Centre for Dementia Studies, Brighton and Sussex Medical School, Brighton, UK.
Medical Education, Brighton and Sussex Medical School, Brighton, UK.
Aging Ment Health. 2021 Jun;25(6):1115-1124. doi: 10.1080/13607863.2020.1727852. Epub 2020 Feb 18.
Physical activity may have a number of physical and mental health benefits for people with dementia and their carers. However, there is limited evidence about factors that influence physical activity participation in these groups. This study therefore looks at the barriers, facilitators and motivators of physical activity in people with dementia, from both the perspective of the person with dementia and their carer.
Thirty participants (15 sets of community-dwelling people with dementia and their family carers) were recruited from the South East of England. The participants took part in semi-structured dyadic interviews about their views of physical activity. Interviews were analysed using inductive thematic analysis at an individual level and comparisons were made between the groups.
Common motivator themes across persons with dementia and family carers were emotional and physical wellbeing, and social connectedness. Physical health was seen as a common barrier in both groups. Physical activity in the person with dementia was encouraged and supported by the family carer. For the carer, their caring role, and limited time acted as barriers to their participation.
Themes such as social connectedness, positive emotion and health were seen as key motivators to physical activity, which indicate that people with dementia and carers use physical activity as a means to maintain and improve their quality of life. Supporting family members to better facilitate such activities could encourage physical activity in people with dementia.
身体活动可能对痴呆症患者及其照顾者的身心健康有许多益处。然而,关于影响这些人群身体活动参与的因素的证据有限。因此,这项研究从痴呆症患者和他们的照顾者的角度来看待痴呆症患者身体活动的障碍、促进因素和动机。
从英国东南部招募了 30 名参与者(15 对居住在社区的痴呆症患者及其家庭照顾者)。参与者参加了关于他们对身体活动看法的半结构化二元访谈。使用个体层面的归纳主题分析对访谈进行分析,并对两组进行比较。
痴呆症患者和家庭照顾者共有的激励主题是身心健康和社交联系。身体健康是两组共同的障碍。家庭照顾者鼓励和支持痴呆症患者进行身体活动。对于照顾者来说,他们的照顾角色和有限的时间是他们参与的障碍。
社交联系、积极情绪和健康等主题被视为身体活动的关键动机,这表明痴呆症患者和照顾者将身体活动作为维持和改善生活质量的一种手段。支持家庭成员更好地促进这些活动可以鼓励痴呆症患者进行身体活动。