Interventions addressing functional abilities of older people in rural and remote areas: a scoping review of available evidence based on WHO functional ability domains.
Ageing
Functional ability
Healthy ageing
Interventions
Rural and remote
Scoping review
Journal
BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548
Informations de publication
Date de publication:
28 10 2022
28 10 2022
Historique:
received:
03
02
2022
accepted:
14
09
2022
entrez:
28
10
2022
pubmed:
29
10
2022
medline:
2
11
2022
Statut:
epublish
Résumé
The World Health Organization (WHO) encourages healthy ageing strategies to help develop and maintain older people's functional abilities in five domains: their ability to meet basic needs; learn, grow, and make decisions; be mobile; build and maintain relationships, and contribute to society. This scoping review reports the available evidence-based interventions that have been undertaken with people ≥ 50 years of age in rural and remote areas and the outcomes of those interventions relevant to enhancing functional ability. The scoping review was undertaken following the JBI methodology. A literature search was carried out to identify published intervention studies for enhancing functional ability in older people living in rural and remote settings. The databases searched included CINAHL, Scopus, ProQuest Central, PubMed, EBSCOHost, APA PsycInfo, Carin.info, and the European Network for Rural Development Projects and Practice database. Gray literature sources included government reports, websites, policy papers, online newsletters, and studies from a bibliographic hand search of included studies. Literature published from January 2010 to March 9, 2021 were included for review. A total of 67 studies were identified, including quasi-experimental studies (n = 44), randomized controlled trials (n = 22), and a descriptive study. Five main types of interventions were conducted in rural and remote areas with older people: Community Services, Education and Training, Exercise and Physical Activity, Health Promotion Programmes, and Telehealth. Health Promotion Programmes (n = 28, 41.8%) were the most frequently reported interventions. These focused primarily on improving the ability to meet basic needs. About half (n = 35, 52.2%) of the included studies were linked to the ability to learn, grow, and make decisions, and 40% of studies (n = 27) were relevant to the ability to be mobile. Only a very limited number of intervention studies were geared towards outcomes such as maintaining relationships (n = 6) and contributing to society (n = 3). Interventions for enhancing functional ability focused primarily on the ability to meet basic needs. We identified the need for health-related interventions in rural and remote areas to consider all five functional ability domains as outcomes, particularly to strengthen the psychosocial wellbeing of older people and enhance their sense of purpose through their contributions to society.
Sections du résumé
BACKGROUND
The World Health Organization (WHO) encourages healthy ageing strategies to help develop and maintain older people's functional abilities in five domains: their ability to meet basic needs; learn, grow, and make decisions; be mobile; build and maintain relationships, and contribute to society. This scoping review reports the available evidence-based interventions that have been undertaken with people ≥ 50 years of age in rural and remote areas and the outcomes of those interventions relevant to enhancing functional ability.
METHODS
The scoping review was undertaken following the JBI methodology. A literature search was carried out to identify published intervention studies for enhancing functional ability in older people living in rural and remote settings. The databases searched included CINAHL, Scopus, ProQuest Central, PubMed, EBSCOHost, APA PsycInfo, Carin.info, and the European Network for Rural Development Projects and Practice database. Gray literature sources included government reports, websites, policy papers, online newsletters, and studies from a bibliographic hand search of included studies.
RESULTS
Literature published from January 2010 to March 9, 2021 were included for review. A total of 67 studies were identified, including quasi-experimental studies (n = 44), randomized controlled trials (n = 22), and a descriptive study. Five main types of interventions were conducted in rural and remote areas with older people: Community Services, Education and Training, Exercise and Physical Activity, Health Promotion Programmes, and Telehealth. Health Promotion Programmes (n = 28, 41.8%) were the most frequently reported interventions. These focused primarily on improving the ability to meet basic needs. About half (n = 35, 52.2%) of the included studies were linked to the ability to learn, grow, and make decisions, and 40% of studies (n = 27) were relevant to the ability to be mobile. Only a very limited number of intervention studies were geared towards outcomes such as maintaining relationships (n = 6) and contributing to society (n = 3).
CONCLUSION
Interventions for enhancing functional ability focused primarily on the ability to meet basic needs. We identified the need for health-related interventions in rural and remote areas to consider all five functional ability domains as outcomes, particularly to strengthen the psychosocial wellbeing of older people and enhance their sense of purpose through their contributions to society.
Identifiants
pubmed: 36307764
doi: 10.1186/s12877-022-03460-2
pii: 10.1186/s12877-022-03460-2
pmc: PMC9615260
doi:
Types de publication
Review
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
827Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Informations de copyright
© 2022. The Author(s).
Références
Health Promot Pract. 2018 May;19(3):475-481
pubmed: 28381096
Neurourol Urodyn. 2020 Apr;39(4):1152-1161
pubmed: 32162727
J Gerontol A Biol Sci Med Sci. 2020 Jul 13;75(8):1594-1599
pubmed: 31562812
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
Public Health. 2010 Dec;124(12):705-12
pubmed: 21056439
Dementia (London). 2021 Feb;20(2):444-463
pubmed: 31718267
Ann Intern Med. 2018 Oct 2;169(7):467-473
pubmed: 30178033
JMIR Mhealth Uhealth. 2020 Nov 20;8(11):e22136
pubmed: 33216004
JAMA Psychiatry. 2015 Oct;72(10):1012-20
pubmed: 26244854
BMC Geriatr. 2020 Mar 4;20(1):89
pubmed: 32131745
BMC Palliat Care. 2017 Jun 5;16(1):37
pubmed: 28583176
Int J Environ Res Public Health. 2021 Feb 12;18(4):
pubmed: 33673096
J Gerontol B Psychol Sci Soc Sci. 2019 Feb 15;74(3):546-555
pubmed: 28158866
Clin Ophthalmol. 2021 Feb 25;15:815-824
pubmed: 33658757
JBI Evid Synth. 2020 Oct;18(10):2119-2126
pubmed: 33038124
SSM Popul Health. 2018 Mar 09;4:263-270
pubmed: 29854910
J Nutr Health Aging. 2019;23(9):788-795
pubmed: 31641727
BMJ Open. 2019 Nov 2;9(11):e026119
pubmed: 31678933
Int J Circumpolar Health. 2020 Dec;79(1):1735036
pubmed: 32114971
BMC Geriatr. 2020 Nov 7;20(1):456
pubmed: 33160305
J Am Med Dir Assoc. 2021 Feb;22(2):459-463
pubmed: 32631801
Med Sci Monit. 2014 Nov 14;20:2283-91
pubmed: 25394805
Int J Environ Res Public Health. 2018 May 04;15(5):
pubmed: 29734674
Australas J Ageing. 2020 Mar;39(1):e55-e61
pubmed: 31254326
Australas J Ageing. 2022 Jul 7;:
pubmed: 35796240
Geriatr Nurs. 2013 Mar-Apr;34(2):138-45
pubmed: 23414637
J Appl Gerontol. 2020 Sep;39(9):1008-1015
pubmed: 30895866
Int J Environ Res Public Health. 2020 Dec 28;18(1):
pubmed: 33379319
J Nutr Health Aging. 2021;25(6):774-782
pubmed: 34179933
J Gerontol A Biol Sci Med Sci. 2021 Jan 1;76(1):95-100
pubmed: 32384144