What Moves People Living With Dementia? Exploring Barriers and Motivators for Physical Activity Perceived by People Living With Dementia in Care Homes

There is a lack of intervention promoting physical activity targeted toward people living with dementia because their input has not been prioritized in the development of exercise programs. The aim of this study is to investigate motivators and barriers concerning physical activity in people living with dementia in care homes and to give recommendations for intervention development. Qualitative semi-structured interviews were conducted; transcripts were analyzed using qualitative content analysis. Following a tailored procedural model, inductive and deductive category development was applied. The value of Cohen’s κ = .94 indicates the high intercoder reliability of the category system developed. Ten interviewees reported 24 different barriers and 12 motivators concerning physical activity in the context of the social-ecological model. The strong impact of intrapersonal factors and the living environment became apparent. Points of reference for how people living with dementia can overcome barriers and activate their motivators to achieve more physical activity are provided.

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Exploring the social-ecological factors related to physical activity participation among Black, Asian and minority ethnic immigrants

Health Education ◽

10.1108/he-01-2021-0014 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Godi Katito ◽

Emma Davies

Keyword(s):

Physical Activity ◽

Cultural Beliefs ◽

Intervention Development ◽

Ecological Factors ◽

Structured Interviews ◽

Content Type ◽

Social Ecological ◽

The Social ◽

The Cost ◽

Minority Ethnic

PurposeDespite the health benefits of physical activity (PA), participation rates Black, Asian and minority ethnic (BAME) adults in the United Kingdom (UK) are low in comparison to the general population. This study aimed to explore the social-ecological factors related to PA participation among BAME immigrants.Design/methodology/approachSemi-structured interviews were carried out with 12 purposively selected adults from the BAME populace residing in one postcode district of a city in southern England.FindingsThe three main themes that developed from this study demonstrated that the barriers to PA participation among BAME were perceived to exist at intrapersonal, and environmental (social and physical) levels.Research limitations/implicationsUnderstanding these unique social-ecological factors may assist in intervention development.Originality/valueProminent barriers included intrapersonal factors such as deportation fear and cultural beliefs; and environmental factors such as the cost of accessing PA facilities. Length of residency appeared to be related to increased PA.

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Uplifting the voices of rural American Indian older adults to improve understanding of physical activity behavior

Translational Behavioral Medicine ◽

10.1093/tbm/ibab107 ◽

2021 ◽

Author(s):

Maja Pedersen ◽

Kari Jo Harris ◽

Jordan Lewis ◽

Mattea Grant ◽

Chelsea Kleinmeyer ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Health Disparities ◽

American Indian ◽

Rural Areas ◽

Ecological Model ◽

Intervention Development ◽

Physical Activity Behavior ◽

Adult Health ◽

Structured Interviews

Abstract American Indian (AI) older adults experience pronounced health disparities and demonstrate one of the lowest levels of physical activity (PA) among racial and ethnic groups. Nearly half of AI older adults live in rural areas, indicating distinct challenges to participation in PA. Research to identify factors influencing PA in this population is missing from the literature, yet is critical to informing culturally relevant PA intervention development and implementation. The purpose was to identify barriers to and facilitators of PA among rural AI older adults using the ecological model and qualitative methods. A community-based approach was used to conduct semi-structured interviews with rural AI older adults. Interview questions were based on a multi-level ecological model. Content analysis was performed, using an iterative coding process to identify findings. The mean age of participants (n = 21) was 66 years. Barriers to and facilitators of PA were identified across ecological model levels. Barriers included factors such as caregiving and community responsibilities, lack of acceptable areas for walking, and overall lack of community-level support for older adult health. Facilitators included a personal connection to the land and ancestors through PA, multigenerational participation, and supportive tribal policies. This study addressed a gap in the literature by identifying barriers to and facilitators of PA among rural AI older adults, which can inform PA intervention development. With barriers and facilitators identified by AI older adults themselves, the voices of those directly affected are uplifted to shape efforts toward addressing longstanding health disparities through relevant public health interventions.

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Challenges of being new to Canada: considerations for physical activity

Global Health Promotion ◽

10.1177/1757975916656347 ◽

2016 ◽

Vol 25 (2) ◽

pp. 25-33 ◽

Cited By ~ 2

Author(s):

Kimberley D. Curtin ◽

Christina C. Loitz ◽

Nancy Spencer-Cavaliere ◽

Ernest Nene Khalema

Keyword(s):

Physical Activity ◽

Ecological Model ◽

Qualitative Content Analysis ◽

Research Question ◽

Focus Group Interviews ◽

Physically Active ◽

Social Ecological ◽

Qualitative Descriptive ◽

Group Interviews ◽

Multicultural Health

Immigrants to Canada are less likely to be physically active compared with non-immigrants, and the interrelations between personal and environmental factors that influence physical activity for immigrants are largely unexplored. The goal of this qualitative descriptive study was to understand how the experience of being new to Canada impacts opportunities and participation in physical activity. Two focus group interviews with immigrants to Canada were conducted. The first group ( n=7) included multicultural health brokers. The second group ( n=14) included English as a second language students. Qualitative content analysis was used to determine three themes consistent with the research question: transition to Canadian life, commitments and priorities, and accessibility. Discussion was framed using a social ecological model. Implications for practice and policy are suggested including enhanced community engagement, and organizational modifications. Overall, the development and implementation of physical activity policies and practices for newcomers to Canada should be centered on newcomers’ perspectives and experiences.

