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External validity of physical activity interventions for community-dwelling older adults with fall risk: a quantitative systematic literature review.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Oct2012, Vol. 68 Issue 10, p2140-2154, 15p, 1 Diagram, 2 Charts
- Publication Year :
- 2012
-
Abstract
- mcmahon s. & fleury j. (2012) External validity of physical activity interventions for community-dwelling older adults with fall risk: a quantitative systematic literature review. Journal of Advanced Nursing 68(10), 2140-2154. Abstract Aim. To appraise the external validity of physical activity interventions designed to reduce falls among community-dwelling older adults, using the reach, efficacy/effectiveness, adoption, implementation, and maintenance framework. Background. Falls are a globally common, important, and a preventable problem. The efficacy of physical activity interventions to reduce falls among older adults is well established. Translation of this research into practice is slow as evidenced by persistently low proportions of older adults who engage in physical activities and the rising incidence of falls. Data sources. Four electronic databases were searched for relevant studies published between 2000-2010. Studies that examined the effects of physical activity interventions designed to reduce falls among community-dwelling older adults were included in this review ( n = 46). Design. This was a quantitative systematic review with narrative synthesis. The reach, efficacy/effectiveness, adoption, implementation, and maintenance framework guided the identification, appraisal, and synthesis of indicators representing study validity. Results. The majority of studies in this review described indicators representing internal validity. Details about indicators representing external validity were reported infrequently, limiting the generalizability of fall-preventive physical activity interventions in diverse cultures and social contexts over time. Conclusions. To foster translational research in real world settings, additional programmatic intervention research is needed that: (i) targets diverse populations; (ii) incorporates theories of behavioural change; (iii) describes and operationalizes critical content that enables replication and translation; (iv) tests innovative measures of fall risk and physical activity; and (v) evaluates feasibility and acceptability. [ABSTRACT FROM AUTHOR]
- Subjects :
- ACCIDENTAL fall prevention
ELDER care
CINAHL database
MENTAL depression
POSTURAL balance
ETHNIC groups
HEALTH behavior
HEALTH status indicators
INFORMATION storage & retrieval systems
MEDICAL databases
PSYCHOLOGY information storage & retrieval systems
EVALUATION of medical care
MEDLINE
MOTIVATION (Psychology)
MUSCLE strength
ONLINE information services
HEALTH outcome assessment
QUALITY of life
RESEARCH evaluation
RESEARCH funding
SYSTEMATIC reviews
QUANTITATIVE research
SOCIAL support
EDUCATIONAL attainment
TREATMENT effectiveness
INDEPENDENT living
PHYSICAL activity
DESCRIPTIVE statistics
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 68
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 79721096
- Full Text :
- https://doi.org/10.1111/j.1365-2648.2012.05974.x