scholarly journals How Do Decision Makers and Service Providers Experience Participatory Approaches to Developing and Implementing Physical Activity Interventions with Older Adults? A Thematic Analysis

Author(s):  
Amy Davies ◽  
David P. French ◽  
Angela Devereux-Fitzgerald ◽  
Elisabeth Boulton ◽  
Chris Todd ◽  
...  

Background: Physical activity has numerous health and well-being benefits for older adults, but many older adults are inactive. Interventions designed to increase physical activity in older adults have typically only produced small effects and have not achieved long-term changes. There is increasing interest in participatory approaches to promoting physical activity, such as co-production, co-design and place-based approaches, but they have typically involved researchers as participants. This study aimed to understand the experiences of decision-makers and service developers with the introduction of such participatory approaches when developing new physical activity programmes outside of a research setting. Methods: Semi-structured, qualitative interviews were conducted with 20 individuals who were involved in commissioning or developing the Greater Manchester Active Ageing Programme. This programme involved funding eight local authorities within Greater Manchester, England, to produce physical activity projects for older adults, involving participatory approaches. An inductive thematic analysis was conducted, structured using the Framework approach. Results: Interviewees identified important benefits of the participatory approaches. The increased involvement of older adults led to older adults contributing valuable ideas, becoming involved in and taking ownership of projects. Interviewees identified the need to move away from traditional emphases on increasing physical activity to improve health, towards focussing on social and fun elements. The accessibility of the session location and information was considered important. Challenges were also identified. In particular, it was recognised that the new approaches require significant time investment to do well, as trusting relationships with older adults and partner organisations need to be developed. Ensuring the sustainability of projects in the context of short-term funding cycles was a concern. Conclusions: Incorporating participatory approaches was perceived to yield important benefits. Interviewees highlighted that to ensure success, sufficient time needs to be provided to develop good working relationships with older adults and partner organisations. They also emphasised that sufficient funding to ensure adequate staffing and the sustainability of projects is required to allow benefits to be gained. Importantly, the implementation of these approaches appears feasible across a range of local authorities.

Author(s):  
Anthony Tuckett ◽  
Abbey Freeman ◽  
Sharon Hetherington ◽  
Paul Gardiner ◽  
Abby King ◽  
...  

Physical activity, primarily comprised of walking in older adults, confers benefits for psychological health and mental well-being, functional status outcomes and social outcomes. In many communities, however, access to physical activity opportunities are limited, especially for older adults. This exploratory study engaged a small sample (N = 8) of adults aged 65 or older as citizen scientists to assess and then work to improve their communities. Using a uniquely designed mobile application (the Stanford Healthy Neighborhood Discovery Tool), participants recorded a total of 83 geocoded photos and audio narratives of physical environment features that served to help or hinder physical activity in and around their community center. In a facilitated process the citizen scientists then discussed, coded and synthesized their data. The citizen scientists then leveraged their findings to advocate with local decision-makers for specific community improvements to promote physical activity. These changes focused on: parks/playgrounds, footpaths, and traffic related safety/parking. Project results suggest that the Our Voice approach can be an effective strategy for the global goals of advancing rights and increasing self-determination among older adults.


2010 ◽  
Vol 23 (5) ◽  
pp. 732-741 ◽  
Author(s):  
Diana M. DiNitto ◽  
Namkee G. Choi

ABSTRACTBackground: Epidemiological studies show that the number of older adults using marijuana is increasing. This study aimed to determine the correlates and patterns of marijuana use among older adults that might help health and social service providers better assist this group.Methods: Data are from the 2008 National Survey on Drug Use and Health conducted by the Substance Abuse and Mental Health Services Administration in the U.S.A. The sample consisted of 5,325 adults aged 50 years and older.Results: Of the sample, 2.8% were past-year marijuana users. Of them, 23% had used marijuana on at least half the days of the year. Past-year users were more likely to be younger (50–64 years old), black, and not married, and they had significantly higher psychological distress scores, but they did not rate their health as poorer than others in the sample, nor did they attribute many problems, including psychological problems, as being related to their marijuana use. Nevertheless, past-year users present a high-risk profile because, in addition to frequent marijuana use, they also are more likely to smoke cigarettes, engage in binge drinking, and use other illicit drugs.Conclusions: Health and social service providers should be alert to the small number of routine marijuana users among the younger members of the older adult population, especially those suffering significant psychological distress, so that these individuals can be encouraged to utilize services that will help alleviate this distress and promote a healthier lifestyle and increase general well being.


