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Evaluating physical activity in dementia: A systematic review of outcomes to inform the development of a core outcome set

Evaluating physical activity in dementia: A systematic review of outcomes to inform the development of a core outcome set
Evaluating physical activity in dementia: A systematic review of outcomes to inform the development of a core outcome set

Background: physical activity is recommended for people living with dementia, but evidence for the positive effects of physical activity is limited by the use of heterogeneous outcomes and measurement tools. This systematic literature review aimed to summarise previously reported outcomes and identify the measurement tools used most frequently in physical activity interventions for people with dementia. Methods: literature searches were conducted in April 2015, on Delphis and Medline. Qualitative, quantitative and mixed methods studies reporting on any type of physical activity, in any setting, across types of dementia, stages of disease progression and published from 2005 onwards were included. A content analysis approach was used to report on the frequency of reported outcomes and measurement tools. Results: the 130 included studies reported on 133 different outcome domains and 267 different measurement tools. 'Functional abilities and independence' (n = 69), 'Global cognitive function' (n = 65), 'Balance' (n = 43), 'Global behavioural symptoms of dementia' (n = 42) and 'Health-related quality of life' (n = 40) were the most frequently reported outcome domains. 'Enjoyment' was the outcome most frequently sought by patients and carers. Conclusion: the need for the development and implementation of a Core Outcome Set has been reinforced. Ahead of the completion of the Core Outcome Set, researchers and clinicians are advised to measure the impact of physical activity interventions on these frequently reported outcome domains.

0002-0729
34-41
Gonçalves, Ana Carolina
ecb4863c-186b-4ecd-abac-3745fa5fcf30
Cruz, Joana
67f4e287-457f-410d-b51e-9ebf3bb91ef6
Marques, Alda
adcfe8d5-518a-4079-902a-130ebc68d338
Demain, Sara
09b1124d-750a-4eb1-90c7-91f5f222fc31
Samuel, Dinesh
03b00738-9b9c-4c0a-a85a-cf43fc0932fc
Gonçalves, Ana Carolina
ecb4863c-186b-4ecd-abac-3745fa5fcf30
Cruz, Joana
67f4e287-457f-410d-b51e-9ebf3bb91ef6
Marques, Alda
adcfe8d5-518a-4079-902a-130ebc68d338
Demain, Sara
09b1124d-750a-4eb1-90c7-91f5f222fc31
Samuel, Dinesh
03b00738-9b9c-4c0a-a85a-cf43fc0932fc

Gonçalves, Ana Carolina, Cruz, Joana, Marques, Alda, Demain, Sara and Samuel, Dinesh (2018) Evaluating physical activity in dementia: A systematic review of outcomes to inform the development of a core outcome set. Age and Ageing, 47 (1), 34-41. (doi:10.1093/ageing/afx135).

Record type: Review

Abstract

Background: physical activity is recommended for people living with dementia, but evidence for the positive effects of physical activity is limited by the use of heterogeneous outcomes and measurement tools. This systematic literature review aimed to summarise previously reported outcomes and identify the measurement tools used most frequently in physical activity interventions for people with dementia. Methods: literature searches were conducted in April 2015, on Delphis and Medline. Qualitative, quantitative and mixed methods studies reporting on any type of physical activity, in any setting, across types of dementia, stages of disease progression and published from 2005 onwards were included. A content analysis approach was used to report on the frequency of reported outcomes and measurement tools. Results: the 130 included studies reported on 133 different outcome domains and 267 different measurement tools. 'Functional abilities and independence' (n = 69), 'Global cognitive function' (n = 65), 'Balance' (n = 43), 'Global behavioural symptoms of dementia' (n = 42) and 'Health-related quality of life' (n = 40) were the most frequently reported outcome domains. 'Enjoyment' was the outcome most frequently sought by patients and carers. Conclusion: the need for the development and implementation of a Core Outcome Set has been reinforced. Ahead of the completion of the Core Outcome Set, researchers and clinicians are advised to measure the impact of physical activity interventions on these frequently reported outcome domains.

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Accepted/In Press date: 15 July 2017
e-pub ahead of print date: 9 August 2017
Published date: 1 January 2018

Identifiers

Local EPrints ID: 412090
URI: http://eprints.soton.ac.uk/id/eprint/412090
ISSN: 0002-0729
PURE UUID: f517dec0-c241-46a8-93ab-e738d830cf92
ORCID for Ana Carolina Gonçalves: ORCID iD orcid.org/0000-0003-4055-0894

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Date deposited: 07 Jul 2017 16:31
Last modified: 16 Mar 2024 05:31

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Contributors

Author: Ana Carolina Gonçalves ORCID iD
Author: Joana Cruz
Author: Alda Marques
Author: Sara Demain
Author: Dinesh Samuel

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