scholarly journals ‘All We Have to Decide Is What to Do with the Time That Is Given to Us’ A Photovoice Study on Physical Activity in Nursing Homes

2021 ◽  
Vol 18 (10) ◽  
pp. 5481
Author(s):  
Dorothée Altmeier ◽  
Ansgar Thiel ◽  
Annika Frahsa
Keyword(s):  
Physical Activity ◽  
Nursing Homes ◽  
Thematic Analysis ◽  
Physical Inactivity ◽  
Nursing Home Residents ◽  
Social Environments ◽  
Daily Work ◽  
Stakeholder Groups ◽  
Social Incentives ◽  
High Prevalence

(1) Background: Despite high prevalence of physical inactivity and sedentariness among nursing home residents, research on the influence of environments on this topic remains scarce. This Photovoice study explores how structural and social environments relate to residents’ everyday physical activity (PA). (2) Methods: 27 residents, staff, and significant others conducted Photovoice in eight nursing homes in Germany to document factors facilitating or hindering PA. Photographs were discussed with the participants in eight focus groups and analysed using thematic analysis. (3) Results: 169 photographs (between 8 and 42per home) were categorized into three thematic groups: (1) ‘architectural challenges for PA promotion in nursing homes’; (2) ‘opportunities and limitations of using daily work equipment for PA promotion’; (3) ‘social incentives for PA promotion’. Photographs’ foci in the homes differed considerably between participant groups. Staff primarily chose environmental constructions and aids that they perceived to enable residents’ PA. Residents were more likely to express affections and emotions that would encourage them to be active. (4) Conclusions: PA promotion research in this setting should be sensitive to diverse perceptions of different stakeholder groups and existing power imbalances. Interventions are needed that integrate residents’ needs and train staff on how to consider residents’ perspectives.

Physical Activity in Nursing Homes—Barriers and Facilitators: A Cross-Sectional Study

2012 ◽  
Vol 20 (4) ◽  
pp. 421-441 ◽  
Author(s):  
Sonja Kalinowski ◽  
Ines Wulff ◽  
Marita Kölzsch ◽  
Kirsten Kopke ◽  
Reinhold Kreutz ◽  
...  
Keyword(s):  
Physical Activity ◽  
Nursing Homes ◽  
Quantitative Data ◽  
Structural Characteristics ◽  
Nursing Home Residents ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional Survey ◽  
Institutional Barriers ◽  
Cross Sectional

Purpose:To explore different institutional barriers to and facilitators of physical activity (PA) in nursing homes.Methods:Cross-sectional survey of 40 German nursing homes and 217 nursing-home residents (NHRs; M ± SD age 80 ± 10.2 yr, 55% women, MMSE ≥20). Quantitative data were collected on the structural characteristics of nursing homes and the PA services available.Results:Forms of exercise available were not adequately communicated to residents. Overall participation was below 50%. Awareness was significantly higher in residents with informed relatives (p = .003). A broad range of forms of exercise was generally available (M ± SD 5 ± 2.22, range 0–10), but they were rarely tailored to NHRs’ needs and their effectiveness remains questionable.Conclusion:Multidimensional opportunities to promote PA in NHRs are identified.

scholarly journals The use of a non-pedal tricycle to promote physical activity in nursing home residents: a pilot study

2021 ◽  
Vol 15 (2) ◽  
pp. 118-126
Author(s):  
Tatiane Calve ◽  
Ana Maria F. Barela
Keyword(s):  
Physical Activity ◽  
Nursing Home ◽  
Nursing Homes ◽  
Walking Speed ◽  
Nursing Home Residents ◽  
Functional Mobility ◽  
Walking Distance ◽  
Practice Session ◽  
Timed Up And Go ◽  
Elderly Individuals