2020 ◽  
Vol 11 ◽  
pp. 215013272092413
Author(s):  
Elgloria A. Harrison ◽  
Lillie Monroe Lord ◽  
Elmira Asongwed ◽  
Phronie Jackson ◽  
Tiffany Johnson-Largent ◽  
...  

Background: This research study illustrates the perceptions, opinions, beliefs, and attitudes of older adults residing in an urban community as major factors to understanding barriers and motivators in older African Americans, Hispanics, and Asians adults within Washington, DC. Methods: Eight focus group sessions conducted with 58 older adults to determine their understanding of physical activity and exercise, as well as of barriers to, motivators for, and benefits of physical activity and exercise. Results: The results showed that dance was the preferred physical activity and exercise, fixed or limited income were the main barriers, and prolonged life, more energy, and a stronger body were the main benefits. Conclusion: The results will assist in recommendations to policy makers on programs for older adults that will increase physical activity and exercise for local citizens. These interventions are more likely to increase older adults’ ability to remain in their communities and improve their overall health and well-being.


2014 ◽  
Vol 7 (3) ◽  
pp. 146-156 ◽  
Author(s):  
Sharon D. Koehn ◽  
Pavlina Jarvis ◽  
Sharanjit K. Sandhra ◽  
Satwinder K. Bains ◽  
Madeleine Addison

Purpose – The purpose of this paper is to explore if and how community organizations providing services to late-in-life Punjabi immigrants in British Columbia, Canada, offer services with the potential to promote their mental health or well-being. The authors also wanted to know how Punjabi seniors perceived available services and if they supported their mental well-being. Design/methodology/approach – To guide the research, the authors used the VicHealth Framework, which identifies three overarching social and economic determinants of mental health: social inclusion (SI), freedom from violence and discrimination, and access to economic resources and participation. This mixed methods study combines descriptive survey and qualitative focus group data with input from Punjabi seniors and community service providers. Findings – All three mental health determinants were identified as important by service providers and seniors, with SI as the most important. Family dynamics (shaped by migration and sponsorship status) influence all three determinants and can promote or diminish mental well-being. Research limitations/implications – The pilot study is limited in sample size and scope and further inquiry with different groups of immigrant older adults is warranted. Practical implications – Service providers assert that more outreach and sustainable funding are needed to reach the majority of potential beneficiaries unable to participate in community programmes. Information on mental well-being of seniors should be targeted at both seniors and their families. Originality/value – The VicHealth Framework provided a unique lens through which to explore the contributions of community organizations to mental health promotion for immigrant older adults.


2020 ◽  
pp. 1-15
Author(s):  
L. Jayne Beselt ◽  
Michelle C. Patterson ◽  
Meghan H. McDonough ◽  
Jennifer Hewson ◽  
Scott MacKay

Physical activity (PA) and social support have known benefits for the well-being and health of older adults, and social support is associated with PA behavior and positive affective experiences in PA contexts. The aim of this study was to synthesize qualitative research conducted on the experiences of social support related to PA among older adults (age ≥55 years). Following meta-study methodology, the authors searched nine databases and extracted information from 31 studies. Results were synthesized in terms of common themes and in light of theoretical and methodological perspectives used. The qualitative literature identifies supportive behaviors and social network outcomes which may be useful for informing how best to support older adults to be physically active. This literature rarely reflected the experiences of vulnerable populations, and future research should aim to further understand supportive behaviors which enable older adults to overcome barriers and challenges to being physically active.


BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e032605 ◽  
Author(s):  
Mary Katherine Huffman ◽  
Jason Brian Reed ◽  
Theresa Carpenter ◽  
Steve Amireault

IntroductionPhysical activity (PA) is an important aspect for health and well-being, yet many older adults do not maintain their PA long term. The identification of key factors that are associated with, and likely causally related to, older adults’ PA maintenance is a crucial first step towards developing programmes that are effective at promoting long-term PA behaviour change. The purpose of this protocol is to outline a systematic review that will examine the relationship between four motives (ie, satisfaction, enjoyment, self-determination and identity) and older adults’ PA maintenance.Methods and analysisStudies that investigated PA maintenance with a sample mean age ≥55 years will be included. Five electronic databases (PubMed, Cumulative Index to Nursing and Allied Health Literature, SPORTDiscus, PsycINFO and ProQuest Dissertations and Theses) were searched on 6 April 2018 with no publication date limit (ie, from inception). One reviewer screened 100% of titles and abstracts (k=21 470) while a random subsample (20%) was screened independently by two reviewers. An update of the search was run on 1 October 2019. All studies for which the full text was retrieved will be independently screened by two reviewers. Data pertaining to study sample, design, motives, PA (eg, measurement validity evidence, study definition of maintenance) and essential bias domains (eg, bias due to missing data) will be extracted. Study-level effect sizes will be calculated, and if the number of studies is ≥5, a random-effects meta-analysis will be performed using inverse-variance methods; a narrative synthesis will be performed otherwise.Ethics and disseminationThe university’s Human Research Protection Program determined that the proposed study qualifies as exempt from the Institutional Review Board review under Exemption Category 4 (PROPEL #: 80047007). Results will be published in a peer-review journal, and the findings will help inform future interventions with older adults.PROSPERO registration numberCRD42018088161.


