Factors That Influence Walking Intervention Adherence for Older Adults Living in Retirement Communities

2021 ◽  
pp. 1-8
Author(s):  
Victoria S. Davila ◽  
David E. Conroy ◽  
Margaret K. Danilovich
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Ecological Model ◽  
Retirement Community ◽  
Retirement Communities ◽  
Supportive Services ◽  
Full Spectrum ◽  
Walking Intervention ◽  
Walking Activity ◽  
Exercise Classes

Walking interventions improve health outcomes among older adults. However, few clinical trials evaluate long-term behavior change adherence. The authors explored factors that influence walking adherence in older adults following their participation in a clinical trial. They conducted n = 7 focus groups with n = 23 participants enrolled in the parent study (ClinicalTrials.gov number: NCT03654807). The authors used content analysis to code data according to the social–ecological model. They found that supportive services (exercise classes) in retirement communities have multilevel impacts on adherence to walking activity. Residents from communities offering services continued walking because of increased confidence gained in the parent trial, while residents in communities without services were motivated by their functional improvements. Residents voiced frustration with retirement community physical activity programs that did not address the full spectrum of physical functioning. Findings support the need for retirement communities to account for various motivational factors in tailoring programs to promote increased physical activity for older adults.

scholarly journals Physical Activity and Physical Function in Older Adults Living in a Retirement Community: A Cross-Sectional Analysis Focusing on Self-Rated Health

2020 ◽  
pp. 155982762094272
Author(s):  
Emerson Sebastião ◽  
Shaine Henert ◽  
Vitor Antonio Assis Alves Siqueira
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Function ◽  
Strong Predictor ◽  
Perceived Health ◽  
Risk Groups ◽  
The United States ◽  
Retirement Community ◽  
Retirement Communities ◽  
Cross Sectional

Perceived health is a widely used proxy for measuring individuals’ health status across different populations, including older adults. This measure is commonly reported as a subjective indicator, as a strong predictor of longer-term morbidity and mortality, and as a method to identify high-risk groups with health needs. This study examined differences in physical activity (PA) and physical function (PF) among older adults living in a retirement community located in the Midwest region of the United States as a function of perceived health. Results suggest that older adults perceiving their health as excellent reported significantly higher PA and performed significantly better on PF assessments than those reporting it as good or fair. Programs focusing on increasing PA in older adults living in retirement communities should be considered as potential strategies to enhance the health and health perception of this population.

Perceived barriers and contributors to sense of purpose in life in retirement community residents

2020 ◽  
pp. 1-17
Author(s):  
Nathan A. Lewis ◽  
Naomi Reesor ◽  
Patrick L. Hill
Keyword(s):  
Older Adults ◽  
Purpose In Life ◽  
Retirement Community ◽  
Retirement Communities ◽  
Structured Interviews ◽  
Contributing Factors ◽  
Sense Of Purpose ◽  
The Social ◽  
Continuing Care Retirement Communities ◽  
Retirement Facilities

Abstract Despite the growing use of retirement communities and ageing care facilities, little is known about how residing in retirement residences may impact aspects of older adult wellbeing. Living in these communities may hold particular influence on residents’ sense of purpose, if they feel limited in their opportunities for individual action, or could serve to promote purposefulness depending on the social connections available. The current study sought to explore contributing factors as well as barriers to purpose in older adults living in three continuing care retirement communities. Using brief semi-structured interviews, 18 older adults were asked to describe their purpose in life, community-related activities and any perceived challenges limiting their ability to pursue this purpose. Thematic analysis was used to examine themes common across interviews. Interviews presented a mixed picture of the nature of purposefulness in retirement facilities. Residents espoused several benefits of community living such as social and leisure opportunities, while also noting several obstacles to their purpose, including health concerns and the belief that purpose in life was not relevant for older adults. These findings provide insight into how older adults can derive a sense of purpose from activities within their retirement community and how facilities can better tailor programmes to promote purposefulness and support personally valued roles for residents.

