Implementing Physical Activity Programmes for Community-Dwelling Older People with Early Signs of Physical Frailty
Postponing or reducing physical frailty in older people yields immediate economic, personal, and societal benefits. Maintaining mobility in older age can reduce the need for health and social services. It contributes to quality of life characterised by independence and productive engagement with community. This chapter critically reviews the evidence on the challenges for implementing physical activity programmes for community-dwelling older adults with early signs of physical frailty. It discusses new evidence about promising approaches in programme design and implementation, with particular focus on uptake and maintained participation. It concludes with practical tips for policymakers and programme developers highlighting the need for multidisciplinary partnerships for implementation of effective physical activity programmes targeting older adults and particularly people with early signs of physical frailty.
- Andreasen, A. R. (1994). Social marketing: Its definition and domain. Journal of Public Policy & Marketing, 13, 108–114.Google Scholar
- Bandeen-Roche, K., Seplaki, C. L., Huang, J., Buta, B., Kalyani, R. R., Varadhan, R., et al. (2015). Frailty in older adults: A nationally representative profile in the United States. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 70(11), 1427–1434.CrossRefGoogle Scholar
- Cesari, M., Vellas, B., Hsu, F.-C., Newman, A. B., Doss, H., King, A. C., et al. (2015). A physical activity intervention to treat the frailty syndrome in older persons—Results from the LIFE-P study. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 70(2), 216–222.CrossRefGoogle Scholar
- Chodzko-Zajko, W. J., Proctor, D. N., Fiatarone Singh, M. A., Minson, C. T., Nigg, C. R., Salem, G. J., et al. (2009). Exercise and physical activity for older adults: American College of Sports Medicine position stand. Medicine and Science in Sports and Exercise, 41(7), 1510–1530.CrossRefGoogle Scholar
- Craig, R., Mindell, J., & Hirani, V. (2009). Health Survey for England 2008: Physical activity and fitness. Retrieved from http://www.ic.nhs.uk/webfiles/publications/HSE/HSE08/HSE_08_Summary_of_key_findings.pdf (summary) or http://www.ic.nhs.uk/cmsincludes/_process_document.asp?sPublicationID=1257511982491&sDocID=5956 (full survey, volume 1), or http://www.ic.nhs.uk/cmsincludes/_process_document.asp?sPublicationID=1257511982491&sDocID=5957 (full survey, volume 2). General access: http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2008-physical-activity-and-fitness
- Davis, M. G., Fox, K. R., Hillsdon, M., Coulson, J. C., Sharp, D. J., Stathi, A., et al. (2011). Getting out and about in older adults: The nature of daily trips and their association with objectively-assessed physical activity. International Journal of Behavioral Nutrition and Physical Activity, 8, 116–125.CrossRefGoogle Scholar
- Dunbar, A. (1992). Allied Dunbar National Fitness Survey: Main findings: A report on activity patterns and fitness levels. London: Sports Council and Health Education Authority.Google Scholar
- Elsawy, B., & Higgins, K. E. (2010). Physical activity guidelines for older adults. American Family Physician, 81(1), 55–59.Google Scholar
- Fairhall, N., Sherrington, C., Lord, S. R., Kurrle, S. E., Langron, C., Lockwood, K., et al. (2013). Effect of a multifactorial, interdisciplinary intervention on risk factors for falls and fall rate in frail older people: A randomised controlled trial. Age and Ageing, 43(5), 616–622.CrossRefGoogle Scholar
- Franco, M. R., Tong, A., Howard, K., Sherrington, C., Ferreira, P. H., Pinto, R. Z., et al. (2015). Older people’s perspectives on participation in physical activity: A systematic review and thematic synthesis of qualitative literature. British Journal of Sports Medicine. https://doi.org/10.1136/bjsports-2014-094015.
- Freiberger, E., Kemmler, W., Siegrist, M., & Sieber, C. (2016). Frailty and exercise interventions. Zeitschrift für Gerontologie und Geriatrie, 7, 1–6.Google Scholar
- Gardner, B., Jovicic, A., Belk, C., Kharicha, K., Iliffe, S., Manthorpe, J., et al. (2017). Specifying the content of home-based health behaviour change interventions for older people with frailty or at risk of frailty: An exploratory systematic review. BMJ Open, 7(2). https://doi.org/10.1136/bmjopen-2016-014127.
