Identifying solutions to increase participation in physical activity interventions within a socio-economically disadvantaged community: a qualitative study
Identifying solutions to increase participation in physical activity interventions within a socio-economically disadvantaged community: a qualitative study
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DOI：
10.1186/1479-5868-11-68
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发表时间：
2014-05-23
影响因子：
8.7
通讯作者：
Cupples, Margaret E.
中科院分区：
文献类型：
--
作者：
Cleland, Claire L.;Hunter, Ruth F.;Cupples, Margaret E.
背景资料：迫切需要提高人口的体育活动水平，特别是在社会经济弱势群体中。多种因素影响体力活动行为，但目前的证据，这些“难以达到”的人群亚组的普遍性是有限的，在招募他们到研究中的困难。此外，严格的定性研究奠定了看法和社区领导人对公共卫生工作，以增加身体活动的看法是稀疏的。我们试图在一个社会经济条件不利的社区内，探讨居民和社区领导人对体育活动（PA）干预措施的看法及其实施问题，以提高对未来干预措施相关的需求、期望和社会/环境因素的理解。方法：在一个正在进行的重建项目中，（康斯沃特社区绿道），在贝尔法斯特的一个社会经济弱势社区，我们与社区发展机构合作，有目的地从公共和非政府部门的社区团体和居民中抽取领导人。对12位领导人进行了个人半结构化访谈。居民（n = 113），性别和年龄范围（14至86岁）参加了重点小组（n = 14）在当地设施。访谈和焦点小组进行了记录，逐字转录和分析使用一个专题framework.Results：三个主要主题确定：PA干预措施的认识;因素有助于干预的有效性;和障碍参与PA干预措施。与会者报告说，他们只知道他们直接参与的干预措施，强调需要加强部门间和部门内以及与居民的沟通。居民有意义地参与规划/组织，因地制宜，支持志愿者，提供相关资源和“退出战略”被认为是干预有效性的重要因素。消极的态度，如冷漠，令人失望的经验，没有感知到的个人相关性和有限的访问设施的信息是人们参与interventions.Conclusions的障碍：这些研究结果说明了复杂的影响，对社区的参与PA干预措施，并支持社会生态的方法，以促进PA。它们强调需要跨部门工作，有效的信息交流，让居民参与自下而上的规划，并提供充分的财政和社会支持。深入了解目标人群的观点是将PA行为改变理论转化为实践的关键。
Background: There is an urgent need to increase population levels of physical activity, particularly amongst those who are socio-economically disadvantaged. Multiple factors influence physical activity behaviour but the generalisability of current evidence to such 'hard-to-reach' population subgroups is limited by difficulties in recruiting them into studies. Also, rigorous qualitative studies of lay perceptions and perceptions of community leaders about public health efforts to increase physical activity are sparse. We sought to explore, within a socio-economically disadvantaged community, residents' and community leaders' perceptions of physical activity (PA) interventions and issues regarding their implementation, in order to improve understanding of needs, expectations, and social/environmental factors relevant to future interventions.Methods: Within an ongoing regeneration project (Connswater Community Greenway), in a socio-economically disadvantaged community in Belfast, we collaborated with a Community Development Agency to purposively sample leaders from public- and voluntary-sector community groups and residents. Individual semi-structured interviews were conducted with 12 leaders. Residents (n = 113), of both genders and a range of ages (14 to 86 years) participated in focus groups (n = 14) in local facilities. Interviews and focus groups were recorded, transcribed verbatim and analysed using a thematic framework.Results: Three main themes were identified: awareness of PA interventions; factors contributing to intervention effectiveness; and barriers to participation in PA interventions. Participants reported awareness only of interventions in which they were involved directly, highlighting a need for better communications, both inter-and intra-sectoral, and with residents. Meaningful engagement of residents in planning/organisation, tailoring to local context, supporting volunteers, providing relevant resources and an 'exit strategy' were perceived as important factors related to intervention effectiveness. Negative attitudes such as apathy, disappointing experiences, information with no perceived personal relevance and limited access to facilities were barriers to people participating in interventions.Conclusions: These findings illustrate the complexity of influences on a community's participation in PA interventions and support a social-ecological approach to promoting PA. They highlight the need for cross-sector working, effective information exchange, involving residents in bottom-up planning and providing adequate financial and social support. An in-depth understanding of a target population's perspectives is of key importance in translating PA behaviour change theories into practice.