Older adults' experiences of a physical activity and sedentary behaviour intervention : A nested qualitative study in the sitless multi-country randomised clinical trial
Blackburn, Nicole E.. (Ulster University. Institute of Nursing and Health Research)
Skjodt, Mathias (University of Southern Denmark. Department of Sports Science and Clinical Biomechanics)
Tully, Mark (Ulster University. Institute of Mental Health Sciences)
Mc Mullan, Il0na (Ulster University. Institute of Mental Health Sciences)
Giné-Garriga, Maria (Universitat Ramon Llull. Departament de Ciències de l'Esport)
Caserotti, Paolo (University of Southern Denmark. Department of Sports Science and Clinical Biomechanics)
Blancafort Alias, Sergi (Universitat Autònoma de Barcelona. Fundació Salut i Envelliment)
Santiago, Marta (Universitat Ramon Llull. Departament de Ciències de l'Esport)
Rodriguez-Garrido, Sara (Universitat Autònoma de Barcelona. Fundació Salut i Envelliment)
Weinmayr, Gudrun (Ulm University.Institute of Epidemiology and Medical Biometry)
John-Köhler, Ulrike (Ulm University.Institute of Epidemiology and Medical Biometry)
Wirth, Katharina (Ulm University. Agaplesion Bethesda Clinic)
Jerez-Roig, Javier (Universitat Ramon Llull. Departament de Ciències de l'Esport)
Dallmeier, Dhayana (Boston University School of Public Health. Department of Epidemiology)
Wilson, Jason J. (Ulster University. Sport and Exercise Sciences Research Institute)
Deidda, Manuela (University of Glasgow. Institute of Health and Well-Being)
McIntosh, Emma (University of Glasgow. Institute of Health and Well-Being)
Coll-Planas, Laura (Universitat Autònoma de Barcelona. Fundació Salut i Envelliment)

Date:	2021
Abstract:	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.
Grants:	European Commission. Horizon 2020 634270
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Exercise referral schemes ; Qualitative study ; Behaviour change ; Sedentary behaviour ; Physical activity ; Ageing
Published in:	International journal of environmental research and public health, Vol. 18 Núm. 9 (april 2021) , p. 4730, ISSN 1660-4601

DOI: 10.3390/ijerph18094730
PMID: 33946717

16 p, 357.4 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Fundació Salut i Envelliment UAB
Articles > Research articles
Articles > Published articles