BACKGROUND: Elderly individuals living in nursing homes are usually inactive and do not seem motivated to engage in physical activity. Therefore, it is important to investigate new possibilities that enable them to be active in these environments. AIM: To investigate the feasibility of a protocol using a non-pedal tricycle in elderly individuals living in nursing homes and its effects on improving endurance, walking speed, and functional mobility. METHOD: Fourteen nursing home residents aged from 60 to 93 years were included in the study protocol. They were randomly allocated into two groups: control (CG) and intervention (IG). The CG kept their routine during the engagement in the study, and the IG, in addition to the routine, used a non-pedal tricycle to move around the nursing home twice a week for 12 weeks. Participants from both groups underwent the 6-minute walk, 10-meter walk, and timed-up and go tests, one week before the first practice session and one week after the last practice session provided to the IG. RESULTS: Before the intervention, there was no group difference in any test, and after the intervention, only IG participants presented an increase in walking distance and walking speed. Both groups did not change their time to conclude the timed-up and go test. CONCLUSION: The use of a non-pedal tricycle seems appropriate in stimulating physical activity in individuals living in nursing homes. Besides the motivation to move around, walking resistance and speed improved.

scholarly journals Age Related Visual Pathologies among Nursing Home Residents: An Evaluation of Light Conditions and Recording in Client Files

2014 ◽  
Vol 1 (2) ◽  
pp. 136 ◽  
Author(s):  
Marianne M. Sinoo ◽  
Mirjam Van Tilborg ◽  
Jos M. G. A. Schols ◽  
Helianthe S. M. Kort
Keyword(s):  
Nursing Homes ◽  
Nursing Home Residents ◽  
Light Conditions ◽  
Eye Care ◽  
Lighting Conditions ◽  
Age Related ◽  
High Prevalence ◽  
Visual Problems ◽  
Poor Lighting

<p><strong><em>Objective:</em></strong><em> Reflection on visual problems in nursing homes.</em></p> <p><strong><em>Data Sources: </em></strong><em>Eye examinations, documented visual problems and illuminance levels. </em></p> <p><strong><em>Study design:</em></strong><em> The optometric examinations and recorded visual problems were combined with illuminance data.</em></p> <p><strong><em>Data collection:</em></strong><em> In seven nursing homes, 259 residents underwent an optometric examination. Their client records were analyzed for information regarding visual functioning. The illuminance data were ranked to set the quality of the lighting conditions.</em></p> <p><strong><em>Principal findings:</em></strong><em> 50% of the referred residents had problems with cataracts, retinal problems (21%), suspected glaucoma (13%), and other pathologies (16%). The information was not current</em><em> in 56% of the records. The quality of lighting conditions was low or moderate. </em></p> <strong><em>Conclusion:</em></strong><em> The finding of poor lighting conditions in nursing homes in combination with a high prevalence of visual problems (with cataract found to be the most common age related pathology), stretches the need of enhanced awareness of eye care by professional caregivers.</em>

scholarly journals Assessment of Body Composition and Dietary Intake in Nursing-Home Residents: Could Lessons Learned from the COVID-19 Pandemic Be Used to Prevent Future Casualties in Older Individuals?

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1510
Author(s):  
Irena Keser ◽  
Selma Cvijetić ◽  
Ana Ilić ◽  
Irena Colić Barić ◽  
Dario Boschiero ◽  
...  
Keyword(s):  
Body Composition ◽  
Nursing Homes ◽  
Dietary Intake ◽  
Nursing Home Residents ◽  
Bioelectrical Impedance ◽  
Lessons Learned ◽  
Older Individuals ◽  
Omega 3 ◽  
Health Maintenance ◽  
High Prevalence

