Interventions addressing functional abilities of older people in rural and remote areas: a scoping review of available evidence based on WHO functional ability domains

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

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.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12877-022-03460-2.

Related collections

Most cited references 31

Record: found
Abstract: found
Article: found

Is Open Access

The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

Matthew J L Page, Joanne E McKenzie, Patrick Bossuyt … (2024)

The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. Over the past decade, advances in systematic review methodology and terminology have necessitated an update to the guideline. The PRISMA 2020 statement replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. The structure and presentation of the items have been modified to facilitate implementation. In this article, we present the PRISMA 2020 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews.

0 comments Cited 12577 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

Adrian Aldcroft, Chantelle Garritty, Simon Lewin … (2018)

Scoping reviews, a type of knowledge synthesis, follow a systematic approach to map evidence on a topic and identify main concepts, theories, sources, and knowledge gaps. Although more scoping reviews are being done, their methodological and reporting quality need improvement. This document presents the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist and explanation. The checklist was developed by a 24-member expert panel and 2 research leads following published guidance from the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network. The final checklist contains 20 essential reporting items and 2 optional items. The authors provide a rationale and an example of good reporting for each item. The intent of the PRISMA-ScR is to help readers (including researchers, publishers, commissioners, policymakers, health care providers, guideline developers, and patients or consumers) develop a greater understanding of relevant terminology, core concepts, and key items to report for scoping reviews.

0 comments Cited 6950 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Telephone-Delivered Cognitive Behavioral Therapy and Telephone-Delivered Nondirective Supportive Therapy for Rural Older Adults With Generalized Anxiety Disorder

Gretchen Brenes, Suzanne Danhauer, Mary Lyles … (2015)

IMPORTANCE Generalized anxiety disorder (GAD) is common in older adults; however, access to treatment may be limited, particularly in rural areas. OBJECTIVE To examine the effects of telephone-delivered cognitive behavioral therapy (CBT) compared with telephone-delivered nondirective supportive therapy (NST) in rural older adults with GAD. DESIGN, SETTING, AND PARTICIPANTS Randomized clinical trial in the participants’ homes of 141 adults aged 60 years and older with a principal or coprincipal diagnosis of GAD who were recruited between January 27, 2011, and October 22, 2013. INTERVENTIONS Telephone-delivered CBT consisted of as many as 11 sessions (9 were required) focused on recognition of anxiety symptoms, relaxation, cognitive restructuring, the use of coping statements, problem solving, worry control, behavioral activation, exposure therapy, and relapse prevention, with optional chapters on sleep and pain. Telephone-delivered NST consisted of 10 sessions focused on providing a supportive atmosphere in which participants could share and discuss their feelings and did not provide any direct suggestions for coping. MAIN OUTCOMES AND MEASURES Primary outcomes included interviewer-rated anxiety severity (Hamilton Anxiety Rating Scale) and self-reported worry severity (Penn State Worry Questionnaire–Abbreviated) measured at baseline, 2 months’ follow-up, and 4 months’ follow-up. Mood-specific secondary outcomes included self-reported GAD symptoms (GAD Scale 7 Item) measured at baseline and 4 months’ follow-up and depressive symptoms (Beck Depression Inventory) measured at baseline, 2 months’ follow-up, and 4 months’ follow-up. Among the 141 participants, 70 were randomized to receive CBT and 71 to receive NST. RESULTS At 4 months’ follow-up, there was a significantly greater decline in worry severity among participants in the telephone-delivered CBT group (difference in improvement, −4.07; 95%CI, −6.26 to −1.87; P = .004) but no significant differences in general anxiety symptoms (difference in improvement, −1.52; 95%CI, −4.07 to 1.03; P = .24). At 4 months’ follow-up, there was a significantly greater decline in GAD symptoms (difference in improvement, −2.36; 95%CI, −4.00 to −0.72; P = .005) and depressive symptoms (difference in improvement, −3.23; 95%CI, −5.97 to −0.50; P = .02) among participants in the telephone-delivered CBT group. CONCLUSIONS AND RELEVANCE In this trial, telephone-delivered CBT was superior to telephone-delivered NST in reducing worry, GAD symptoms, and depressive symptoms in older adults with GAD. TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT01259596 .

