Barriers and enablers to physical activity in patients during hospital stay: a scoping review

Abstract Background Low levels of physical activity are common during the hospital stay and have been associated with negative health outcomes. Understanding barriers and enablers to physical activity during a hospital stay can improve the development and implementation of tailored interventions aim...

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Autores principales:	Sven Jacobus Gertruda Geelen, Hanneke Corine van Dijk - Huisman, Robert Adriaan de Bie, Cindy Veenhof, Raoul Engelbert, Marike van der Schaaf, Antoine François Lenssen
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Physical activity Mobility Hospital Barrier Enabler Theoretical domains framework Medicine R
Acceso en línea:	https://doaj.org/article/578af5936f6140cab98844a32d2e3a6b
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spelling	oai:doaj.org-article:578af5936f6140cab98844a32d2e3a6b2021-11-07T12:07:55ZBarriers and enablers to physical activity in patients during hospital stay: a scoping review10.1186/s13643-021-01843-x2046-4053https://doaj.org/article/578af5936f6140cab98844a32d2e3a6b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13643-021-01843-xhttps://doaj.org/toc/2046-4053Abstract Background Low levels of physical activity are common during the hospital stay and have been associated with negative health outcomes. Understanding barriers and enablers to physical activity during a hospital stay can improve the development and implementation of tailored interventions aimed at improving physical activity. Previous studies have identified many barriers and enablers, but a comprehensive overview is lacking. This study aimed to identify and categorize all published patient- and healthcare professional-reported barriers and enablers to physical activity during a hospital stay for acute care, using the Theoretical Domains Framework (TDF). Methods We conducted a scoping review of Dutch and English articles using MEDLINE, CINAHL Plus, EMBASE, PsycINFO, and Cochrane Library (inception to September 2020), which included quantitative, qualitative, and mixed-methods studies reporting barriers and enablers to physical activity during a hospital stay for acute care, as perceived by patients or healthcare professionals. Two reviewers systematically extracted, coded, and categorized all barriers and enablers into TDF domains. Results Fifty-six articles were included in this review (32 qualitative, 7 quantitative, and 17 mixed-methods). In total, 264 barriers and 228 enablers were reported by patients, and 415 barriers and 409 enablers by healthcare professionals. Patient-reported barriers were most frequently assigned to the TDF domains Environmental Context & Resources (ECR, n = 148), Social Influences (n = 32), and Beliefs about Consequences (n = 25), while most enablers were assigned to ECR (n = 67), Social Influences (n = 54), and Goals (n = 32). Barriers reported by healthcare professionals were most frequently assigned to ECR (n = 210), Memory, Attention and Decision Process (n = 45), and Social/Professional Role & Identity (n = 31), while most healthcare professional-reported enablers were assigned to the TDF domains ECR (n = 143), Social Influences (n = 76), and Behavioural Regulation (n = 54). Conclusions Our scoping review presents a comprehensive overview of all barriers and enablers to physical activity during a hospital stay and highlights the prominent role of the TDF domains ECR and Social Influences in hospitalized patients’ physical activity behavior. This TDF-based overview provides a theoretical foundation to guide clinicians and researchers in future intervention development and implementation. Scoping review registration No protocol was registered for this review.Sven Jacobus Gertruda GeelenHanneke Corine van Dijk - HuismanRobert Adriaan de BieCindy VeenhofRaoul EngelbertMarike van der SchaafAntoine François LenssenBMCarticlePhysical activityMobilityHospitalBarrierEnablerTheoretical domains frameworkMedicineRENSystematic Reviews, Vol 10, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Physical activity Mobility Hospital Barrier Enabler Theoretical domains framework Medicine R
spellingShingle	Physical activity Mobility Hospital Barrier Enabler Theoretical domains framework Medicine R Sven Jacobus Gertruda Geelen Hanneke Corine van Dijk - Huisman Robert Adriaan de Bie Cindy Veenhof Raoul Engelbert Marike van der Schaaf Antoine François Lenssen Barriers and enablers to physical activity in patients during hospital stay: a scoping review
description	Abstract Background Low levels of physical activity are common during the hospital stay and have been associated with negative health outcomes. Understanding barriers and enablers to physical activity during a hospital stay can improve the development and implementation of tailored interventions aimed at improving physical activity. Previous studies have identified many barriers and enablers, but a comprehensive overview is lacking. This study aimed to identify and categorize all published patient- and healthcare professional-reported barriers and enablers to physical activity during a hospital stay for acute care, using the Theoretical Domains Framework (TDF). Methods We conducted a scoping review of Dutch and English articles using MEDLINE, CINAHL Plus, EMBASE, PsycINFO, and Cochrane Library (inception to September 2020), which included quantitative, qualitative, and mixed-methods studies reporting barriers and enablers to physical activity during a hospital stay for acute care, as perceived by patients or healthcare professionals. Two reviewers systematically extracted, coded, and categorized all barriers and enablers into TDF domains. Results Fifty-six articles were included in this review (32 qualitative, 7 quantitative, and 17 mixed-methods). In total, 264 barriers and 228 enablers were reported by patients, and 415 barriers and 409 enablers by healthcare professionals. Patient-reported barriers were most frequently assigned to the TDF domains Environmental Context & Resources (ECR, n = 148), Social Influences (n = 32), and Beliefs about Consequences (n = 25), while most enablers were assigned to ECR (n = 67), Social Influences (n = 54), and Goals (n = 32). Barriers reported by healthcare professionals were most frequently assigned to ECR (n = 210), Memory, Attention and Decision Process (n = 45), and Social/Professional Role & Identity (n = 31), while most healthcare professional-reported enablers were assigned to the TDF domains ECR (n = 143), Social Influences (n = 76), and Behavioural Regulation (n = 54). Conclusions Our scoping review presents a comprehensive overview of all barriers and enablers to physical activity during a hospital stay and highlights the prominent role of the TDF domains ECR and Social Influences in hospitalized patients’ physical activity behavior. This TDF-based overview provides a theoretical foundation to guide clinicians and researchers in future intervention development and implementation. Scoping review registration No protocol was registered for this review.
format	article
author	Sven Jacobus Gertruda Geelen Hanneke Corine van Dijk - Huisman Robert Adriaan de Bie Cindy Veenhof Raoul Engelbert Marike van der Schaaf Antoine François Lenssen
author_facet	Sven Jacobus Gertruda Geelen Hanneke Corine van Dijk - Huisman Robert Adriaan de Bie Cindy Veenhof Raoul Engelbert Marike van der Schaaf Antoine François Lenssen
author_sort	Sven Jacobus Gertruda Geelen
title	Barriers and enablers to physical activity in patients during hospital stay: a scoping review
title_short	Barriers and enablers to physical activity in patients during hospital stay: a scoping review
title_full	Barriers and enablers to physical activity in patients during hospital stay: a scoping review
title_fullStr	Barriers and enablers to physical activity in patients during hospital stay: a scoping review
title_full_unstemmed	Barriers and enablers to physical activity in patients during hospital stay: a scoping review
title_sort	barriers and enablers to physical activity in patients during hospital stay: a scoping review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/578af5936f6140cab98844a32d2e3a6b
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Barriers and enablers to physical activity in patients during hospital stay: a scoping review

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