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Using function-focused care to increase physical activity among older adults.

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    Function-focused care helps older adults increase physical activity by optimizing their capabilities. This approach addresses barriers like pain and fear, improving function across various care settings.

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    Area of Science:

    • Gerontology
    • Rehabilitation Medicine
    • Public Health

    Background:

    • Physical activity is crucial for older adults, but adherence to recommendations is low.
    • Barriers to physical activity include access, motivation, pain, fear, and comorbidities.
    • Function-focused care (FFC) emerged to address these challenges in older populations.

    Purpose of the Study:

    • To describe the philosophy and application of function-focused care.
    • To highlight the evidence supporting FFC approaches.
    • To discuss the implementation and dissemination of FFC in clinical settings.

    Main Methods:

    • FFC involves assessing and optimizing older adults' functional capabilities for physical activity.
    • Examples include using verbal cues for self-bathing and encouraging walking over assistive devices.
    • Studies encompass diverse settings and patient groups, including those with cognitive impairment.

    Main Results:

    • Over 20 studies demonstrate the benefits of FFC across various settings and patient types.
    • FFC approaches are effective in improving physical function and increasing activity levels.
    • Implementation strategies for FFC are well-supported and have progressed to real-world application.

    Conclusions:

    • Function-focused care is a proven approach to enhance physical activity and function in older adults.
    • Evidence supports the effectiveness and implementation of FFC across healthcare settings.
    • Continued efforts are needed for widespread dissemination and integration of FFC.