The population of older adults, especially those living in the nursing homes, is growing. The sedentary lifestyle and possible poor nutrition in nursing homes place residents (NHRs) at risk for body composition impairments, malnutrition, and, subsequently, numerous chronic diseases. The aim of this study was to assess body composition (including body fluids) and dietary intake in NHRs. The association between osteosarcopenic adiposity syndrome (OSA) and its components, osteopenic adiposity (OA), sarcopenic adiposity (SA), and adiposity-only (AD), and specific macro- and micro-nutrients was evaluated as well. The study included 84 participants (82.1% women), aged 65.3–95.2 years. Body composition was assessed with an advanced bioelectrical impedance device BIA-ACC® and dietary intake was assessed via 24-h recall and analyzed using “Nutrition” software. The majority (95%) of participants were overweight with a high body fat and low muscle and bone mass, leading to a high prevalence of OSA (>50%), OA (13%), and AD (26%). There were only a few participants with SA, and they were not analyzed. The highest extracellular water/total body water ratio was observed in the OSA participants, indicating a heightened inflammatory state. Participants in all three body composition categories had a similar nutrient intake, with protein, fiber, omega-3 fatty acids, and almost all micronutrients being far below recommendations. In conclusion, a high prevalence of OSA among NHRs accompanied by a poor dietary intake, could place these residents at a very high risk for COVID-19 infections. Therefore, optimization of body composition and nutritional status should be included along with standard medical care in order to provide better health maintenance, particularly in the COVID-19 era.

scholarly journals Sedentary lifestyle and poor eating habits in childhood:a cohort study

2016 ◽  
Vol 21 (4) ◽  
pp. 1051-1059
Author(s):  
Gisele Ferreira Dutra ◽  
Cristina Correa Kaufmann ◽  
Alessandra Doumid Borges Pretto ◽  
Elaine Pinto Albernaz
Keyword(s):  
Physical Activity ◽  
Healthy Eating ◽  
Physical Inactivity ◽  
Sedentary Lifestyle ◽  
Eating Habits ◽  
Daily Consumption ◽  
Economic Class ◽  
High Prevalence ◽  
Healthy Eating Habits ◽  
Activity Questionnaire

Abstract Worldwide, about 22 million children under five years old are overweight. Environmental factors are the main trigger for this epidemic. The purpose of this study was to evaluate the eating and physical activity habits in a cohort of eight-year-old children in Pelotas, Brazil. Eating habits were assessed based on the Ten Steps to Healthy Eating proposed by the Ministry of Health. To assess the level of physical activity, the physical activity questionnaire for children and adolescents (PAQ-C) was used. Of the 616 interviewed children at 8 years, it was observed that 50.3% were male; 70.3% were white and just over half belonged to economic class C. None of the children were classified as very active and none acceded to a daily consumption of six servings of the cereals, tubers, and roots. The steps that had higher adhesion were 8 (do not add salt to ready foods); 4 (consumption of beans, at least 5 times per week) and 1 (have 3 meals and 2 snacks per day), respectively. The high prevalence of physical inactivity and low level of healthy eating habits confirm the importance of strategies to support and encourage the practice of physical activity and healthy eating among youth.

“I Tried Forcing Myself to do It, but Then It Becomes a Boring Chore”: Understanding (dis)engagement in Physical Activity Among Individuals With Type 2 Diabetes Using a Practice Theory Approach

2021 ◽  
pp. 104973232110645
Author(s):  
Ida K. Thorsen ◽  
Lars Kayser ◽  
Helle Teglgaard Lyk–Jensen ◽  
Sine Rossen ◽  
Mathias Ried-Larsen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Everyday Life ◽  
Thematic Analysis ◽  
Physical Inactivity ◽  
Practice Theory ◽  
Theory Approach ◽  
Individual Interviews ◽  
Theory Framework

Lack of physical activity (PA) is common among individuals with type 2 diabetes (T2D). We apply a practice theory approach to investigate PA engagement in the context of T2D. Data were collected through semi-structured individual interviews ( n = 23) and focus groups ( n = 3x6) and analyzed by deductive-inductive reflexive thematic analysis using a practice theory framework. Forty-one purposefully selected individuals with T2D (29 men) between the ages of 54 and 77 years were included. The analysis resulted in three main themes informed by five subthemes, reflecting the key elements of practice theory (i.e., meanings, materialities, and competencies). One overarching theme identified PA engagement as an unsustainable and insurmountable project in constant and unequal competition with the practice of physical inactivity. To increase PA among individuals with T2D, future PA interventions and strategies should aim to establish a stronger link between PA and everyday life practices.

