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Motivation to participate in high-intensity functional exercise compared with a social activity in older people with dementia in nursing homes

Sondell, Anna (författare)
Umeå universitet,Fysioterapi,Geriatrik
Rosendahl, Erik (författare)
Umeå universitet,Fysioterapi,Geriatrik
Nilsson Sommar, Johan (författare)
Umeå universitet,Yrkes- och miljömedicin
visa fler...
Littbrand, Håkan (författare)
Umeå universitet,Fysioterapi,Geriatrik
Lundin-Olsson, Lillemor (författare)
Umeå universitet,Fysioterapi
Lindelöf, Nina (författare)
Umeå universitet,Fysioterapi,Geriatrik
visa färre...
 (creator_code:org_t)
2018-11-14
2018
Engelska.
Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 13:11
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Background: Motivation to participate in exercise among people with dementia has not been well studied. The symptoms of dementia, including apathy, may lead to low motivation to participate in exercise. The aim of this study was to evaluate the motivation of older people with dementia to participate in a high-intensity exercise program compared with motivation of those participating in a social group activity.Methods: The Umeå Dementia and Exercise Study (UMDEX) was a cluster-randomized controlled intervention trial including 186 people (mean age; 85, 75% female) with dementia in nursing homes. Participants were randomized to participate in the High-Intensity Functional Exercise (HIFE) Program (n = 93) or a seated social group activity (n = 93). The activities were conducted in groups of 3–8 participants for 45 minutes, five times per two-week period, for 4 months (40 sessions in total). Participants’ motivation to go to and during activity sessions were assessed by the activity leaders and nursing homes staff using a five-point Likert scale. Data were analyzed using cumulative link mixed models.Results: Motivation was high or very high during 61.0% of attended sessions in the exercise group and 62.6% in the social activity group. No overall significant difference between groups was observed, but motivation increased over time in the exercise group and decreased in the social activity group (p < 0.05). Motivation during the sessions was significantly higher than motivation to go to the sessions, especially in the exercise group [OR 2.39 (95% CI 2.38–2.40) and 1.50 (95% CI 1.32–1.70), respectively].Conclusions: Among older people with dementia in nursing homes, motivation to participate in a high-intensity functional exercise program seems to be high, comparable to motivation to participate in a social activity, and increase over time. Since motivation during activity sessions was higher than motivation to go to sessions the promotion of strategies to encourage people with dementia to join exercise groups is of great importance.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Geriatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Geriatrics (hsv//eng)

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Av författaren/redakt...
Sondell, Anna
Rosendahl, Erik
Nilsson Sommar, ...
Littbrand, Håkan
Lundin-Olsson, L ...
Lindelöf, Nina
Om ämnet
MEDICIN OCH HÄLSOVETENSKAP
MEDICIN OCH HÄLS ...
och Klinisk medicin
och Geriatrik
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PLOS ONE
Av lärosätet
Umeå universitet

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