scholarly journals Research on Behavioral Characteristics of the Health Club Group Exercise Participation Population in Xianning City

Author(s):  
Yameng Li ◽  
Shuangjun Li
2021 ◽  
Vol 10 (1) ◽  
pp. e001078
Author(s):  
Boon Chong Kwok ◽  
Wai Pong Wong ◽  
Louisa Remedios

An emphasis on active ageing could help to delay the onset of frailty. In Singapore, Senior Activity Centres provide free and guided group exercise sessions for older adults. However, one such centre had very low participation rates among community-dwelling older adults despite running standardised programmes. Based on a needs analysis from a prior project, this paper reports on strategies implemented to improve the daily centre-based group exercise participation rate among community-dwelling older adults. Using the behaviour change wheel model, participant motivation domains were identified as primary gaps, while the psychological capability and physical opportunity were categorised as secondary gaps. A logic model was used to design a project to respond to these identified gaps and guide the evaluation approach. Three strategies were implemented over a 4-week period and reviewed at 6 months: (1) promotion of the exercise classes, (2) delayed rewards for participation and (3) health ambassadors. Evaluation findings highlighted that more resources were needed for the training of community-dwelling older adult healthcare ambassadors in the use of motivational interviewing. The interventions were found to be efficacious in increasing daily group exercise participation rate at the centre, from an average of three to nine participants per day over the 4 weeks. Furthermore, more than 60% of these participants achieved the WHO’s weekly minimum exercise recommendation for older adults (150 min moderate-intensity physical activity). To increase the engagement of older adults in physical activity or exercise participation, we recommend the use of behaviour change wheel model and the use of community-based health ambassadors. In conclusion, the project found improved daily centre-based group physical exercise participation rates when all the domains in the behaviour change wheel model were addressed.


2019 ◽  
Author(s):  
Nick Petrunoff ◽  
Jiali Yao ◽  
Angelia Sia ◽  
Alwyn Ng ◽  
Anbumalar Ramiah ◽  
...  

Abstract Background: This process evaluation explored the implementation and mechanisms of impact of a Park Prescription intervention trial (PPI), including the effects of hypothesised mediators (motivation, social support, recreational physical activity [PA], park use and park PA ) on trial outcomes. Methods: Participants from the community were randomly allocated to intervention (n=80) or control (n=80) group. The intervention included baseline counselling, a prescription of exercise in parks, materials, three-month follow-up counselling and 26 weekly group exercise sessions in parks. Process evaluation indicators were assessed at three- and six-months. Implementation indicators included participation rates in intervention components and survey questions plus focus group discussions (FGDs) to understand which components participants valued. FGDs further assessed barriers and facilitators to intervention participation. To explore mechanisms of impact, linear regression was used to compare objectively measured PA between quantiles of group exercise participation. Structural equation modelling (SEM) explored hypothesised mediation of the significant intervention effects. Framework analysis was conducted for FGDs. Results: Participants were middle-aged (mean 51, SD ± 6.3 years), predominantly female (79%) and of Chinese ethnicity (81%). All intervention participants received baseline counselling, the park prescription and materials, whilst 94% received the follow-up counselling. Mean minutes of moderate-to-vigorous PA/week (95% CI) differed by group exercise participation (p=0.018): 0% participation (n=18) 128.3 (69.3, 187.2) minutes, >0-35.9% participation (n=18) 100.3 (36.9, 163.6) minutes, >35.9-67.9% participation (n=17) 50.5 (-4.9, 105.9) minutes and >67.9% participation (n=18) 177.4 (122.0, 232.8) minutes. Park PA at three-months had significant mediating effects (95% CI) on recreational PA 26.50 (6.65, 49.37) minutes/week, park use 185.38 (45.40, 353.74) minutes/month, park PA/month 165.48 (33.14, 334.16) minutes and psychological quality of life score 1.25 (0.19, 2.69) at six-months. Prioritising time with family and preferences for unstructured activities were barriers to intervention participation. Human interaction via follow-up or group exercise were facilitators. Conclusion: This process evaluation showed park PA consistently mediated effects of the PPI, suggesting activity in parks was a mechanism of its effects. To optimise effectiveness, participants’ preference for prioritising time with family through family involvement and tailoring the intervention to participants’ preferences for structured or unstructured PA could be considered in future studies.


2015 ◽  
Author(s):  
Michelle Ploughman ◽  
Chelsea Harris ◽  
Elizabeth M Wallack ◽  
Olivia Drodge ◽  
Serge Beaulieu ◽  
...  