- Gateway to Research. (2015). The Avon network for the promotion of active ageing in the community. From http://gtr.rcuk.ac.uk/project/D2AC5A4B-6E17-4C5F-9304-B2F9798DC988
- Giné-Garriga, M., Roqué-Fíguls, M., Coll-Planas, L., Sitja-Rabert, M., & Salvà, A. (2014). Physical exercise interventions for improving performance-based measures of physical function in community-dwelling, frail older adults: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 95(4), 753–769. e753.CrossRefGoogle Scholar
- Ipsos MORI. (2014). Understanding the lives of older people living with frailty: A qualitative investigation. Retrieved November 18, 2016, from http://www.ageuk.org.uk/Documents/EN-GB/For-professionals/Research/Living_with_frailty.pdf?dtrk=true
- Janssen, S. L., & Stube, J. E. (2014). Older adults’ perceptions of physical activity: A qualitative study. Occupational Therapy International, 21(2), 53–62.Google Scholar
- Malini, F. M., Lourenço, R. A., & Lopes, C. S. (2016). Prevalence of fear of falling in older adults, and its associations with clinical, functional and psychosocial factors: The frailty in Brazilian older people-Rio de Janeiro study. Geriatrics & Gerontology International, 16(3), 336–344.CrossRefGoogle Scholar
- McGowan, L. J., Devereux-Fitzgerald, A., Powell, R., & French, D. P. (2017). How acceptable do older adults find the concept of being physically active? A systematic review and meta-synthesis. International Review of Sport and Exercise Psychology, 1–24. https://doi.org/10.1080/1750984X.2016.1272705
- McPhate, L., Simek, E. M., Haines, T. P., Hill, K. D., Finch, C. F., & Day, L. (2016). “Are your clients having fun?” The implications of respondents’ preferences for the delivery of group exercise programs for falls prevention. Journal of Aging and Physical Activity, 24(1), 129–138.CrossRefGoogle Scholar
- National Centre for Social Research. (2010). Health Survey for England, 2001 (3rd ed.). UK Data Service. University College London. Department of Epidemiology and Public Health. SN: 4628, https://doi.org/10.5255/UKDA-SN-4628-1.
- National Social Marketing Centre for Excellence. (2005). Social marketing pocket guide. London: National Social Marketing Centre for Excellence.Google Scholar
- Pahor, M., Guralnik, J. M., Ambrosius, W. T., Blair, S., Bonds, D. E., Church, T. S., et al. (2014). Effect of structured physical activity on prevention of major mobility disability in older adults: The LIFE study randomized clinical trial. The Journal of the American Medical Association, 311(23), 2387–2396.CrossRefGoogle Scholar
- Phillips, E. M., Katula, J., Miller, M. E., Walkup, M. P., Brach, J. S., King, A. C., et al. (2010). Interruption of physical activity because of illness in the lifestyle interventions and independence for elders pilot trial. Journal of Aging and Physical Activity, 18(1), 61–74.CrossRefGoogle Scholar
- Rejeski, W. J., Miller, M. E., King, A. C., Studenski, S. A., Katula, J. A., Fielding, R. A., et al. (2007). Predictors of adherence to physical activity in the lifestyle interventions and independence for elders pilot study (LIFE-P). Clinical Interventions in Aging, 2(3), 485–494.Google Scholar
- Rejeski, W. J., Axtell, R., Fielding, R., Katula, J., King, A. C., Manini, T. M., et al. (2013). Promoting physical activity for elders with compromised function: The lifestyle interventions and independence for elders (LIFE) study physical activity intervention. Clinical Interventions in Aging, 8, 1119–1131.CrossRefGoogle Scholar
- Rochat, S., Büla, C. J., Martin, E., Seematter-Bagnoud, L., Karmaniola, A., Aminian, K., et al. (2010). What is the relationship between fear of falling and gait in well-functioning older persons aged 65 to 70 years? Archives of Physical Medicine and Rehabilitation, 91(6), 879–884.CrossRefGoogle Scholar
- Silcock, D., & Sinclair, D. (2012). The cost of our ageing society. London: ILC-UK.Google Scholar
- Stathi, A., Fox, K., Withall, J., Bentley, G., & Thompson, J. L. (2014). Promoting physical activity in older adults: A guide for local decision makers. From http://ageactionalliance.org/wordpress/wp-content/uploads/2014/03/AVONet-report-2014-March.pdf
- Withall, J., Thompson, J., Fox, K., Davis, M., Gray, S., de Koning, J., et al. (2016). Participant and public involvement in refining a peer-volunteering active aging intervention: Project ACE (active, connected, engaged). The Gerontologist. pii: gnw148. https://doi.org/10.1093/geront/gnw148.
- World Health Organisation. (2010). Physical activity and older adults: Recommended levels of physical activity for adults aged 65 and above. Available at http://www.who.int/dietphysicalactivity/factsheet_olderadults/en/