學院	醫學院
系所	職能治療學系
題名	Effects of leisure-time physical activity interventions on frailty-related characteristics of frail older adults in long-term care: a systematic review.
作者	Chen, Y-C., Lin, K-C., & Chen, C-J*.
期刊名稱	Contemporary Nurse(SSCI期刊)
發表日期	2020
著作性質	原著
語文	英文
關鍵字	frail, older adults, physical activity, physical performance, long-term care
摘要	Background: The proportion of frailty in older adults is increasing in many countries. This is predicted to result in an increased demand rapidly for long-term care. Demand for institutional long-term care followed by an increasing globally. Aims: This study was to review the evidence regarding the effects of leisure-time physical activity (LTPA) interventions on frail older adults in long-term care facilities (LTCFs) with regard to frailty-related characteristics of randomized controlled trials. Design: A literature searches of the published articles indexed in CINAHL, MEDLINE, PsycINFO, ProQuest, and Google Scholar between 2000 and 2017 was conducted, and seven articles were included in this investigation. Methods: The inclusion criteria were divided into four sections: (1) design: randomized controlled trials (RCTs); (2) sample population: LTCF adults aged 60 years or over with frailty; (3) intervention: LTPA; and (4) body composition: physical, functional or neuropsychological tests as either the primary or the secondary outcomes. The exclusion criteria were the following: (1) non-intervention studies; (2) theoretical articles or descriptions of treatment approaches; (3) review articles; (4) unpublished studies, abstracts, or dissertations; (5) articles without adequate intervention specifications; (6) non-peer-reviewed articles and book chapters; (7) home-based setting; and (8) non-English-language articles. Two reviewers used the 13-item checklist revised from the Delphi list. Results: Three main themes were identified which should be conducted on LTPA interventions, and researchers should tailor their LTPA intervention strategies according to the particular monitor (e.g., accelerometer), intervention duration (e.g., longer than 5 months) and outcome measurement dimensions (e.g., physical performance and body composition). Impact statement and Conclusions: LTPA interventions effectively improved the physical performance and body composition of frail older adults in LTCFs. Nevertheless, an optimal combination of intensity, duration and frequency is crucial. This review provides support for frail older adults in LTCFs to develop suitable and safe LTPA.