The effects of co-designed physical activity interventions in older adults: A systematic review and meta-analysis.
<h4>Background</h4>Physical activity (PA) declines with age despite the knowledge that physical inactivity is a leading cause of disease, death, and disability worldwide. To better tailor PA interventions to older adults, researchers are turning to the collaborative principles of co-desi...
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0297675&type=printable |
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| author | Amanda Zacharuk Alison Ferguson Chelsea Komar Nicole Bentley Alexandra Dempsey Michelle Louwagie Sachi O'Hoski Cassandra D'Amore Marla Beauchamp |
| author_facet | Amanda Zacharuk Alison Ferguson Chelsea Komar Nicole Bentley Alexandra Dempsey Michelle Louwagie Sachi O'Hoski Cassandra D'Amore Marla Beauchamp |
| author_sort | Amanda Zacharuk |
| collection | DOAJ |
| description | <h4>Background</h4>Physical activity (PA) declines with age despite the knowledge that physical inactivity is a leading cause of disease, death, and disability worldwide. To better tailor PA interventions to older adults, researchers are turning to the collaborative principles of co-design. The purpose of this systematic review was to compare the effectiveness of co-designed PA interventions and standard care for increasing PA and other health outcomes (i.e., physical function, quality of life, mental health, functional independence, attendance and attrition rates) in older adults.<h4>Methods</h4>A search was conducted in MEDLINE, AgeLine, CINAHL, Embase, and SPORTDiscus. Records were screened by independent pairs of reviewers. Primary research studies conducted among community-dwelling older adults (age 60+) comparing co-designed PA interventions to standard care were considered for inclusion. Controls included wait-list control, usual care, sham interventions, PA interventions without the use of co-design, and no intervention. A random effects meta-analysis was conducted, and the standardized mean difference (SMD) was used to report effect estimates. Quality of evidence was rated using GRADE.<h4>Results</h4>Of 16,191 studies screened, eight (N = 16,733) were included in this review. Most studies reported results favouring the effect of co-design on physical activity; however, only two studies (N = 433) could be pooled for meta-analysis resulting in a SMD of 0.28, (95% CI = -0.13 to 0.69; p = 0.19; I2 = 56%) immediately post-intervention. The GRADE quality of evidence was very low. The quantitative analysis of three studies reported improved physical function.<h4>Conclusion</h4>This review did not demonstrate that co-designed PA interventions are more effective than standard care for increasing PA in older adults; however, evidence was limited and of very low quality. Further well-designed trials are warranted to better understand the impacts of co-designed PA interventions and how to best implement them into practice.<h4>Trial registration</h4>PROSPERO registration number: CRD42022314217. |
| format | Article |
| id | doaj-art-91a7f5fd899748a7b1e822f9671d8a05 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
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| spelling | doaj-art-91a7f5fd899748a7b1e822f9671d8a052025-01-18T05:31:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01195e029767510.1371/journal.pone.0297675The effects of co-designed physical activity interventions in older adults: A systematic review and meta-analysis.Amanda ZacharukAlison FergusonChelsea KomarNicole BentleyAlexandra DempseyMichelle LouwagieSachi O'HoskiCassandra D'AmoreMarla Beauchamp<h4>Background</h4>Physical activity (PA) declines with age despite the knowledge that physical inactivity is a leading cause of disease, death, and disability worldwide. To better tailor PA interventions to older adults, researchers are turning to the collaborative principles of co-design. The purpose of this systematic review was to compare the effectiveness of co-designed PA interventions and standard care for increasing PA and other health outcomes (i.e., physical function, quality of life, mental health, functional independence, attendance and attrition rates) in older adults.<h4>Methods</h4>A search was conducted in MEDLINE, AgeLine, CINAHL, Embase, and SPORTDiscus. Records were screened by independent pairs of reviewers. Primary research studies conducted among community-dwelling older adults (age 60+) comparing co-designed PA interventions to standard care were considered for inclusion. Controls included wait-list control, usual care, sham interventions, PA interventions without the use of co-design, and no intervention. A random effects meta-analysis was conducted, and the standardized mean difference (SMD) was used to report effect estimates. Quality of evidence was rated using GRADE.<h4>Results</h4>Of 16,191 studies screened, eight (N = 16,733) were included in this review. Most studies reported results favouring the effect of co-design on physical activity; however, only two studies (N = 433) could be pooled for meta-analysis resulting in a SMD of 0.28, (95% CI = -0.13 to 0.69; p = 0.19; I2 = 56%) immediately post-intervention. The GRADE quality of evidence was very low. The quantitative analysis of three studies reported improved physical function.<h4>Conclusion</h4>This review did not demonstrate that co-designed PA interventions are more effective than standard care for increasing PA in older adults; however, evidence was limited and of very low quality. Further well-designed trials are warranted to better understand the impacts of co-designed PA interventions and how to best implement them into practice.<h4>Trial registration</h4>PROSPERO registration number: CRD42022314217.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0297675&type=printable |
| spellingShingle | Amanda Zacharuk Alison Ferguson Chelsea Komar Nicole Bentley Alexandra Dempsey Michelle Louwagie Sachi O'Hoski Cassandra D'Amore Marla Beauchamp The effects of co-designed physical activity interventions in older adults: A systematic review and meta-analysis. PLoS ONE |
| title | The effects of co-designed physical activity interventions in older adults: A systematic review and meta-analysis. |
| title_full | The effects of co-designed physical activity interventions in older adults: A systematic review and meta-analysis. |
| title_fullStr | The effects of co-designed physical activity interventions in older adults: A systematic review and meta-analysis. |
| title_full_unstemmed | The effects of co-designed physical activity interventions in older adults: A systematic review and meta-analysis. |
| title_short | The effects of co-designed physical activity interventions in older adults: A systematic review and meta-analysis. |
| title_sort | effects of co designed physical activity interventions in older adults a systematic review and meta analysis |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0297675&type=printable |
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