Skip to main content

Adherence to community based group exercise interventions for older people: A mixed-methods systematic review

Farrance, Clare; Tsofliou, Fotini; Clark, Carol

Authors

Fotini Tsofliou

Carol Clark



Abstract

Objective
Lifelong physical activity provides some of the best prospects for ageing well. Nevertheless, people tend to become less physically active as they age. This systematic review assessed the views and adherence of participants attending community based exercise programmes of ≥ 6 month's duration.

Method
Searches were carried out in eight online scientific databases (January 1995–May 2014) to identify relevant primary studies. Studies were assessed for quality and data extracted. Results were synthesised thematically and narratively. Qualitative findings were compared against quantitative studies.

Results
A total of 2958 studies were identified and screened against the inclusion/exclusion criteria. Ten studies met the inclusion criteria (five quantitative, three qualitative and two mixed-methods study designs). None were excluded on the basis of quality. Six key themes were identified from the qualitative studies as important for adherence to group exercise programmes: social connectedness, participant perceived benefits, programme design, empowering/energising effects, instructor and individual behaviour. The mean adherence rate of studies with comparable measures was (69.1% SD 14.6). When the views of participants from the qualitative synthesis were juxtaposed against the quantitative studies, programme design was a common feature across all studies.

Conclusion
Evidence surrounding these programmes is limited both in terms of long-term adherence measures and the views of participants. However, based on limited findings there is some indication that community based group exercise programmes have long-term adherence rates of almost 70%. Incorporating the views of older people into programme designs may provide guidance for innovative interventions leading to sustained adherence.

Journal Article Type Article
Publication Date 2016-06
Journal Preventive Medicine
Print ISSN 0091-7435
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 87
Pages 155-166
APA6 Citation Farrance, C., Tsofliou, F., & Clark, C. (2016). Adherence to community based group exercise interventions for older people: A mixed-methods systematic review. Preventive Medicine, 87, 155-166. https://doi.org/10.1016/j.ypmed.2016.02.037
DOI https://doi.org/10.1016/j.ypmed.2016.02.037
Keywords Public Health, Environmental and Occupational Health; Epidemiology
Publisher URL https://www.sciencedirect.com/science/article/pii/S0091743516300147
Additional Information This article is maintained by: Elsevier; Article Title: Adherence to community based group exercise interventions for older people: A mixed-methods systematic review; Journal Title: Preventive Medicine; CrossRef DOI link to publisher maintained version: https://doi.org/10.1016/j.ypmed.2016.02.037; Content Type: article; Copyright: © 2016 The Authors. Published by Elsevier Inc.

Files

Article (636 Kb)
PDF

Copyright Statement
© 2016 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license(http://creativecommons.org/licenses/by/4.0/).



You might also like



Downloadable Citations

;