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A school in distress: The manifestations of poverty at a selected satellite school in the Masvingo district, Zimbabwe

The Journal of Geography Education in Africa ◽

10.46622/jogea.v2i1.2526 ◽

2019 ◽

Vol 2 (1) ◽

pp. 48-60

Author(s):

Kudzayi Savious Tarisayi

Keyword(s):

Land Reform ◽

Qualitative Content Analysis ◽

Group Discussion ◽

Structured Interviews ◽

The Social ◽

Extra Curricular Activities ◽

Additional Funding ◽

Satellite Schools ◽

Year 2000

Although there is a plethora of studies on poverty in schools, poverty in satellite schools in Zimbabwe remains a neglected phenomenon. Satellite schools are newly established temporary schools which are attached to a registered school. This paper derives from a study that focused on the social capital influences of communal farmers and land reform beneficiaries on satellite schools in the Masvingo district, Zimbabwe after the year 2000. The study drew on the capability approach by Sen (2000) and the poverty pyramid by Baulch (2011). The study was qualitative and it was positioned in the interpretive paradigm. The paper reports on one case study of communal farmers in the Masvingo district. Four semi-structured interviews and a focus group discussion with a purposive sample of ten participants were carried out in the Sambo community. Qualitative content analysis was utilized to analyse the findings and draw conclusions. The manifestations of poverty at Sambo satellite school were infrastructure challenges; physical resources allocation; a natural resource challenge; and learners’ participation in extra-curricular activities with other schools. Due to a multiplicity of manifestations of poverty, Sambo satellite school was clearly in distress. It is recommended that the Zimbabwean government provide additional funding to support satellite schools that are located in poor, environmentally challenging contexts.

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Facilitating Physical Activity through On-Site Quantified-Self Data Sharing

Sustainability ◽

10.3390/su12124904 ◽

2020 ◽

Vol 12 (12) ◽

pp. 4904

Author(s):

Nan Yang ◽

Gerbrand van Hout ◽

Loe Feijs ◽

Wei Chen ◽

Jun Hu

Keyword(s):

Physical Activity ◽

Intrinsic Motivation ◽

Data Sharing ◽

Quantitative Data ◽

Qualitative Data ◽

Simulation System ◽

Social Aspect ◽

Quantified Self ◽

Structured Interviews ◽

The Social

With the development of sensing technology and the popularization of quantified-self devices, there are increasing types of health-related data that can be sensed, visualized and presented to the user. However, most existing quantified-self applications are designed to support self-management and self-reflection; only a few studies so far have investigated the social aspect of quantified-self data. In this study, we investigated the social role of quantified-self data by introducing the design and evaluation of SocialBike—a digitally augmented bicycle that aims to increase the user’s intrinsic motivation in physical activity through on-site quantified-self data sharing. We conducted a controlled experiment on a cycling simulation system. Two forms of SocialBike’s on-bike display were evaluated with 36 participants. We used the Intrinsic Motivation Inventory to collect quantitative data about users’ intrinsic motivation in physical activity; the cycling simulation system recorded quantitative data about user behavior. Qualitative data was collected through semi-structured interviews. We conducted paired sample t-test to analyze both types of quantitative data; qualitative data were analyzed by the method of thematic analysis. The results show that SocialBike’s front display significantly increased users’ intrinsic motivation in physical activity. A total of nine themes were identified from the qualitative analysis, providing supplementary explanations for the quantitative results and additional insights into the overall design.

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Barriers and Motivators of Bicycling by Gender Among Older Adult Bicyclists in the Midwest

Health Education & Behavior ◽

10.1177/1090198119879731 ◽

2019 ◽

Vol 47 (1) ◽

pp. 67-77 ◽

Cited By ~ 1

Author(s):

Amanda Grimes ◽

Matthew Chrisman ◽

Joseph Lightner

Keyword(s):