Tracking Older Participants of Twelve Physical Activity Classes Over a Three-Year Period

1998 ◽  
Vol 6 (1) ◽  
pp. 70-82 ◽  
Author(s):  
Nancy A. Ecclestone ◽  
Anita M. Myers ◽  
Donald H. Paterson
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Exercise Adherence ◽  
Attendance Rate ◽  
Longitudinal Tracking ◽  
Gender And Age ◽  
Program Adherence ◽  
Exercise Classes ◽  
Physical Activity Classes

The Centre for Activity and Ageing offers multiple physical activity programs for the general public of older adults. Using a database of 670 registrants, we tracked 541 individuals in 12 programs at the same location over a 3-year period (1992-1995). We found program differences in gender and age mix, attendance patterns, and long-term adherence. Overall, we found a 68% attendance rate and adherence rates of 59%, 51%, and 43% at 6 months, 12 months, and 36 months, respectively. About 21% of participants tried out or transferred between programs during the tracking period, and these individuals were significantly more likely to remain at the center over 3 years. Longitudinal tracking demonstrates that program adherence is not necessarily the same as exercise adherence: older adults leave, rejoin, and switch exercise classes as their commitments and interests change. We project that 50% or more of older adults joining community programs will be long-term adherents to exercise.

The Relation Between Personality and Physical Activity in Older Adults Living in a Retirement Community

2017 ◽  
Vol 49 (5S) ◽  
pp. 473
Author(s):  
Ashley L. Artese ◽  
Desirae Ehley ◽  
Angelina R. Sutin ◽  
Antonio Terracciano
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Retirement Community

scholarly journals Facilitators of and Barriers to Physical Activity in Retirement Communities: Experiences of Older Women in Urban Areas

2012 ◽  
Vol 92 (4) ◽  
pp. 551-562 ◽  
Author(s):  
Gudfinna Bjornsdottir ◽  
Solveig A. Arnadottir ◽  
Sigridur Halldorsdottir
Keyword(s):  
Physical Activity ◽  
Older Women ◽  
Social Environment ◽  
Urban Areas ◽  
Functional Decline ◽  
Preventive Measure ◽  
Retirement Community ◽  
Retirement Communities ◽  
Personal Factors ◽  
Physically Active

Abstract Background Older people are being encouraged to be physically active for as long as possible as a preventive measure against disease and functional decline. It remains, however, uncertain how living in a retirement community affects physical activity (PA). Objectives This study was conducted to understand the PA experiences of older women living in retirement communities and what they experience as facilitators of and barriers to PA. Design The study was qualitative and guided by the Vancouver School of doing phenomenology, a unique blend of phenomenology, hermeneutics, and constructivism. Method Participants were 10 women, aged from 72 to 97 years (mean=84 years). In-depth interviews were conducted, recorded, transcribed, and thematically analyzed. Results A model was constructed with 3 main themes: (1) the women themselves, including their experienced health condition, individual aspects of functioning, and various personal factors; (2) the physical environment; and (3) the social environment. These main themes all include subthemes of experienced influences on PA, such as health, design of housing and environment, and local culture. These influences could both facilitate and hinder PA, depending on the context. The facilitating effects of good outdoor areas, accessible physical training facilities, a familiar neighborhood, and finding joy in PA were clear in the study. The barriers included worsening health, a colder climate with ice and wind, and lack of a PA culture within the retirement community. Conclusions An older woman's residence may strongly influence her ability and motivation to be physically active. Physical therapists should acquaint themselves with the facilitators of and barriers to PA of women within retirement communities and use that knowledge to influence the physical and social environment and to target PA interventions to the women themselves.

scholarly journals Promoting Physical Activity Among Older Adults Using Community-Based Participatory Research With an Adapted PRECEDE-PROCEED Model Approach: The AEQUIPA/OUTDOOR ACTIVE Project

2020 ◽  
pp. 089011712097487
Author(s):  
Karin Bammann ◽  
Carina Recke ◽  
Birte Marie Albrecht ◽  
Imke Stalling ◽  
Friederike Doerwald
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Participatory Research ◽  
Ecological Model ◽  
Community Based Participatory Research ◽  
Target Group ◽  
Community Based ◽  
Community Stakeholders ◽  
Starting Point ◽  
Multi Level