2020 ◽  
Vol 28 (1) ◽  
pp. 53-62
Author(s):  
Jordan Deneau ◽  
Sean Horton ◽  
Paula M. van Wyk

In an attempt to offset the widespread anticipated impact of aging populations, active aging programs have become nearly ubiquitous in Western society. Nonetheless, older adults tend to remain relatively inactive. The perspectives of older adults constitute a key resource to help guide active aging efforts. Moreover, gender-sensitized and ecological approaches to physical activity programming may contribute markedly to the efficacy and inclusiveness of such initiatives. Considering the paucity of research regarding older men’s suggestions for physical activity programs, this study involved semistructured interviews to ascertain the perceptions among 19 older men (aged 75–90 years). Through a thematic analysis, seven key attributes emerged that participants believed physical activity programs should possess: affordable, available, accessible, adapted, alternative, accompanied, and awareness. The complexities and implications pertaining to these attributes are discussed in the context of ecological theory and ideals of masculinity.


2020 ◽  
Vol 28 (11) ◽  
pp. 1146-1155 ◽  
Author(s):  
Alejandro Carriedo ◽  
José A. Cecchini ◽  
Javier Fernandez-Rio ◽  
Antonio Méndez-Giménez

2014 ◽  
Vol 11 (8) ◽  
pp. 1492-1502 ◽  
Author(s):  
Ann-Sophie Van Hoecke ◽  
Christophe Delecluse ◽  
An Bogaerts ◽  
Filip Boen

Background:This study evaluated the long-term effectiveness of multiple physical activity counseling strategies on subjective health among older adults.Methods:Sedentary older adults (n = 442) were randomized to 3 programs: (1) a one-contact referral to locally organized physical activities, (2) a one-contact provision of a walking program, (3) a 10-week multiple-contact physical activity coaching based on the Self-Determination Theory. Self-reports on well-being, trait anxiety and physical activity were completed at baseline (pretest), and 10 weeks after (10-week follow-up), 1 year after (1-year follow-up) and 2 years after (2-year follow-up) pretests.Results:All 3 programs yielded improvements in well-being and trait anxiety from pretest to 10-week follow-up and to 1-year follow-up. From pretest to 2-year follow-up, no changes emerged in well-being whereas trait anxiety increased significantly. Changes over time in well-being and anxiety were not significantly different between the programs. Changes in physical activity contributed significantly to the prediction of changes in well-being and trait anxiety.Conclusions:The findings demonstrate the year-round effectiveness of physical activity counseling on subjective health among older adults, irrespective of counseling strategy. However, a relapse to baseline level occurred 2 years after the intervention. Physical activity appears to be an important determinant of older adults’ well-being.


2016 ◽  
Vol 5 (1) ◽  
pp. 39-49 ◽  
Author(s):  
L.R. Brawley ◽  
P.K. Flora ◽  
S.R. Locke ◽  
M.S.H. Gierc

In this paper, we argue that the social influence of the group is a supportive medium for older adult thriving. To promote the physical well-being aspect of thriving, we discuss groups as one means of offering social support. We present a specific model of physical activity intervention (i.e., group-mediated cognitive behavioral intervention) that uses deliberately-formed interactive groups to help motivate older adults to engage in and sustain physical activity. Our article includes four sections that concern the GMCB intervention model. The first serves as background as to why groups can be powerful behavior change agents and describes the basic model of group motivated intervention. The second section provides a generic description of the intervention structure and how the GMCB intervention is conducted. The third section presents a meta-analytic summary of results of older adult GMCB physical activity interventions across three levels of outcomes: adherence to physical activity, functional and physiological, and social cognitive. The fourth section concludes with commentary about the translational perspective for the GMCB in the future.


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