Kassavou Aikaterini, Turner Andrew, French David P
Behavioural Science Group, Primary Care Unit, Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Cambridge, United Kingdom.
Applied Research Centre in Health & Lifestyle Interventions, Coventry University, Coventry, United Kingdom.
PLoS One. 2015 Mar 16;10(3):e0118754. doi: 10.1371/journal.pone.0118754. eCollection 2015.
There is good evidence that when people's needs and expectations regarding behaviour change are met, they are satisfied with that change, and maintain those changes. Despite this, there is a dearth of research on needs and expectations of walkers when initially attending walking groups and whether and how these needs and expectations have been satisfied after a period of attendance. Equally, there is an absence of research on how people who lead these groups understand walkers' needs and walk leaders' actions to address them. The present study was aimed at addressing both of these gaps in the research.
Two preliminary thematic analyses were conducted on face-to-face interviews with (a) eight walkers when they joined walking groups, five of whom were interviewed three months later, and (b) eight walk leaders. A multi-perspective analysis building upon these preliminary analyses identified similarities and differences within the themes that emerged from the interviews with walkers and walk leaders.
Walkers indicated that their main needs and expectations when joining walking groups were achieving long-term social and health benefits. At the follow up interviews, walkers indicated that satisfaction with meeting similar others within the groups was the main reason for continued attendance. Their main source of dissatisfaction was not feeling integrated in the existing walking groups. Walk leaders often acknowledged the same reasons for walkers joining and maintaining attendance at walking. However, they tended to attribute dissatisfaction and drop out to uncontrollable environmental factors and/or walkers' personalities. Walk leaders reported a lack of efficacy to effectively address walkers' needs.
Interventions to increase retention of walkers should train walk leaders with the skills to help them modify the underlying psychological factors affecting walkers' maintenance at walking groups. This should result in greater retention of walkers in walking groups, thereby allowing walkers to receive the long-term social and health benefits of participation in these groups.
有充分证据表明,当人们关于行为改变的需求和期望得到满足时,他们会对这种改变感到满意,并维持这些改变。尽管如此,对于步行者最初参加步行小组时的需求和期望,以及在参加一段时间后这些需求和期望是否以及如何得到满足,相关研究却很匮乏。同样,对于带领这些小组的人如何理解步行者的需求以及步行小组领导者为满足这些需求所采取的行动,也缺乏研究。本研究旨在填补这两个研究空白。
对以下两组人员进行了面对面访谈,并开展了两项初步的主题分析:(a)八名步行者加入步行小组时的访谈,其中五人在三个月后接受了再次访谈;(b)八名步行小组领导者的访谈。基于这些初步分析进行的多视角分析,确定了在对步行者和步行小组领导者的访谈中出现的主题内的异同点。
步行者表示,他们加入步行小组时的主要需求和期望是获得长期的社交和健康益处。在后续访谈中,步行者表示,对在小组中结识志同道合的人感到满意是继续参加的主要原因。他们主要的不满来源是感觉自己没有融入现有的步行小组。步行小组领导者通常认可步行者加入并持续参加步行活动的相同原因。然而,他们往往将不满和退出归因于不可控的环境因素和/或步行者的个性。步行小组领导者报告称,他们缺乏有效满足步行者需求的能力。
为提高步行者的留存率而开展的干预措施,应培训步行小组领导者掌握相关技能,以帮助他们改变影响步行者在步行小组中坚持活动的潜在心理因素。这将使更多步行者留在步行小组中,从而使步行者能够获得参与这些小组带来的长期社交和健康益处。