Multiple influences on participating in physical activity in older age: Developing a social ecological approach.

Background Evidence of the benefits of engaging in physical activity ( PA) is strong, yet the number of older adults meeting the recommended 150 min/wk is low. Policy to increase uptake and adherence has focussed on the health benefits of PA, but may not be the most successful approach. Objective Th...

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Publicado en:Health Expectations Vol. 21; no. 1; pp. 239 - 249
Autores principales: Boulton, Elisabeth R., Horne, Maria, Todd, Chris
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Feb2018
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Multiple influences on participating in physical activity in older age: Developing a social ecological approach.
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          Boulton, Elisabeth R.
          Horne, Maria
          Todd, Chris
        affil: Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
      sug:
        subj:
          Aging
          Physical Activity Standards
          Health Behavior
          Motivation Evaluation
          Health Promotion Methods
          Human
          Qualitative Studies
          Focus Groups
          Semi-Structured Interview
          Middle Age
          Aged
          Aged, 80 and Over
          Female
          Male
          Thematic Analysis
          United Kingdom
          Data Analysis Software
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Background Evidence of the benefits of engaging in physical activity ( PA) is strong, yet the number of older adults meeting the recommended 150 min/wk is low. Policy to increase uptake and adherence has focussed on the health benefits of PA, but may not be the most successful approach. Objective This qualitative study sought to ask older adults what the components of a successful intervention to promote PA would be, by asking active older adults what motivated them to be active and asking inactive older adults what might encourage them to change. Design, setting and participants Focus groups and semi-structured interviews were held with 60 community-dwelling older adults, aged 50-87 years. Framework analysis was used to analyse the data, and themes congruent with a social ecological model of behaviour change were developed. Findings Five themes emerged that influenced PA engagement at multiple levels: individual; interpersonal; perceived environment; community or organizational; and policy. PA engagement was determined by attitude or health status for some participants, but for the majority, PA being enjoyable, sociable, affordable, accessible, flexible and seasonal were more important than the health benefits. Discussion and conclusions A social ecological model is presented, highlighting the fact that both motivated and unmotivated older adults need to have a range of appropriately labelled, appealing and accessible activities to choose from when thinking about engaging in PA. Policymakers and practitioners need to ensure that their offers of activity sessions are easy to access and easy to remain involved in.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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