Abstract
ObjectivesThere is uncertainty around the most effective characteristics and components of interventions to increase older adults' physical activity (PA) levels. This study aimed to explore how LiveWell Dorset (LWD), a lifestyle behaviour change support service based in Dorset, South-West England, influences older adults’ PA behaviour. Study designA qualitative study using a generic approach. MethodsSemi-structured telephone interviews were held with 12 individuals aged 55 to 65 who had accessed LWD's support to increase their PA levels, to gather their views and experiences of the service. A thematic analysis of the interview data was conducted using a hybrid approach that incorporated both inductive and deductive processes. Additionally, interview content was coded for behaviour change techniques using the Behaviour Change Technique Taxonomy version 1. ResultsA number of key factors were identified that highlighted how the LWD service influences older adults’ PA behaviour. These included using a broad range of promotional and behaviour change strategies to facilitate initial engagement, providing opportunities for service users to receive social support from both professionals and peers, and emphasising person-centredness and empathy in interactions with service users. ConclusionsThe findings provide valuable information regarding the needs and preferences of older adults when attempting to influence their PA behaviour, and on the reportedly helpful components of interventions that aim to do so. The findings also support the need for future research into previously highlighted topics of interest such as the roles of systemic and contextual factors and professional empathy on PA intervention engagement and outcomes.
Highlights
Physical inactivity is a significant risk factor for the development of age-related ill health and long-term disease [1]
There is a wealth of evidence suggesting that participating in regular physical activity (PA) provides a multitude of preventative health and quality of life benefits for individuals as they reach middle-age and beyond
In response to this, increasing the PA levels of older adults has become a priority for public health interventions in the UK, in order to promote healthy ageing and reduce the risk of preventable health conditions developing [6]
Summary
Physical inactivity is a significant risk factor for the development of age-related ill health and long-term disease [1]. There is a wealth of evidence suggesting that participating in regular physical activity (PA) provides a multitude of preventative health and quality of life benefits for individuals as they reach middle-age and beyond. The improvements in cardiorespiratory fitness, muscle strength, balance and mobility that result from PA participation are associated with a lower risk of cardio vascular disease, depression, falls, muscle and bone loss and cognitive decline in older adults, along with improved emotional, social, cognitive and physical functioning [2,3]. In response to this, increasing the PA levels of older adults has become a priority for public health interventions in the UK, in order to promote healthy ageing and reduce the risk of preventable health conditions developing [6]
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