Scholarlink

Background <p>As the global population faces a growing problem of aging, the prevalence of hip fractures in the older adults is increasing. Rehabilitation exercise was essential for recovering physical function and improving quality of life in older adults with hip fractures. However, older adults with hip fractures have lower rehabilitation exercise adherence, which can make it difficult for them to regain their pre-fracture physical function and mobility.</p> Aim <p>To analyze the barriers and facilitators to rehabilitation exercise adherence in older adults with hip fractures.</p> Methods <p>A systematic search of PubMed, Web of Science, Cochrane Library, EMBASE, and CINAHL for studies published from inception to March 30, 2025, with a language restriction of English. Screening of searched studies by two reviewers based on inclusion and exclusion. Data extraction was performed for the included studies, and methodological quality assessment was performed by the Mixed Methods Appraisal Tool (MMAT). The convergent integrated approach and thematic synthesis were used to synthesize and map extracted data to the Capability, Opportunity, Motivation-Behavior (COM-B) model.</p> Results <p>Nineteen studies were included in this review, of 9 qualitative studies, 9 quantitative studies, and a mixed-methods study. The review analyzed 15 barriers, 10 facilitators, and an uncertain factor to rehabilitation exercise adherence in older adults with hip fractures. All factors were synthesized and categorized based on the COM-B model into physical capability, psychological capability, social opportunity, physical opportunity, reflective motivation, and automatic motivation.</p> Conclusion <p>Based on the COM-B model, this review examines various factors influencing to rehabilitation exercise adherence in older adults with hip fractures and may offer insights for enhancing adherence in clinical practice. Further refinement, evaluation, and validation of these factors are needed in future studies.</p> Trial registration <p>This review was registered in the International Prospective Register of Systematic Reviews (PROSPERO: CRD420251019054).</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Barriers and facilitators to rehabilitation exercise adherence in older adults with hip fractures: a mixed-methods systematic review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月19日

查看全文
  • Wanting Sheng,
  • Xuerui Yang,
  • Qi Zhang

摘要

Background

As the global population faces a growing problem of aging, the prevalence of hip fractures in the older adults is increasing. Rehabilitation exercise was essential for recovering physical function and improving quality of life in older adults with hip fractures. However, older adults with hip fractures have lower rehabilitation exercise adherence, which can make it difficult for them to regain their pre-fracture physical function and mobility.

Aim

To analyze the barriers and facilitators to rehabilitation exercise adherence in older adults with hip fractures.

Methods

A systematic search of PubMed, Web of Science, Cochrane Library, EMBASE, and CINAHL for studies published from inception to March 30, 2025, with a language restriction of English. Screening of searched studies by two reviewers based on inclusion and exclusion. Data extraction was performed for the included studies, and methodological quality assessment was performed by the Mixed Methods Appraisal Tool (MMAT). The convergent integrated approach and thematic synthesis were used to synthesize and map extracted data to the Capability, Opportunity, Motivation-Behavior (COM-B) model.

Results

Nineteen studies were included in this review, of 9 qualitative studies, 9 quantitative studies, and a mixed-methods study. The review analyzed 15 barriers, 10 facilitators, and an uncertain factor to rehabilitation exercise adherence in older adults with hip fractures. All factors were synthesized and categorized based on the COM-B model into physical capability, psychological capability, social opportunity, physical opportunity, reflective motivation, and automatic motivation.

Conclusion

Based on the COM-B model, this review examines various factors influencing to rehabilitation exercise adherence in older adults with hip fractures and may offer insights for enhancing adherence in clinical practice. Further refinement, evaluation, and validation of these factors are needed in future studies.

Trial registration

This review was registered in the International Prospective Register of Systematic Reviews (PROSPERO: CRD420251019054).