The development of the MIBBO: A measure of resident preferences for physical activity in long term care settings

2015 ◽  
Vol 36 (4) ◽  
pp. 261-266 ◽  
Author(s):  
Melanie Kleynen ◽  
Susy M. Braun ◽  
Kim van Vijven ◽  
Erik van Rossum ◽  
Anna J. Beurskens
2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 776-776
Author(s):  
Elizabeth Galik ◽  
Marie Boltz

Abstract Long term care residents with dementia are sedentary, experience rapid functional decline, and frequently exhibit behavioral and psychological symptoms of dementia. Our prior cluster, randomized controlled trial among 336 residents with moderate to severe dementia in 12 nursing homes demonstrated that it is possible to increase time spent in physical activity and decrease resistiveness to care through a theory based intervention, Function and Behavior Focused Care (FBFC). FBFC is based on the Social Ecological Model and Social Cognitive Theory and focuses on having long term care staff cue, model, and assist residents with dementia to engage in physical activity and perform functional tasks. Learning from prior work, it was noted that future implementation of FBFC would benefit from de-implementing inaccurate care practices, such as restricting resident mobility and providing custodial care and also by engaging a full stakeholder team in intervention activities. Additionally, there were measurement issues, such as the use of actigraphy with a sedentary, cognitively impaired population, and the need to assess the quality of care interactions between residents and staff. This symposium will review lessons learned from the FBFC trial and will discuss 1) facilitators and barriers to the implementation of the FBFC intervention within long term care settings; 2) measurement opportunities and challenges with a cognitively impaired long term care population; and 3) adaptation of the FBFC intervention to be appropriate for a dissemination and implementation trial that incorporates the Synthesis Model of De-Adoption and the Evidence Integration Triangle implementation strategy.


2009 ◽  
Vol 17 (2) ◽  
pp. 181-195 ◽  
Author(s):  
Kathleen Benjamin ◽  
Nancy Edwards ◽  
Wenda Caswell

In 2006, the authors conducted a multisite qualitative study in Ottawa, Ontario, Canada to examine organizational and environmental factors that influence physical activity for long-term-care (LTC) residents. The article describes the results of interviews with 9 administrators from nonprofit and for-profit LTC facilities. A content analysis revealed that despite having positive views about the value of physical activity, the administrators encountered challenges related to funding, human resources, and the built (physical) environment. The intersection of staffing issues and challenges in the built environment created less than optimal conditions for physical activity programs. Findings suggest that until there are adequate human and financial resources, it will be difficult to implement evidence-informed physical activity programs for residents in LTC settings in Ontario. A review of provincial LTC standards for physical activity program requirements and the built environment is warranted.


2016 ◽  
Vol 17 (1) ◽  
pp. 75-84 ◽  
Author(s):  
Veerle Baert ◽  
Ellen Gorus ◽  
Koen Calleeuw ◽  
Werner De Backer ◽  
Ivan Bautmans

2016 ◽  
Vol 17 (5) ◽  
pp. 381-392 ◽  
Author(s):  
Philipe de Souto Barreto ◽  
John E. Morley ◽  
Wojtek Chodzko-Zajko ◽  
Kaisu H. Pitkala ◽  
Elizabeth Weening-Djiksterhuis ◽  
...  

Author(s):  
Adryanne Almeida Santos ◽  
Ana Lídia Santos Barros da Silva ◽  
Felipe Arllan Bezerra Santos ◽  
Juliana Eletícia Silva Barbosa ◽  
Laize Pacheco Dos Santos Almeida ◽  
...  

Background: Aging is a physiological process characterized as the beginning of a stage of life in which happen social, physical and psychological changes. Among these, cognitive and functional decline has been one of the most frequent, and may be enhanced by the process of institutionalization. Objectives: The aim of this study was to describe the cognitive and functional profile of elderly residents in a Long-Term Care Institution for the Elderly (LTCI). Methods: A cross-sectional descriptive study whose population was composed of elderly people of both genders, residents in the “Associação Feirense de Assistência Social” in Feira de Santana (BA), Brazil. The elderly with physical and mental limitations that made it impossible to perform the functional and cognitive tests were excluded from the study. The survey was completed in December 2017. The Barthel Index, Katz Index, Berg Balance Scale (BERG) and Timed Up and Go (TUG) were used for functional evaluation. The first two tools were used to classify functional independence in the activities of daily living (ADL’s), and the others to categorize risk of fall. It was used the Mini-Mental State Exam to evaluate cognition. In addition, a form was created to collect clinical and sociodemographic variables. The results of this study were described in percentage. Results: From the 35 elderly residents, 25 were included, of which 15 were female, with ages between 62 and 95 years. Regarding Education, 60% are illiterate, 32% have 1 to 4 years, 4% have 5 to 8 years and 4% have 9 to 11 years of studies. 92% of the population presented cognitive alterations. Regarding functionality, 66.6% of the elderly had a dependent gait, with 56.2% of females. In the assessment of the risk of falling, 60% presented moderate risk by TUG and 82.6% presented a high risk by the Berg scale. Considering the Barthel index and the Katz index, 52% had dependence on ADLs. 96% did not practice physical activity and 62.5% did not undergo Physical Therapy. The most frequent comorbidities were arterial hypertension (64.3%) and diabetes mellitus (36%). Conclusion: The results of this study indicate that the studied population presents cognitive alterations, gait dependent, greater probability for risk of falls, low level of education and physical activity, besides longevity, which may suggest that the institutionalization process brings negative repercussions for these subjects.


Maturitas ◽  
2017 ◽  
Vol 102 ◽  
pp. 62-68 ◽  
Author(s):  
Wendy Moyle ◽  
Cindy Jones ◽  
Jenny Murfield ◽  
Brian Draper ◽  
Elizabeth Beattie ◽  
...  

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