Low interest in physical activity and higher rates of obesity among rural teachers

Work ◽  
2020 ◽  
Vol 67 (4) ◽  
pp. 1015-1022
Author(s):  
Pablo A. Lizana ◽  
Jocelyn Aballay ◽  
German Vicente-Rodríguez ◽  
Alejandro Gómez-Bruton
Keyword(s):  
Physical Activity ◽  
Physical Inactivity ◽  
Intervention Studies ◽  
Sedentary Lifestyle ◽  
Working Hours ◽  
Rural Teachers ◽  
Work Overload ◽  
High Prevalence ◽  
Prevalence Of Obesity ◽  
The Relationship

BACKGROUND: Few studies have evaluated the causes of physical inactivity in rural teachers from South America. Determining the causes and effects of physical inactivity in rural teachers could be the base for future intervention studies aiming to improve physical activity (PA) engagement in this population. OBJECTIVES: To examine the levels of PA in rural teachers and evaluate the associations between their jobs, interest in PA, body composition and practice of PA. METHODS: Body mass index (BMI) and body fat % (BF) of rural teachers from the Valparaiso Region in Chile were measured; interviews regarding PA habits, interests and PA practice were conducted. The relationship between BF% and interest in PA and the practice of sports was analysed stratifying by sex. RESULTS: Around 71% were overweight/obese and 80% of the teachers reported not practicing any PA. These figures are higher than the Chilean national average for adults (64.5% overweight/obese). Moreover, females presented a higher BF% than male teachers (35.98% vs. 26.44%, p < 0.05). The main causes of not performing PA were: firstly, the lack of time (51.8%), and secondly, fatigue after work and/or finishing work late. In addition, rural teachers claim that in their free time they continue to finish tasks that they were not able to complete during their working hours. CONCLUSIONS: Rural Chilean teachers show a high prevalence of obesity and low PA levels. Moreover, rural teachers have a work overload stemming from their jobs, and this could be an important link to an overall sedentary lifestyle. Further studies should focus on the relationship between teacher obesity, physical activity, nutrition and work overload.

The Physical and Social Environments of Small Rural Nursing Homes: Assessing Supportiveness for Residents with Dementia

2003 ◽  
Vol 22 (3) ◽  
pp. 283-296 ◽  
Author(s):  
Debra G. Morgan ◽  
Karen M. Semchuk ◽  
Norma J. Stewart ◽  
Carl D'Arcy
Keyword(s):  
Nursing Homes ◽  
Institutional Care ◽  
Nursing Home Residents ◽  
Dementia Care ◽  
Physical Factors ◽  
Social Environments ◽  
Assessment Protocol ◽  
Rural Nursing ◽  
Key Dimensions ◽  
Therapeutic Tools

ABSTRACTThe physical and social environments are recognized as important therapeutic tools in the care of nursing home residents with dementia, yet little is known about the environments of rural nursing homes. This study was conducted in one rural health authority (16,000 km 2) in the province of Saskatchewan. Long-term institutional care was provided in seven small (15 to 35 beds), publicly funded nursing homes, none of which had separate dementia special care units (SCUs). The Physical Environmental Assessment Protocol (PEAP) was used to evaluate the facilities on nine key dimensions of dementia care environments. Facilities were most supportive in provision of privacy and least supportive on maximizing awareness and orientation. Focus groups were conducted with registered nurses, nursing aides, and activity workers. Staff caregivers identified six special needs of residents with dementia that were difficult to meet in the nursing homes, two of which were related to the physical environment (safety and a calm, quiet environment) and four of which were related to the social environment (meaningful activity and one-to-one contact, opportunity to use remaining abilities, flexible policy, and knowledgeable caregivers who enjoy working with persons with dementia). Staff suggested separate dementia SCUs as one approach to managing dementia care but also identified challenges in creating dementia units in small rural facilities. Results provide support for conceptual models of dementia care settings that emphasize the interaction of organizational, social, and physical factors.

