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Identifying Feasible Physical Activity Programs for Long-Term Care Homes in the Ontario Context

BACKGROUND: Structured exercise programs for frail institutionalized seniors have shown improvement in physical, functional, and psychological health of this population. However, the ‘feasibility’ of implementation of such programs in real settings is seldom discussed. The purpose of this systematic...

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Autores principales: Shakeel, Saad, Newhouse, Ian, Malik, Ali, Heckman, George
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Geriatrics Society 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4487739/
https://www.ncbi.nlm.nih.gov/pubmed/26180563
http://dx.doi.org/10.5770/cgj.18.158
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author Shakeel, Saad
Newhouse, Ian
Malik, Ali
Heckman, George
author_facet Shakeel, Saad
Newhouse, Ian
Malik, Ali
Heckman, George
author_sort Shakeel, Saad
collection PubMed
description BACKGROUND: Structured exercise programs for frail institutionalized seniors have shown improvement in physical, functional, and psychological health of this population. However, the ‘feasibility’ of implementation of such programs in real settings is seldom discussed. The purpose of this systematic review was to gauge feasibility of exercise and falls prevention programs from the perspective of long-term care homes in Ontario, given the recent changes in funding for publically funded physiotherapy services. METHOD: Six electronic databases were searched by two independent researchers for randomized controlled trials that targeted long-term care residents and included exercise as an independent component of the intervention. RESULTS: A total of 39 studies were included in this review. A majority of these interventions were led by physiotherapist(s), carried out three times per week for 30–45 minutes per session. However, a few group-based interventions that were led by long-term care staff, volunteers, or trained non-exercise specialists were identified that also required minimal equipment. CONCLUSION: This systematic review has identified ‘feasible’ physical activity and falls prevention programs that required minimal investment in staff and equipment, and demonstrated positive outcomes. Implementation of such programs represents cost-effective means of providing long-term care residents with meaningful gains in physical, psychological, and social health.
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spelling pubmed-44877392015-07-15 Identifying Feasible Physical Activity Programs for Long-Term Care Homes in the Ontario Context Shakeel, Saad Newhouse, Ian Malik, Ali Heckman, George Can Geriatr J Systematic Reviews/Meta-Analysis BACKGROUND: Structured exercise programs for frail institutionalized seniors have shown improvement in physical, functional, and psychological health of this population. However, the ‘feasibility’ of implementation of such programs in real settings is seldom discussed. The purpose of this systematic review was to gauge feasibility of exercise and falls prevention programs from the perspective of long-term care homes in Ontario, given the recent changes in funding for publically funded physiotherapy services. METHOD: Six electronic databases were searched by two independent researchers for randomized controlled trials that targeted long-term care residents and included exercise as an independent component of the intervention. RESULTS: A total of 39 studies were included in this review. A majority of these interventions were led by physiotherapist(s), carried out three times per week for 30–45 minutes per session. However, a few group-based interventions that were led by long-term care staff, volunteers, or trained non-exercise specialists were identified that also required minimal equipment. CONCLUSION: This systematic review has identified ‘feasible’ physical activity and falls prevention programs that required minimal investment in staff and equipment, and demonstrated positive outcomes. Implementation of such programs represents cost-effective means of providing long-term care residents with meaningful gains in physical, psychological, and social health. Canadian Geriatrics Society 2015-06-30 /pmc/articles/PMC4487739/ /pubmed/26180563 http://dx.doi.org/10.5770/cgj.18.158 Text en © 2015 Author(s). Published by the Canadian Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No-Derivative license (http://creativecommons.org/licenses/by-nc-nd/2.5/ca/), which permits unrestricted non-commercial use and distribution, provided the original work is properly cited.
spellingShingle Systematic Reviews/Meta-Analysis
Shakeel, Saad
Newhouse, Ian
Malik, Ali
Heckman, George
Identifying Feasible Physical Activity Programs for Long-Term Care Homes in the Ontario Context
title Identifying Feasible Physical Activity Programs for Long-Term Care Homes in the Ontario Context
title_full Identifying Feasible Physical Activity Programs for Long-Term Care Homes in the Ontario Context
title_fullStr Identifying Feasible Physical Activity Programs for Long-Term Care Homes in the Ontario Context
title_full_unstemmed Identifying Feasible Physical Activity Programs for Long-Term Care Homes in the Ontario Context
title_short Identifying Feasible Physical Activity Programs for Long-Term Care Homes in the Ontario Context
title_sort identifying feasible physical activity programs for long-term care homes in the ontario context
topic Systematic Reviews/Meta-Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4487739/
https://www.ncbi.nlm.nih.gov/pubmed/26180563
http://dx.doi.org/10.5770/cgj.18.158
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