Older Adults' Experiences of a Physical Activity and Sedentary Behaviour Intervention: A Nested Qualitative Study in the SITLESS Multi-Country Randomised Clinical Trial.

Autor:	Blackburn NE; Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK., Skjodt M; Department of Sports Science and Clinical Biomechanics, Center for Active and Healthy Ageing (CAHA), University of Southern Denmark, 5230 Odense M, Denmark., Tully MA; Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK., Mc Mullan I; Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK., Giné-Garriga M; Department of Sport Sciences, Faculty of Psychology, Education and Sport Sciences Blanquerna, Universitat Ramon Llull, 08034 Barcelona, Spain.; Department of Physical Therapy, Faculty of Health Sciences Blanquerna, Universitat Ramon Llull, 08025 Barcelona, Spain., Caserotti P; Department of Sports Science and Clinical Biomechanics, Center for Active and Healthy Ageing (CAHA), University of Southern Denmark, 5230 Odense M, Denmark., Blancafort S; Fundació Salut i Envelliment (Foundation on Health and Ageing)-UAB, Universitat Autònoma de Barcelona, 08041 Barcelona, Spain., Santiago M; Department of Sport Sciences, Faculty of Psychology, Education and Sport Sciences Blanquerna, Universitat Ramon Llull, 08034 Barcelona, Spain., Rodriguez-Garrido S; Fundació Salut i Envelliment (Foundation on Health and Ageing)-UAB, Universitat Autònoma de Barcelona, 08041 Barcelona, Spain., Weinmayr G; Institute of Epidemiology and Medical Biometry, Ulm University, 89075 Ulm, Germany., John-Köhler U; Institute of Epidemiology and Medical Biometry, Ulm University, 89075 Ulm, Germany., Wirth K; Agaplesion Bethesda Clinic, Geriatric Research Unit Ulm University and Geriatric Center, 89073 Ulm, Germany., Jerez-Roig J; Research Group on Methodology, Methods, Models and Outcome of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic-Central University of Catalonia (UVIC-UCC), 08500 Vic, Spain., Dallmeier D; Agaplesion Bethesda Clinic, Geriatric Research Unit Ulm University and Geriatric Center, 89073 Ulm, Germany.; Department of Epidemiology, Boston University School of Public Health, Boston, MA 02118, USA., Wilson JJ; Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK.; Sport and Exercise Sciences Research Institute, School of Sport, Ulster University, Newtownabbey BT37 0QB, UK., Deidda M; Health Economics and Health Technology Assessment (HEHTA), Institute of Health and Well-Being (IHW), University of Glasgow, Glasgow G12 8RZ, UK., McIntosh E; Health Economics and Health Technology Assessment (HEHTA), Institute of Health and Well-Being (IHW), University of Glasgow, Glasgow G12 8RZ, UK., Coll-Planas L; Fundació Salut i Envelliment (Foundation on Health and Ageing)-UAB, Universitat Autònoma de Barcelona, 08041 Barcelona, Spain., On Behalf Of The Sitless Group
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2021 Apr 29; Vol. 18 (9). Date of Electronic Publication: 2021 Apr 29.
DOI:	10.3390/ijerph18094730
Abstrakt:	Background: The SITLESS programme comprises exercise referral schemes and self-management strategies and has been evaluated in a trial in Denmark, Spain, Germany and Northern Ireland. The aim of this qualitative study was to understand the implementation and contextual aspects of the intervention in relation to the mechanisms of impact and to explore the perceived effects. Methods: Qualitative methodologies were nested in the SITLESS trial including 71 individual interviews and 12 focus groups targeting intervention and control group participants from postintervention to 18-month follow-up in all intervention sites based on a semi-structured topic guide. Results: Overarching themes were identified under the framework categories of context, implementation, mechanisms of impact and perceived effects. The findings highlight the perceived barriers and facilitators to older adults' engagement in exercise referral schemes. Social interaction and enjoyment through the group-based programmes are key components to promote adherence and encourage the maintenance of targeted behaviours through peer support and connectedness. Exit strategies and signposting to relevant classes and facilities enabled the maintenance of positive lifestyle behaviours. Conclusions: When designing and implementing interventions, key components enhancing social interaction, enjoyment and continuity should be in place in order to successfully promote sustained behaviour change.
Databáze:	MEDLINE
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