scholarly journals Facilitators and barriers to implement nurse-led physical activities for people with dementia in nursing homes: a protocol for a mixed-methods systematic review

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e056353
Author(s):  
Julian Hirt ◽  
Janine Vetsch ◽  
Steffen Heinrich
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Mixed Methods ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
Physical Activities ◽  
Physical Activity Interventions ◽  
Sustainable Implementation ◽  
People With Dementia ◽  
Facilitators And Barriers

IntroductionDementia is a major neurocognitive disorder and accounts for a great proportion of nursing home residents. Bodily symptoms such as gait, balance difficulties and muscle weakness are common in people with dementia. Physical activities are important to maintain and promote physical functioning and activities of daily living.Nurses are a prone stakeholder to deliver physical activity interventions in nursing homes. However, several barriers have been reported for implementing nurse-led physical activity programmes. Also synthesised strategies for sustainable implementation in nursing homes are lacking. We, therefore, aim to synthesise the evidence on physical activity interventions which can be led by nurses and to identify facilitators and barriers of sustainable implementation of physical activity for people with dementia.Methods and analysisWe will conduct a mixed-methods systematic review to (1) describe the characteristics of nurse-led physical activities for people with dementia living in nursing homes and to (2) determine facilitators and barriers for sustainable implementation of nurse-led physical activities for people with dementia in nursing homes. We will search four different electronic databases, do forward and backward citation tracking and will web-search additionally. We will also search through guideline databases. Two reviewers will independently screen the identified studies for their eligibility. Data extraction and critical appraisal of included studies will be performed by one reviewer and double-checked by another reviewer. We will analyse the data using an integrative mixed-method synthesis and we will summarise the findings narratively.Ethics and disseminationNo ethics approval is needed to perform this systematic review. We will publish our review results as scientific and non-scientific journal articles and we will hold an oral or a poster conference presentation. The review results will inform the development of structured and easy to understand guidance for nurses to initiate tailored physical activities for people with dementia in nursing homes.

scholarly journals Unspoken Playground Rules Discourage Adolescent Physical Activity in School: A Focus Group Study of Constructs in the Prototype Willingness Model

2017 ◽  
Vol 28 (4) ◽  
pp. 624-632 ◽  
Author(s):  
Catherine M. Wheatley ◽  
Emma L. Davies ◽  
Helen Dawes
Keyword(s):  
Physical Activity ◽  
Thematic Analysis ◽  
Social Contexts ◽  
Peer Evaluation ◽  
Social Environments ◽  
Behavioral Models ◽  
Focus Group Study ◽  
Prototype Willingness Model ◽  
Adolescent Physical Activity ◽  
Behavioral Choices

The health benefits of exercise in school are recognized, yet physical activity continues to decline during early adolescence despite numerous interventions. In this study, we investigated whether the prototype willingness model, an account of adolescent decision making that includes both reasoned behavioral choices and unplanned responses to social environments, might improve understanding of physical activity in school. We conducted focus groups with British pupils aged 12 to 13 years and used deductive thematic analysis to search for themes relating to the model. Participants described reasoned decisions about physical activity outside school and unplanned choices to be inactive during break, in response to social contexts described as more “judgmental” than in primary school. Social contexts appeared characterized by anxiety about competence, negative peer evaluation, and inactive playground norms. The prototype willingness model might more fully explain physical activity in school than reasoned behavioral models alone, indicating potential for interventions targeting anxieties about playground social environments.

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