Victor, CR;
Rogers, A;
Woodcock, A;
Beighton, C;
Cook, DG;
Kerry, SM;
Iliffe, S;
... Harris, TJ; + view all
(2016)
What factors support older people to increase their physical activity levels? An exploratory analysis of the experiences of PACE-Lift trial participants.
Archives of Gerontology and Geriatrics
, 67
10.1016/j.archger.2016.06.006.
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Abstract
Background: Physical Activity (PA) has significant health benefits for older adults, but nearly all UK over 60′s are not achieving recommended levels. The PACE-Lift primary care-based walking intervention for 60–75 year-olds used a structured, theoretically grounded intervention with pedometers, accelerometers, handbooks and support from practice nurses trained in behaviour change techniques. It demonstrated an objective increase in walking at 3 and 12 months. We investigated the experiences of intervention participants who did (and did not) increase their walking, in order to explore facilitators to increased walking. Methods: Semi-structured telephone interviews used an interview schedule with a purposive sample of 30 intervention participants, 19 who had objectively increased their walking over the previous year and 11 who had not. Interviews were audio-recorded, transcribed and coded independently by researchers to generate a thematic coding framework. Results: Both groups confirmed that walking was an appropriate PA for people of ‘their age’. The majority of those with increased walking participated in the trial as a couple, were positive about individualised goal-setting, developed strategies for maintaining their walking, and had someone to walk with. Non-improvers reported their attempts to increase walking were difficult because of lack of social support and were less positive about the intervention’s behaviour change components. Discussion: Walking is an acceptable and appropriate PA intervention for older people. The intervention’s goal-setting components were important for those who increased their walking. Mutual support between partners participating as a couple and having someone to walk with also facilitated increased walking.
| Type: | Article |
|---|---|
| Title: | What factors support older people to increase their physical activity levels? An exploratory analysis of the experiences of PACE-Lift trial participants |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.archger.2016.06.006 |
| Publisher version: | http://doi.org/10.1016/j.archger.2016.06.006 |
| Language: | English |
| Additional information: | Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-ncnd/4.0/). |
| Keywords: | Physical activity, Walking intervention, Couples, Older people, Behaviour change |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1554218 |
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