Purpose: The PRECEDE-PROCEED model (PPM) is a community-based participatory research (CBPR) framework for health promotion, yet the direct application of the PPM into practice is unclear. This paper describes how the PPM was adapted for the development and application of a pilot intervention study to promote outdoor physical activity (PA) in older adults (OUTDOOR ACTIVE). We illustrate the steps and adaptations we applied to put the PPM into practice and present the developed interventions. Design: The PPM was adapted by incorporating a socio-ecological model. This ensured the design of any resultant intervention would explicitly address multi-level determinants of physical activity. The list of possible program components to select from for the design of an intervention was also extended. Setting: Bremen, Germany. Participants: Participants in the intervention development were 924 noninstitutionalized older adults, aged 65-75 years (response: 25.2%), living in Bremen-Hemelingen, Germany. For implementation of the intervention and to ensure sustainability, several groups of stakeholders were involved throughout the process. Methods: A mixed method design was employed (e.g., focus groups, quantitative survey) to identify determinants. A round table and participatory workshops were held to involve the target group and community stakeholders in the design of an intervention using the adapted PPM model. Results: A conceptual model was developed illustrating the integration of a socio-ecological model into the PPM. The model received ecological validity, as it was affirmed by community stakeholders as an appropriate method for designing a community-level PA intervention. Target goals to address PA determinants were selected by target group members. An intervention to meet the goals was developed and implemented with target group input. Conclusion: The adapted PPM is a promising starting point for developing multi-level interventions. Steps should be taken to ensure all social groups are participating in the process and all levels of determinants are addressed.

Communication Technologies for Older Adults in Retirement Communities

2014 ◽  
pp. 491-501
Author(s):  
Lauren Bowers ◽  
Claudia B. Rebola ◽  
Patricio Vela
Keyword(s):  
Older Adults ◽  
Computer Science ◽  
Design Process ◽  
Universal Design ◽  
Communication Technologies ◽  
Retirement Community ◽  
Retirement Communities ◽  
Research Development ◽  
Public Events ◽  
Community Residents

This chapter presents the research, development, and findings of a communication technology developed to enable older adults living in retirement communities to share public events. The project draws reference from the fields of industrial design, universal design, and computer science to design a technology for residents at a retirement community. Residents were included in the design process by evaluating designed technologies. This study demonstrates the relevance of designing simple yet innovative technologies that meet the needs of older adults.

scholarly journals ‘You started something … then I continued by myself’: a qualitative study of physical activity maintenance

2017 ◽  
Vol 18 (06) ◽  
pp. 574-590 ◽  
Author(s):  
Charlotte Wahlich ◽  
Carole Beighton ◽  
Christina Victor ◽  
Rebecca Normansell ◽  
Derek Cook ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Good Health ◽  
Text Messages ◽  
Telephone Interviews ◽  
Walking Intervention ◽  
Effective Interventions ◽  
Bad Weather

Background Most mid-life and older adults are not achieving recommended physical activity (PA) targets and effective interventions are needed to increase and maintain PA long-term for health benefits. The Pedometer And Consultation Evaluation (PACE-UP) trial, a three-armed primary care pedometer-based walking intervention in those aged 45–75 years, demonstrated increased PA levels at 12 months. A three-year follow-up was conducted to evaluate long-term PA maintenance, including a qualitative component. Aim To examine facilitators and barriers to PA maintenance in mid-life and older adults previously involved in a PA trial. Method Semi-structured telephone interviews were conducted with 60 PACE-UP participants across all study arms. Interviews were audio-recorded, transcribed verbatim and coded independently by researchers, prior to thematic analysis. Findings Two-thirds of participants felt since the PACE-UP trial they had an awareness of PA, with the pedometer reported as ‘kick-starting’ regular activity, and then helped them to maintain regular activity. PA facilitators included: maintaining good health, self-motivation, social support and good weather. Lack of time was the most frequently cited barrier. Other barriers were often the inverse of the facilitators; for example, poor health and bad weather. Participants described the type of ‘top-up’ intervention they would find beneficial to aid PA maintenance (eg, text messages, online resources and walking groups). Conclusion A challenge for future PA interventions is to transform barriers into facilitators; for example, educating trial participants about the value of PA for many chronic health conditions to change this from inhibiting to promoting PA. Participants provided ideas for encouraging PA maintenance which could be incorporated into future interventions.

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