/428, 76%). Pre-intervention assessment suggested that most residents had moderate cognitive impairment; median (range) Mini Mental State Examination scores in residential homes were 19 (0–30) and 14 (0–29) in nursing homes. Median Geriatric Depression Scale (GDS-15) scores were 3 (0–13) and 5 (0–13) respectively, indicating low levels of depressive symptoms.</p>
<p>Over a 12-month period, 3191 exercise groups were delivered. Mean number of groups in the residential homes was 82 and 78 in the nursing homes. Number of attendances at group exercise was 11,534/21,292 (54.2%) and 3295/6436 (51.2%) respectively.</p>
<p>Linear regression analysis revealed that depression, social engagement, and socio-economic characteristics were significantly associated with participant attendance at exercise groups in the residential homes, but none of these factors predicted attendance at group exercise in nursing homes.</p>
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<p>Older people living in long-term care are receptive to participating in exercise programmes, but there are individual and home-level reasons for attendance and non-attendance.</p>
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</author>
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<name sortKey="Lamb, Sarah E" sort="Lamb, Sarah E" uniqKey="Lamb S" first="Sarah E" last="Lamb">Sarah E. Lamb</name>
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<nlm:aff id="Aff2">Oxford Clinical Trials Research Unit, John Radcliffe Hospital, Oxford, OX3 9DU UK</nlm:aff>
<wicri:noCountry code="subfield">OX3 9DU UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Griffiths, Frances" sort="Griffiths, Frances" uniqKey="Griffiths F" first="Frances" last="Griffiths">Frances Griffiths</name>
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<nlm:aff id="Aff1">Warwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL UK</nlm:aff>
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<idno type="doi">10.1186/s12877-015-0043-y</idno>
<date when="2015">2015</date>
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<title xml:lang="en" level="a" type="main">Predictors of attendance to group exercise: a cohort study of older adults in long-term care facilities</title>
<author>
<name sortKey="Finnegan, Susanne" sort="Finnegan, Susanne" uniqKey="Finnegan S" first="Susanne" last="Finnegan">Susanne Finnegan</name>
<affiliation>
<nlm:aff id="Aff1">Warwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL UK</nlm:aff>
<wicri:noCountry code="subfield">CV4 7AL UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Bruce, Julie" sort="Bruce, Julie" uniqKey="Bruce J" first="Julie" last="Bruce">Julie Bruce</name>
<affiliation>
<nlm:aff id="Aff1">Warwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL UK</nlm:aff>
<wicri:noCountry code="subfield">CV4 7AL UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Lamb, Sarah E" sort="Lamb, Sarah E" uniqKey="Lamb S" first="Sarah E" last="Lamb">Sarah E. Lamb</name>
<affiliation>
<nlm:aff id="Aff2">Oxford Clinical Trials Research Unit, John Radcliffe Hospital, Oxford, OX3 9DU UK</nlm:aff>
<wicri:noCountry code="subfield">OX3 9DU UK</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Griffiths, Frances" sort="Griffiths, Frances" uniqKey="Griffiths F" first="Frances" last="Griffiths">Frances Griffiths</name>
<affiliation>
<nlm:aff id="Aff1">Warwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL UK</nlm:aff>
<wicri:noCountry code="subfield">CV4 7AL UK</wicri:noCountry>
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</author>
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<series>
<title level="j">BMC Geriatrics</title>
<idno type="e-ISSN">1471-2318</idno>
<imprint>
<date when="2015">2015</date>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>The benefits of regular exercise and physical activity are well known. Those living in long-term care are often frail, but have the potential to benefit from physical activity; yet are less likely to be offered exercise. Promoting exercise within residential and nursing homes may reduce health risks associated with inactivity in this population. The aim of this cohort study is to identify predictors of attendance at physiotherapy led exercise groups offered to older adults residing in long-term care in the United Kingdom.</p>
</sec>
<sec>
<title>Methods</title>
<p>One thousand and twenty three older adults residing in residential and nursing homes, were recruited to the Older People's Exercise in Residential and nursing Accommodation (OPERA) cluster randomised controlled trial. Secondary analysis of 428 adults (aged 75 to 107) randomised to twice-weekly physiotherapy-led group exercise sessions for 12 months was undertaken. Using attendance data, linear regression analysis was utilised to separately identify individual and home-level factors predictive of attendance at exercise in the residential and nursing homes.</p>
</sec>
<sec>
<title>Results</title>
<p>Of 428 older adults, 326 lived in residential homes and 102 in nursing homes. Mean age of the sample was 88.0 years and the majority of residents were female (324/428, 76%). Pre-intervention assessment suggested that most residents had moderate cognitive impairment; median (range) Mini Mental State Examination scores in residential homes were 19 (0–30) and 14 (0–29) in nursing homes. Median Geriatric Depression Scale (GDS-15) scores were 3 (0–13) and 5 (0–13) respectively, indicating low levels of depressive symptoms.</p>
<p>Over a 12-month period, 3191 exercise groups were delivered. Mean number of groups in the residential homes was 82 and 78 in the nursing homes. Number of attendances at group exercise was 11,534/21,292 (54.2%) and 3295/6436 (51.2%) respectively.</p>
<p>Linear regression analysis revealed that depression, social engagement, and socio-economic characteristics were significantly associated with participant attendance at exercise groups in the residential homes, but none of these factors predicted attendance at group exercise in nursing homes.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Older people living in long-term care are receptive to participating in exercise programmes, but there are individual and home-level reasons for attendance and non-attendance.</p>
</sec>
</div>
</front>
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<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Warwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL</wicri:regionArea>
<wicri:noRegion>CV4 7AL</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bruce, Julie" sort="Bruce, Julie" uniqKey="Bruce J" first="Julie" last="Bruce">Julie Bruce</name>
<affiliation wicri:level="1">
<nlm:affiliation>Warwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL, UK. julie.bruce@warwick.ac.uk.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Warwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL</wicri:regionArea>
<wicri:noRegion>CV4 7AL</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lamb, Sarah E" sort="Lamb, Sarah E" uniqKey="Lamb S" first="Sarah E" last="Lamb">Sarah E. Lamb</name>
<affiliation wicri:level="1">
<nlm:affiliation>Oxford Clinical Trials Research Unit, John Radcliffe Hospital, Oxford, OX3 9DU, UK. s.lamb@warwick.ac.uk.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Oxford Clinical Trials Research Unit, John Radcliffe Hospital, Oxford, OX3 9DU</wicri:regionArea>
<wicri:noRegion>OX3 9DU</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Griffiths, Frances" sort="Griffiths, Frances" uniqKey="Griffiths F" first="Frances" last="Griffiths">Frances Griffiths</name>
<affiliation wicri:level="1">
<nlm:affiliation>Warwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL, UK. F.E.Griffiths@warwick.ac.uk.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Warwick Clinical Trials Unit, Division of Health Sciences, University of Warwick, Coventry, CV4 7AL</wicri:regionArea>
<wicri:noRegion>CV4 7AL</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">BMC geriatrics</title>
<idno type="e-ISSN">1471-2318</idno>
<imprint>
<date when="2015" type="published">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">The benefits of regular exercise and physical activity are well known. Those living in long-term care are often frail, but have the potential to benefit from physical activity; yet are less likely to be offered exercise. Promoting exercise within residential and nursing homes may reduce health risks associated with inactivity in this population. The aim of this cohort study is to identify predictors of attendance at physiotherapy led exercise groups offered to older adults residing in long-term care in the United Kingdom.</div>
</front>
</TEI>
</pubmed>
</double>
</record>

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