Lefler Leanne L, Jones Sara, Harris Breanna
1 College of Nursing, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
2 College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Am J Health Promot. 2018 Mar;32(3):561-570. doi: 10.1177/0890117117711340. Epub 2017 Jun 6.
To describe strategies salient to physical activity (PA) initiation and maintenance among older women who participated in a clinical trial that tested a PA intervention.
A descriptive phenomenological, qualitative design for a process evaluation of a successful clinical trial.
Senior primary care clinics associated with a large medical center in a southern state.
A total of 20 older women at least 60 years without advanced frailty.
Purposive sampling using maximum variation technique was used to select participants. A semi-structured interview guide facilitated individual, in-depth interviews lasting 45 to 90 minutes. Narratives were analyzed using content analysis with constant comparison technique to summarize the data.
Eight African American and 12 white older women with a mean age of 68 from control and intervention arms participated. Five central themes described salient strategies to promote and maintain PA: sensed benefits, motivation, and self-efficacy were central to success, while a reduction in barriers was essential before maintaining PA. The last theme, a life-changing awareness indicated that PA had become a shared value. An explanatory model describing interrelationships is presented.
This study suggests key strategies to include in PA interventions with older women. An unexpected finding was that PA became a shared value, an action promoted by the Culture of Health initiative to improve population health and well-being.
描述参与一项测试体育活动干预措施的临床试验的老年女性在开始和维持体育活动（PA）方面的显著策略。
对一项成功的临床试验进行过程评估的描述性现象学定性设计。
与南部某州一家大型医疗中心相关的高级初级保健诊所。
共有20名至少60岁且无严重虚弱的老年女性。
采用最大变异技术进行目的抽样以选择参与者。一份半结构化访谈指南促成了持续45至90分钟的个人深度访谈。使用内容分析法和持续比较技术对访谈内容进行分析以总结数据。
来自对照组和干预组的8名非裔美国老年女性和12名白人老年女性参与，平均年龄为68岁。五个核心主题描述了促进和维持体育活动的显著策略：感知到的益处、动机和自我效能感是成功的关键，而在维持体育活动之前减少障碍至关重要。最后一个主题，改变生活的意识表明体育活动已成为一种共同的价值观。提出了一个描述相互关系的解释模型。
本研究提出了在针对老年女性的体育活动干预中应纳入的关键策略。一个意外发现是体育活动成为了一种共同的价值观，这是健康文化倡议所倡导的一项行动，旨在改善人群健康和福祉。
