title: Physical activity in nursing homes--barriers and facilitators: a cross-sectional study.
abstract: OBJECTIVE
  To explore different institutional barriers to and facilitators of physical activity (PA) in nursing homes.
  
  
  METHODS
  Cross-sectional survey of 40 German nursing homes and 217 nursing-home residents (NHRs; M ± SD age 80 ± 10.2 yr, 55% women, MMSE ≥20). Quantitative data were collected on the structural characteristics of nursing homes and the PA services available.
  
  
  RESULTS
  Forms of exercise available were not adequately communicated to residents. Overall participation was below 50%. Awareness was significantly higher in residents with informed relatives (p = .003). A broad range of forms of exercise was generally available (M ± SD 5 ± 2.22, range 0-10), but they were rarely tailored to NHRs' needs and their effectiveness remains questionable.
  
  
  CONCLUSIONS
  Multidimensional opportunities to promote PA in NHRs are identified.
authors.affiliation: Inst. of Medical Sociology, Charité-Universitätsmedizin, Berlin, Germany.
authors.forename: Sonja
authors.initials: S
authors.lastname: Kalinowski
authors.forename: Ines
authors.initials: I
authors.lastname: Wulff
authors.forename: Marita
authors.initials: M
authors.lastname: Kölzsch
authors.forename: Kirsten
authors.initials: K
authors.lastname: Kopke
authors.forename: Reinhold
authors.initials: R
authors.lastname: Kreutz
authors.forename: Dagmar
authors.initials: D
authors.lastname: Dräger
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition; D003430:Cross-Sectional Studies; D004779:Environment Design; D005260:Female; D005858:Germany; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D009068:Movement / Q000502:physiology*; D009735:Nursing Homes; D011594:Psychometrics; D011795:Surveys and Questionnaires