Background: Exercise at moderate intensity may confer neuroprotective benefits in multiple sclerosis (MS), however it has been reported that people with MS (PwMS) exercise less than national guideline recommendations. We aimed to determine predictors of moderate to vigorous exercise among a sample of older Canadians with MS who were divided into ambulatory (less disabled) and non-ambulatory (more disabled) groups. Methods: We analysed data collected as part of a national survey of health, lifestyle and aging with MS. Participants (n=743) were Canadians over 55 years of age with MS for 20 or more years. We identified ‘a priori’ variables (demographic, personal, socioeconomic, physical health, exercise history and health care support) that may predict exercise at moderate to vigorous intensity (>6.75 metabolic equivalent hours/week). Predictive variables were entered into stepwise logistic regression, adding and deleting correlated variables until best fit was achieved for each of the two groups (ambulatory and non-ambulatory). Results: Seventy-seven percent (77%) of participants in the ambulatory group (n=351) and 35% of the non-ambulatory group (n=392) were classified as exercisers. In the ambulatory group, exercise predictors included degree of disability (OR 1.95, 95%CI 1.18-3.25), depressive symptoms (OR 0.51, 95%CI 0.29-0.89) and perseverance (OR 1.8, 95%CI 1.04-3.10). In the non-ambulatory group, exercise predictors included degree of disability (OR 5.3, 95%CI 3.22-8.71) and perseverance (OR 2.1, 95%CI 1.27-3.54). It was also notable that the factors, age, gender, years with MS, co-morbid conditions, social support, health care support and financial status were not predictive of exercise. Conclusions: This is the first examination of exercise and exercise predictors among older, more disabled PwMS. Disability and perseverance are major predictors of exercise participation (at moderate to vigorous levels) in both ambulatory and non-ambulatory groups. Presence of depressive symptoms was only predictive in the ambulatory group. Our results suggest that more exercise options must be developed for people with greater disability. Perseverance and depression are both characteristics that are modifiable and are potential targets for exercise adherence interventions.


2019 ◽  
Vol 4 (2) ◽  
pp. 40
Author(s):  
Filipe Rodrigues ◽  
Diogo S. Teixeira ◽  
Luís Cid ◽  
Diogo Monteiro

The number of people engaging in physical exercise has been decreasing every year. These behaviors are known to be related with non-communicable chronic diseases and to drastically increase premature morbidity and mortality. Since “the lack of motivation” has been pointed out as one of the main reasons for not engaging in physical exercise, several theoretical and empirical studies have been conducted aimed at understanding what influences behavior regulation. According to literature, gym exercisers who perceive exercise instructors as supportive are more likely to maintain physical exercise participation over the long-run. Supporting autonomy, competence, and relatedness should be carefully considered when interacting with health club clients as a way to promote more autonomous motivation. Overall, it seems that exercise instructors should foster a supportive environment for gym exercisers, in order to encourage exercise as a habitual behavior.


2019 ◽  
pp. 073346481989392
Author(s):  
Alexis A. Bender ◽  
Sean N. Halpin ◽  
Candace L. Kemp ◽  
Molly M. Perkins

Despite the well-known health benefits of physical activity, older adults are more sedentary than any other age group. This issue is particularly true for assisted living (AL) residents, which also represents an important and often overlooked aspect of palliative care. Here, we analyze ethnographic and interview data from a longitudinal study aimed at identifying best practices for palliative care in one African American AL community. The aim was to identify the factors that facilitate and constrain resident participation in instructor-led group exercise. Thematic analysis identified several main themes including the quality and location of the exercise program, AL staffing limitations, residents’ health and function, values about exercise, and residents’ interest in recreation and social engagement. We identified facilitators and barriers that shaped residents’ opportunity, desire, and commitment related to attending group exercise. Findings have implications for interventions aimed at increasing resident participation in group exercise, leading to multiple health benefits.


2015 ◽  
Author(s):  
Michelle Ploughman ◽  
Chelsea Harris ◽  
Elizabeth M Wallack ◽  
Olivia Drodge ◽  
Serge Beaulieu ◽  
...  

