Modifiable facilitators and barriers to exercise adherence in older adults with MCI/dementia using the Theoretical Domains Framework: a systematic review protocol

Introduction Exercise has multiple benefits on maintaining or improving cognitive function for people with mild cognitive impairment (MCI)/dementia. However, many older adults with MCI/dementia are not sufficiently active to achieve these benefits. Allowing for the current studies on exercise adhere...

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Main Authors: Jie Wang, Lina Wang, Xueting Zhen, Hang Yan, Hong Tao, Yaxiu Cai, Haiqin Chen, Chenxi Ge
Format: Article
Language:English
Published: BMJ Publishing Group 2020-09-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/9/e034500.full
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author Jie Wang
Lina Wang
Xueting Zhen
Hang Yan
Hong Tao
Yaxiu Cai
Haiqin Chen
Chenxi Ge
author_facet Jie Wang
Lina Wang
Xueting Zhen
Hang Yan
Hong Tao
Yaxiu Cai
Haiqin Chen
Chenxi Ge
author_sort Jie Wang
collection DOAJ
description Introduction Exercise has multiple benefits on maintaining or improving cognitive function for people with mild cognitive impairment (MCI)/dementia. However, many older adults with MCI/dementia are not sufficiently active to achieve these benefits. Allowing for the current studies on exercise adherence in older adults with MCI/dementia still have some deficiencies. This paper aims: (1) to identify the modifiable facilitators and barriers to exercise adherence for older adults with MCI/dementia in terms of the perspectives of patients, caregivers and healthcare professionals; (2) to organise the identified factors of exercise adherence based on the Theoretical Domains Framework (TDF) among included studies.Methods and analysis A systematic computerised literature search will be performed in the following online databases: PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure and Wan Fang Database, which published between January 1990 and June 2020. We will identify peer-reviewed publications which examined facilitators and barriers to exercise adherence. Searches will have no limitation in language publications using search terms related to exercise interventions, adherence and MCI/dementia. Two independent reviewers will screen titles, abstracts and full-text articles according to the predetermined inclusion and exclusion criteria. We will use the statistical software Nvivo V.12 to manage the information. Basing on the TDF, we will map identified modifiable facilitators and barriers of literature to the domains of TDF.Ethics and dissemination This review will summarise modifiable facilitators and barriers to exercise adherence for older adults with MCI/dementia for the first time. Ethical approval is not required as no primary data are collected. We are going to disseminate our findings to the scientific and medical community in peer-reviewed journals. The review findings will facilitate adequate and accurate access to care and treatment to help older adults with MCI/dementia have a broader adoption to exercise.PROSPERO registration number CRD42019117725.
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spelling doaj-art-a15f6262f0b246089db66d6a9a2a551f2025-01-09T07:35:12ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2019-034500Modifiable facilitators and barriers to exercise adherence in older adults with MCI/dementia using the Theoretical Domains Framework: a systematic review protocolJie Wang0Lina Wang1Xueting Zhen2Hang Yan3Hong Tao4Yaxiu Cai5Haiqin Chen6Chenxi Ge72 China International Neuroscience Institute (China-INI), Beijing, ChinaSchool of Medicine, Huzhou University, Huzhou Central Hospital, Huzhou, Zhejiang, ChinaSchool of Medicine, Huzhou University, Huzhou, Zhejiang, ChinaSchool of Medicine, Huzhou University, Huzhou, Zhejiang, ChinaDepartment of Endocrinology and Metabolism, Beijing Anzhen Hospital, Beijing, ChinaSchool of Medicine, Huzhou University, Huzhou, Zhejiang, ChinaNursing Department, Huzhou Third People`s Hospital, Huzhou, Zhejiang, ChinaSchool of Medicine, Huzhou University, Huzhou, Zhejiang, ChinaIntroduction Exercise has multiple benefits on maintaining or improving cognitive function for people with mild cognitive impairment (MCI)/dementia. However, many older adults with MCI/dementia are not sufficiently active to achieve these benefits. Allowing for the current studies on exercise adherence in older adults with MCI/dementia still have some deficiencies. This paper aims: (1) to identify the modifiable facilitators and barriers to exercise adherence for older adults with MCI/dementia in terms of the perspectives of patients, caregivers and healthcare professionals; (2) to organise the identified factors of exercise adherence based on the Theoretical Domains Framework (TDF) among included studies.Methods and analysis A systematic computerised literature search will be performed in the following online databases: PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure and Wan Fang Database, which published between January 1990 and June 2020. We will identify peer-reviewed publications which examined facilitators and barriers to exercise adherence. Searches will have no limitation in language publications using search terms related to exercise interventions, adherence and MCI/dementia. Two independent reviewers will screen titles, abstracts and full-text articles according to the predetermined inclusion and exclusion criteria. We will use the statistical software Nvivo V.12 to manage the information. Basing on the TDF, we will map identified modifiable facilitators and barriers of literature to the domains of TDF.Ethics and dissemination This review will summarise modifiable facilitators and barriers to exercise adherence for older adults with MCI/dementia for the first time. Ethical approval is not required as no primary data are collected. We are going to disseminate our findings to the scientific and medical community in peer-reviewed journals. The review findings will facilitate adequate and accurate access to care and treatment to help older adults with MCI/dementia have a broader adoption to exercise.PROSPERO registration number CRD42019117725.https://bmjopen.bmj.com/content/10/9/e034500.full
spellingShingle Jie Wang
Lina Wang
Xueting Zhen
Hang Yan
Hong Tao
Yaxiu Cai
Haiqin Chen
Chenxi Ge
Modifiable facilitators and barriers to exercise adherence in older adults with MCI/dementia using the Theoretical Domains Framework: a systematic review protocol
BMJ Open
title Modifiable facilitators and barriers to exercise adherence in older adults with MCI/dementia using the Theoretical Domains Framework: a systematic review protocol
title_full Modifiable facilitators and barriers to exercise adherence in older adults with MCI/dementia using the Theoretical Domains Framework: a systematic review protocol
title_fullStr Modifiable facilitators and barriers to exercise adherence in older adults with MCI/dementia using the Theoretical Domains Framework: a systematic review protocol
title_full_unstemmed Modifiable facilitators and barriers to exercise adherence in older adults with MCI/dementia using the Theoretical Domains Framework: a systematic review protocol
title_short Modifiable facilitators and barriers to exercise adherence in older adults with MCI/dementia using the Theoretical Domains Framework: a systematic review protocol
title_sort modifiable facilitators and barriers to exercise adherence in older adults with mci dementia using the theoretical domains framework a systematic review protocol
url https://bmjopen.bmj.com/content/10/9/e034500.full
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