Older Adults ◽

Environmental Factors ◽

Online Survey ◽

Ecological Model ◽

The United States ◽

Environmental Barriers ◽

Cross Sectional ◽

The Social ◽

Personal Level ◽

Barriers And Motivators

Introduction. Physical activity (PA), particularly low-impact activities like bicycling, can improve health in older adults. However, bicycling rates are lower in the Midwest than other regions in the United States. Therefore, it is important to identify unique social, personal, and environmental factors that inhibit or promote bicycling, and how these are associated with PA. The influences of these factors were explored using the social ecological model. Method. A cross-sectional online survey was developed using previously validated local and national bicycling questionnaires, then distributed to Midwestern bicyclists 50 years and older. Exploratory factor analysis was conducted to understand the influences of social, personal, and environmental barriers and promoters on bicycling patterns. All models were conducted separately by gender, and accounted for age, race, education, marital status, income, and employment. Results. Social promoters (B = 0.386, p = .002), such as having friends/family that bicycle were associated with greater PA. Personal promoters (B = −0.311, p = .006) such as needing to lose weight were associated with reduced PA. Environmental factors had no associations with PA. However, individual environmental components, such as number of vehicles on the roads, were significantly associated with PA for both males and females. Females reported more barriers than males. The overall model accounted for 16.1% of the total variance in PA levels. Conclusion. Interventions to promote PA via bicycling in older adults should focus on social factors, while also reducing personal-level factors for males. Interventions for females could focus on reducing specific personal, social, and environmental barriers.

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Identifying interventions with Gypsies, Roma and Travellers to promote immunisation uptake: methodological approach and findings

BMC Public Health ◽

10.1186/s12889-020-09614-4 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Lisa Dyson ◽

Helen Bedford ◽

Louise Condon ◽

Carol Emslie ◽

Lana Ireland ◽

...

Keyword(s):

Ecological Model ◽

Service Providers ◽

Methodological Approach ◽

Intervention Mapping ◽

Intervention Development ◽

Cost Effective ◽

Social Ecological Model ◽

Social Ecological ◽

The Social ◽

The Uk

Abstract Background In the UK, Gypsy, Roma and Traveller (GRT) communities are generally considered to be at risk of low or variable immunisation uptake. Many strategies to increase uptake for the general population are relevant for GRT communities, however additional approaches may also be required, and importantly one cannot assume that “one size fits all”. Robust methods are needed to identify content and methods of delivery that are likely to be acceptable, feasible, effective and cost effective. In this paper, we describe the approach taken to identify potential interventions to increase uptake of immunisations in six GRT communities in four UK cities; and present the list of prioritised interventions that emerged. Methods This work was conducted in three stages: (1) a modified intervention mapping process to identify ideas for potential interventions; (2) a two-step prioritisation activity at workshops with 51 GRTs and 25 Service Providers to agree a prioritised list of potentially feasible and acceptable interventions for each community; (3) cross-community synthesis to produce a final list of interventions. The theoretical framework underpinning the study was the Social Ecological Model. Results Five priority interventions were agreed across communities and Service Providers to improve the uptake of immunisation amongst GRTs who are housed or settled on an authorised site. These interventions are all at the Institutional (e.g. cultural competence training) and Policy (e.g. protected funding) levels of the Social Ecological Model. Conclusions The “upstream” nature of the five interventions reinforces the key role of GP practices, frontline workers and wider NHS systems on improving immunisation uptake. All five interventions have potentially broader applicability than GRTs. We believe that their impact would be enhanced if delivered as a combined package. The robust intervention development and co-production methods described could usefully be applied to other communities where poor uptake of immunisation is a concern. Study registration Current Controlled Trials ISRCTN20019630, Date of registration 01-08-2013, Prospectively registered.

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Socio-Ecological Predictors of Frequent Bike Share Trips: Do Purposes Matter?

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17207640 ◽

2020 ◽

Vol 17 (20) ◽

pp. 7640

Author(s):

Li-Ting Chen ◽

Ya-Wen Hsu

Keyword(s):

Physical Activity ◽

Ecological Model ◽

The Other ◽

Self Report ◽

Amazon Mechanical Turk ◽

Health Educators ◽

Policy Makers ◽

Ecological Predictors ◽

The Social ◽

Bike Share

Using bike share could increase physical activity and improve health. This study used the social-ecological model to identify predictors of frequent bike share trips for different purposes. Participants residing in the U.S. were recruited via Amazon Mechanical Turk (MTurk). Self-report trip purposes were used to group participants into using bike share for commuting only (n = 260), social/entertainment only (n = 313), exercise only (n = 358), dual or triple-purpose (n = 501), and purposes other than commuting, social/entertainment, and exercise (n = 279). Results showed that at the intrapersonal level, perceived use of bike share to be helpful for increasing physical activity was a significant predictor for all groups, except for the other purpose group. Adjusting outdoor activity based on air quality was a significant predictor for the dual or triple-purpose group. At the interpersonal level, having four or more friends/family using bike share was a significant predictor for the other purpose group. At the community level, distance to the nearest bike share within acceptable range was a significant predictor for social/entertainment and dual or triple-purpose groups. The findings suggest that it is important to consider factors at multiple levels for predicting bike share usage. Moreover, health educators and policy makers should adopt different strategies for promoting bike share usage based on trip purposes.

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