Barriers to and Facilitators of Physical Activity Program Use Among Older Adults
Barriers to and Facilitators of Physical Activity Program Use Among Older Adults
复制标题
DOI：
10.3121/cmr.2013.1171
复制
发表时间：
2014-09-01
影响因子：
1.4
通讯作者：
Arterburn, David E.
中科院分区：
文献类型：
--
作者：
Bethancourt, Hilary J.;Rosenberg, Dori E.;Arterburn, David E.
目的：有规律的身体活动（PA）对于保持长期的身体，认知和情绪健康至关重要。然而，很少有老年人参与常规PA，甚至更少的人利用旨在提高PA参与的计划。虽然大多数管理的医疗保险成员可以免费获得银运动鞋和增强健身PA计划，绝大多数符合条件的老年人不利用这些计划。本定性研究的目的是为了更好地了解老年人参与PA计划的障碍和促进因素。设计：本定性研究采用焦点小组访谈。设置：焦点小组在华盛顿州金郡的三个团体健康诊所进行。参与者：52名年龄在66至78岁之间的随机选择的团体健康医疗保险成员参加。方法：我们进行了四个焦点小组，每组13名参与者。焦点小组的讨论进行录音，转录，并使用归纳的主题方法和社会生态framework.Results分析：男性和女性之间的参与者几乎平等的代表，样本主要是白色（77%），受过良好教育（69%大学毕业生），相对体力活动。PA和PA计划参与的主要障碍是由于健康状况或老龄化造成的身体限制，缺乏专业指导，以及关于可用和适当PA选项和计划的信息分配不足。促进者包括动机，以保持身心健康，并获得负担得起的，方便的，刺激的PA选项。结论：老年人可能会受益于更大的支持和信息，从他们的供应商和医疗保健系统如何安全，成功地提高或维持PA水平，通过成年后期。卫生保健系统在老年人中促进PA的努力可能需要考虑以患者为中心的调整，以当前的PA计划，以及促进整体积极生活方式选择的替代方法。
Objective: Regular physical activity (PA) is important for maintaining long-term physical, cognitive, and emotional health. However, few older adults engage in routine PA, and even fewer take advantage of programs designed to enhance PA participation. Though most managed Medicare members have free access to the Silver Sneakers and EnhanceFitness PA programs, the vast majority of eligible seniors do not utilize these programs. The goal of this qualitative study was to better understand the barriers to and facilitators of PA and participation in PA programs among older adults.Design: This was a qualitative study using focus group interviews.Setting: Focus groups took place at three Group Health clinics in King County, Washington.Participants: Fifty-two randomly selected Group Health Medicare members between the ages of 66 to 78 participated.Methods: We conducted four focus groups with 13 participants each. Focus group discussions were audio-recorded, transcribed, and analyzed using an inductive thematic approach and a social-ecological framework.Results: Men and women were nearly equally represented among the participants, and the sample was largely white (77%), well-educated (69% college graduates), and relatively physically active. Prominent barriers to PA and PA program participation were physical limitations due to health conditions or aging, lack of professional guidance, and inadequate distribution of information on available and appropriate PA options and programs. Facilitators included the motivation to maintain physical and mental health and access to affordable, convenient, and stimulating PA options.Conclusion: Older adult populations may benefit from greater support and information from their providers and health care systems on how to safely and successfully improve or maintain PA levels through later adulthood. Efforts among health care systems to boost PA among older adults may need to consider patient-centered adjustments to current PA programs, as well as alternative methods for promoting overall active lifestyle choices.