Background: Exercise at moderate intensity may confer neuroprotective benefits in multiple sclerosis (MS), however it has been reported that people with MS (PwMS) exercise less than national guideline recommendations. We aimed to determine predictors of moderate to vigorous exercise among a sample of older Canadians with MS who were divided into ambulatory (less disabled) and non-ambulatory (more disabled) groups. Methods: We analysed data collected as part of a national survey of health, lifestyle and aging with MS. Participants (n=743) were Canadians over 55 years of age with MS for 20 or more years. We identified ‘a priori’ variables (demographic, personal, socioeconomic, physical health, exercise history and health care support) that may predict exercise at moderate to vigorous intensity (>6.75 metabolic equivalent hours/week). Predictive variables were entered into stepwise logistic regression, adding and deleting correlated variables until best fit was achieved for each of the two groups (ambulatory and non-ambulatory). Results: Seventy-seven percent (77%) of participants in the ambulatory group (n=351) and 35% of the non-ambulatory group (n=392) were classified as exercisers. In the ambulatory group, exercise predictors included degree of disability (OR 1.95, 95%CI 1.18-3.25), depressive symptoms (OR 0.51, 95%CI 0.29-0.89) and perseverance (OR 1.8, 95%CI 1.04-3.10). In the non-ambulatory group, exercise predictors included degree of disability (OR 5.3, 95%CI 3.22-8.71) and perseverance (OR 2.1, 95%CI 1.27-3.54). It was also notable that the factors, age, gender, years with MS, co-morbid conditions, social support, health care support and financial status were not predictive of exercise. Conclusions: This is the first examination of exercise and exercise predictors among older, more disabled PwMS. Disability and perseverance are major predictors of exercise participation (at moderate to vigorous levels) in both ambulatory and non-ambulatory groups. Presence of depressive symptoms was only predictive in the ambulatory group. Our results suggest that more exercise options must be developed for people with greater disability. Perseverance and depression are both characteristics that are modifiable and are potential targets for exercise adherence interventions.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicholas Petrunoff ◽  
Jiali Yao ◽  
Angelia Sia ◽  
Alwyn Ng ◽  
Anbumalar Ramiah ◽  
...  

Abstract Background This process evaluation explored the implementation and mechanisms of impact of a Park Prescription Intervention trial (PPI), including the effects of hypothesised mediators (motivation, social support, recreational physical activity [PA], park use and park PA) on trial outcomes. Methods Participants from the community were randomly allocated to intervention (n = 80) or control (n = 80) group. The intervention included baseline counselling, a prescription of exercise in parks, materials, three-month follow-up counselling and 26 weekly group exercise sessions in parks. Process evaluation indicators were assessed at three- and six-months. Implementation indicators included participation rates in intervention components and survey questions plus focus group discussions (FGDs) to understand which components participants valued. FGDs further assessed barriers and facilitators to intervention participation. To explore mechanisms of impact, linear regression was used to compare objectively measured PA between quantiles of group exercise participation. Structural equation modelling (SEM) explored hypothesised mediation of the significant intervention effects. Framework analysis was conducted for FGDs. Results Participants were middle-aged (mean 51, SD ± 6.3 years), predominantly female (79%) and of Chinese ethnicity (81%). All intervention participants received baseline counselling, the park prescription and materials, whilst 94% received the follow-up counselling. Mean minutes of moderate-to-vigorous PA/week (95% CI) differed by group exercise participation (p = 0.018): 0% participation (n = 18) 128.3 (69.3, 187.2) minutes, > 0–35.9% participation (n = 18) 100.3 (36.9, 163.6) minutes, > 35.9–67.9% participation (n = 17) 50.5 (− 4.9, 105.9) minutes and > 67.9% participation (n = 18) 177.4 (122.0, 232.8) minutes. Park PA at three-months had significant mediating effects (95% CI) on recreational PA 26.50 (6.65, 49.37) minutes/week, park use 185.38 (45.40, 353.74) minutes/month, park PA/month 165.48 (33.14, 334.16) minutes and psychological quality of life score 1.25 (0.19, 2.69) at six-months. Prioritising time with family and preferences for unstructured activities were barriers to intervention participation. Human interaction via follow-up or group exercise were facilitators. Conclusion This process evaluation showed park PA consistently mediated effects of the PPI, suggesting activity in parks was a mechanism of its effects. To optimise effectiveness, participants’ preference for prioritising time with family through family involvement and tailoring the intervention to participants’ preferences for structured or unstructured PA could be considered in future studies. Trial registration ClinicalTrials.gov NCT02615392, 26 November 2015.


Sign in / Sign up

Export Citation Format

Share Document