Examining physical activity participation barriers among adults 50 years and older: a scoping review

Addressing physical activity (PA) barriers is essential for increasing PA levels in middle-aged and older adults. However, there are no recommendations on selecting PA barrier assessment tools. Thus, we aimed to identify and provide clinimetric properties on PA barrier assessment tools that healthca...

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Published in:Physical therapy reviews Vol. 28; no. 3; pp. 195 - 210
Main Authors: Wingood, Mariana, Criss, Michelle G, Irwin, Kent E, Bamonti, Patricia M, Harris, Rebekah, Phillips, Emma L, Vincenzo, Jennifer L, Chui, Kevin K
Format: Journal Article
Language:English
Published: England 2023
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Abstract Addressing physical activity (PA) barriers is essential for increasing PA levels in middle-aged and older adults. However, there are no recommendations on selecting PA barrier assessment tools. Thus, we aimed to identify and provide clinimetric properties on PA barrier assessment tools that healthcare providers, exercise experts, and public health officials can use to examine potential barriers faced by community-dwelling adults 50 years and older. We performed a systematic search of the following databases: PubMed, PsycINFO, CINAHL, and Web of Science. Articles were included if they presented clinimetric data on a PA participation barrier assessment tool for community-dwelling participants with a mean age of 50 years and older. The 561 identified articles underwent multiple rounds of blinded reviews. Included articles underwent data extraction for participant characteristics, scoring, constructs, reference tests, and clinimetric properties. The 35 included articles reported on 33 different PA participation barrier assessment tools. Eighteen articles reported on participants with cardiovascular, musculoskeletal, or neurological diagnoses, diabetes, hemodialysis, history of cancer, or mobility limitations. Tools with two or more supporting publications included the Exercise Benefits/Barrier Scale (EBBS), Episode-Specific Interpretations of Exercise Inventory (ESIE), and Inventory of Physical Activity and Barriers (IPAB). Due to differences in methodologies, across-tool comparison was not possible. The EBBS, ESIE, and IPAB are promising tools for community-dwelling adults 50 years and older. However, additional research is warranted to identify the best PA barrier assessment tool among adults 50 years and older.
AbstractList BackgroundAddressing physical activity (PA) barriers is essential for increasing PA levels in middle-aged and older adults. However, there are no recommendations on selecting PA barrier assessment tools.ObjectivesThus, we aimed to identify and provide clinimetric properties on PA barrier assessment tools that healthcare providers, exercise experts, and public health officials can use to examine potential barriers faced by community-dwelling adults 50 years and older.MethodsWe performed a systematic search of the following databases: PubMed, PsycINFO, CINAHL, and Web of Science. Articles were included if they presented clinimetric data on a PA participation barrier assessment tool for community-dwelling participants with a mean age of 50 years and older. The 561 identified articles underwent multiple rounds of blinded reviews. Included articles underwent data extraction for participant characteristics, scoring, constructs, reference tests, and clinimetric properties.ResultsThe 35 included articles reported on 33 different PA participation barrier assessment tools. Eighteen articles reported on participants with cardiovascular, musculoskeletal, or neurological diagnoses, diabetes, hemodialysis, history of cancer, or mobility limitations. Tools with two or more supporting publications included the Exercise Benefits/Barrier Scale (EBBS), Episode-Specific Interpretations of Exercise Inventory (ESIE), and Inventory of Physical Activity and Barriers (IPAB). Due to differences in methodologies, across-tool comparison was not possible.ConclusionThe EBBS, ESIE, and IPAB are promising tools for community-dwelling adults 50 years and older. However, additional research is warranted to identify the best PA barrier assessment tool among adults 50 years and older.
Addressing physical activity (PA) barriers is essential for increasing PA levels in middle-aged and older adults. However, there are no recommendations on selecting PA barrier assessment tools. Thus, we aimed to identify and provide clinimetric properties on PA barrier assessment tools that healthcare providers, exercise experts, and public health officials can use to examine potential barriers faced by community-dwelling adults 50 years and older. We performed a systematic search of the following databases: PubMed, PsycINFO, CINAHL, and Web of Science. Articles were included if they presented clinimetric data on a PA participation barrier assessment tool for community-dwelling participants with a mean age of 50 years and older. The 561 identified articles underwent multiple rounds of blinded reviews. Included articles underwent data extraction for participant characteristics, scoring, constructs, reference tests, and clinimetric properties. The 35 included articles reported on 33 different PA participation barrier assessment tools. Eighteen articles reported on participants with cardiovascular, musculoskeletal, or neurological diagnoses, diabetes, hemodialysis, history of cancer, or mobility limitations. Tools with two or more supporting publications included the Exercise Benefits/Barrier Scale (EBBS), Episode-Specific Interpretations of Exercise Inventory (ESIE), and Inventory of Physical Activity and Barriers (IPAB). Due to differences in methodologies, across-tool comparison was not possible. The EBBS, ESIE, and IPAB are promising tools for community-dwelling adults 50 years and older. However, additional research is warranted to identify the best PA barrier assessment tool among adults 50 years and older.
Author Criss, Michelle G
Harris, Rebekah
Vincenzo, Jennifer L
Irwin, Kent E
Phillips, Emma L
Wingood, Mariana
Bamonti, Patricia M
Chui, Kevin K
AuthorAffiliation c Doctor of Physical Therapy Program, Chatham University, Pittsburgh, PA, USA
f Department of Psychiatry, Harvard Medical School, Boston, MA, USA
h Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA
k Department of Physical Therapy, Radford University, Roanoke, VA, USA
a Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA
i The Greater Baltimore Medical Center, Towson, MD, USA
e Research & Development, Veterans Affairs Boston Healthcare System, Boston, MA, USA
b Sticht Center for Healthy Aging and Alzheimer’s Prevention, Internal Medicine, Gerontology and Geriatric Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA
g New England Geriatric Education and Clinical Center, Veterans Affairs Boston Healthcare System, Boston, MA, USA
d Department of Physical Therapy, Midwestern University, Downers Grove, IL, USA
j Department of Implementation Science, University of Arkansas for Medical Sciences, Faye
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  article-title: Identifying supports and barriers to physical activity in patients at risk for diabetes
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Snippet Addressing physical activity (PA) barriers is essential for increasing PA levels in middle-aged and older adults. However, there are no recommendations on...
BackgroundAddressing physical activity (PA) barriers is essential for increasing PA levels in middle-aged and older adults. However, there are no...
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Title Examining physical activity participation barriers among adults 50 years and older: a scoping review
URI https://www.ncbi.nlm.nih.gov/pubmed/38348467
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https://pubmed.ncbi.nlm.nih.gov/PMC10859686
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