0 comments Cited 40 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Ivy Yan Zhao: yan-ivy.zhao@polyu.edu.hk

Jed Montayre: J.Montayre@westernsydney.edu.au

Angela Y. M. Leung: angela.ym.leung@polyu.edu.hk

Jann Foster: J.Foster@westernsydney.edu.au

Ariana Kong: Ariana.Kong@westernsydney.edu.au

Stephen Neville: stephen.neville@aut.ac.nz

Ramona Ludolph: ludolphr@who.int

Christopher Mikton: miktonc@who.int

Alana Officer: officera@who.int

Alex Molassiotis: alex.molasiotis@polyu.edu.hk

Journal

Journal ID (nlm-ta): BMC Geriatr

Journal ID (iso-abbrev): BMC Geriatr

Title: BMC Geriatrics

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-2318

Publication date (Electronic): 28 October 2022

Publication date PMC-release: 28 October 2022

Publication date Collection: 2022

Volume: 22

Electronic Location Identifier: 827

Affiliations

[1 ]GRID grid.16890.36, ISNI 0000 0004 1764 6123, WHO Collaborating Centre for Community Health Services, School of Nursing, , The Hong Kong Polytechnic University, ; SAR Hung Hom, Hong Kong

[2 ]GRID grid.1029.a, ISNI 0000 0000 9939 5719, New South Wales Centre for Evidence-Based Healthcare - JBI affiliated group, , School of Nursing and Midwifery, Western Sydney University, ; 2751 Penrith, NSW Australia

[3 ]South Western Sydney Local Health District, Ingham Institute for Applied Medical Research, 2170 Liverpool, NSW Australia

[4 ]GRID grid.1029.a, ISNI 0000 0000 9939 5719, School of Nursing and Midwifery, , Western Sydney University, ; Locked Bag 1797, 2751 Penrith, NSW Australia

[5 ]GRID grid.1029.a, ISNI 0000 0000 9939 5719, Centre for Oral Health Outcomes and Research Translation (COHORT), , School of Nursing and Midwifery, Western Sydney University, ; 2751 Penrith, NSW Australia

[6 ]GRID grid.252547.3, ISNI 0000 0001 0705 7067, School of Clinical Sciences, , Auckland University of Technology, ; 90 Akoranga Drive, Northcote, Auckland, New Zealand

[7 ]GRID grid.3575.4, ISNI 0000000121633745, World Health Organization, ; Geneva 27, 1211 Geneva, Switzerland

[8 ]GRID grid.57686.3a, ISNI 0000 0001 2232 4004, Health & Social Care Research Centre, , University of Derby, ; Derby, United Kingdom

Article

Publisher ID: 3460

DOI: 10.1186/s12877-022-03460-2

PMC ID: 9615260

PubMed ID: 36307764

SO-VID: db1c3fde-899c-48a3-b090-8334298ed2fb

License:

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 3 February 2022

Date accepted : 14 September 2022

Funding

Funded by: WHO Collaborating Centre for Community Health Services, School of Nursing, The Hong Kong Polytechnic University

Funded by: FundRef http://dx.doi.org/10.13039/100004423, World Health Organization;

Custom metadata

ScienceOpen disciplines: Geriatric medicine

Keywords: healthy ageing,functional ability,interventions,rural and remote,ageing,scoping review

Data availability:

ScienceOpen disciplines: Geriatric medicine

Keywords: healthy ageing, functional ability, interventions, rural and remote, ageing, scoping review

Interventions addressing functional abilities of older people in rural and remote areas: a scoping review of available evidence based on WHO functional ability domains

Read this article at

Abstract

Background

Methods

Results

Conclusion

Supplementary Information

Related collections

Hearing Loss and Restoration

Most cited references 31

The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

Telephone-Delivered Cognitive Behavioral Therapy and Telephone-Delivered Nondirective Supportive Therapy for Rural Older Adults With Generalized Anxiety Disorder

Author and article information

Contributors

Journal

Affiliations

Article

History

Funding

Categories

Custom metadata

Comments

Comment on this article

Similar content 81

Cited by 2

Most referenced authors 721