Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia

Introduction: Physical exercise has a positive effect on cognitive functioning, mobility and activities of daily living in people with dementia (Forbes & al., 2013; Pitkälä & al., 2013). Most exercise studies employ motivational strategies to support adherence to the exercise intervention bu...

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Main Authors: van der Wardt, Veronika, Patel, Dhimir Rajendra Kumar, Gondek, D., Pollock, K., Logan, Pip, das Nair, Roshan, Harwood, Rowan H.
Format: Article
Published: Elsevier Masson 2014
Online Access:https://eprints.nottingham.ac.uk/40412/
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author van der Wardt, Veronika
Patel, Dhimir Rajendra Kumar
Gondek, D.
Pollock, K.
Logan, Pip
das Nair, Roshan
Harwood, Rowan H.
author_facet van der Wardt, Veronika
Patel, Dhimir Rajendra Kumar
Gondek, D.
Pollock, K.
Logan, Pip
das Nair, Roshan
Harwood, Rowan H.
author_sort van der Wardt, Veronika
building Nottingham Research Data Repository
collection Online Access
description Introduction: Physical exercise has a positive effect on cognitive functioning, mobility and activities of daily living in people with dementia (Forbes & al., 2013; Pitkälä & al., 2013). Most exercise studies employ motivational strategies to support adherence to the exercise intervention but it is unclear how effective these strategies are. The purpose of this systematic literature review was to establish the range and effect of motivational strategies used in exercise studies for people with MCI and dementia. Method: Articles were identified from the following databases: CINAHL, EMBASE, MEDLINE, PsychINFO and Web of Science. Independently, a minimum of two authors assessed relevant articles based on in- and exclusion criteria. Studies using quantitative as well as qualitative methods to evaluate the effectiveness of motivational strategies were included. Results: The review analysed 28 articles that were identified to report the use of motivational strategies in exercise studies and partly evaluated their effectiveness. Employed strategies included supervision of sessions by instructors, caregivers or students, group settings, goal setting, exercise diaries, tailoring of programme, telephone calls and music. The effectiveness of strategies was only evaluated in a minority of the studies (use of group setting, goal setting and music). Discussion: Adherence to exercise intervention and continuation of the physical activity after completion of the intervention is an ongoing issue in exercise research. Given the limited evidence regarding the effectiveness of motivational strategies, tried and new strategies should be evaluated for people with MCI and dementia to ensure optimal support of physical exercise in this group.
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spelling nottingham-404122020-05-04T16:53:18Z https://eprints.nottingham.ac.uk/40412/ Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia van der Wardt, Veronika Patel, Dhimir Rajendra Kumar Gondek, D. Pollock, K. Logan, Pip das Nair, Roshan Harwood, Rowan H. Introduction: Physical exercise has a positive effect on cognitive functioning, mobility and activities of daily living in people with dementia (Forbes & al., 2013; Pitkälä & al., 2013). Most exercise studies employ motivational strategies to support adherence to the exercise intervention but it is unclear how effective these strategies are. The purpose of this systematic literature review was to establish the range and effect of motivational strategies used in exercise studies for people with MCI and dementia. Method: Articles were identified from the following databases: CINAHL, EMBASE, MEDLINE, PsychINFO and Web of Science. Independently, a minimum of two authors assessed relevant articles based on in- and exclusion criteria. Studies using quantitative as well as qualitative methods to evaluate the effectiveness of motivational strategies were included. Results: The review analysed 28 articles that were identified to report the use of motivational strategies in exercise studies and partly evaluated their effectiveness. Employed strategies included supervision of sessions by instructors, caregivers or students, group settings, goal setting, exercise diaries, tailoring of programme, telephone calls and music. The effectiveness of strategies was only evaluated in a minority of the studies (use of group setting, goal setting and music). Discussion: Adherence to exercise intervention and continuation of the physical activity after completion of the intervention is an ongoing issue in exercise research. Given the limited evidence regarding the effectiveness of motivational strategies, tried and new strategies should be evaluated for people with MCI and dementia to ensure optimal support of physical exercise in this group. Elsevier Masson 2014-09-28 Article PeerReviewed van der Wardt, Veronika, Patel, Dhimir Rajendra Kumar, Gondek, D., Pollock, K., Logan, Pip, das Nair, Roshan and Harwood, Rowan H. (2014) Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia. European Geriatric Medicine, 5 (Supp.1). S238. ISSN 1878-7649 http://www.sciencedirect.com/science/article/pii/S1878764914706576 doi:10.1016/S1878-7649(14)70657-6 doi:10.1016/S1878-7649(14)70657-6
spellingShingle van der Wardt, Veronika
Patel, Dhimir Rajendra Kumar
Gondek, D.
Pollock, K.
Logan, Pip
das Nair, Roshan
Harwood, Rowan H.
Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia
title Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia
title_full Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia
title_fullStr Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia
title_full_unstemmed Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia
title_short Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia
title_sort systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (mci) or dementia
url https://eprints.nottingham.ac.uk/40412/
https://eprints.nottingham.ac.uk/40412/
https://eprints.nottingham.ac.uk/40412/