de Groot Gudrun Cathrine Lindgren, Fagerström Lisbeth
Telemark Hospital, Norway.
Scand J Occup Ther. 2011 Jun;18(2):153-60. doi: 10.3109/11038128.2010.487113. Epub 2010 Jun 14.
The aim of this study was to describe motivating factors and barriers for older adults to adhere to group exercise in the local community aiming to prevent falls, and thereby gain knowledge about how health professionals can stimulate adherence. The motivation equation was used as a theoretical framework. Data were collected from individual semi-structured interviews (n = 10). The interviews were taped, transcribed, and thereafter analysed by using a descriptive content analysis consisting of four steps. The results showed that motivating factors to adhere to recommended exercise were perceived prospects of staying independent, maintaining current health status, and improving physical balance and the ability to walk. Barriers were reduced health status, lack of motivation, unpleasant experience during previous exercise group sessions, and environmental factors. All participants wanted information from health professionals on the benefit of exercise. Many considered individual variations in functional skills within each group as a disadvantage. The knowledge gained from this study suggests a greater involvement from all health professionals in motivating older adults to attend exercise groups. The results also suggest that physical therapists should be more aware of the importance of comparative levels of physical function when including participants in exercise groups.
本研究的目的是描述老年人坚持参与当地社区旨在预防跌倒的团体运动的激励因素和障碍，从而获取有关健康专业人员如何促进坚持运动的知识。动机方程被用作理论框架。数据通过个体半结构化访谈（n = 10）收集。访谈进行录音、转录，随后采用包括四个步骤的描述性内容分析法进行分析。结果表明，坚持推荐运动的激励因素包括保持独立的预期前景、维持当前健康状况以及改善身体平衡和行走能力。障碍包括健康状况下降、缺乏动力、之前参加运动小组课程时的不愉快经历以及环境因素。所有参与者都希望从健康专业人员那里获得有关运动益处的信息。许多人认为每组功能技能的个体差异是一个不利因素。从本研究中获得的知识表明，所有健康专业人员应更多地参与激励老年人参加运动小组。结果还表明，物理治疗师在将参与者纳入运动小组时应更加意识到身体功能相对水平的重要性。
