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运用基于资产的解决方案改变老年人的日常久坐行为:来自老年人的观点

Modifying Older Adults' Daily Sedentary Behaviour Using an Asset-based Solution: Views from Older Adults.

作者信息

Leask Calum F, Sandlund Marlene, Skelton Dawn A, Tulle Emmanuelle, Chastin Sebastien Fm

机构信息

Glasgow Caledonian University, School of Health and Life Sciences, Institute of Applied Health Research, Glasgow, UK.

Umea University, Department of Community Medicine and Rehabilitation, Umea, Sweden.

出版信息

AIMS Public Health. 2016 Aug 9;3(3):542-554. doi: 10.3934/publichealth.2016.3.542. eCollection 2016.

Abstract

OBJECTIVE

There is a growing public health focus on the promotion of successful and active ageing. Interventions to reduce sedentary behaviour (SB) in older adults are feasible and are improved by tailoring to individuals' context and circumstances. SB is ubiquitous; therefore part of the tailoring process is to ensure individuals' daily sedentary routine can be modified. The aim of this study was to understand the views of older adults and identify important considerations when creating a solution to modify daily sedentary patterns.

METHOD

This was a qualitative research study. Fifteen older adult volunteers (mean age = 78 years) participated in 1 of 4 focus groups to identify solutions to modify daily sedentary routine. Two researchers conducted the focus groups whilst a third took detailed fieldnotes on a flipchart to member check the findings. Data were recorded and analysed thematically.

RESULTS

Participants wanted a solution with a range of options which could be tailored to individual needs and circumstances. The strategy suggested was to use the activities of daily routine and reasons why individuals already naturally interrupting their SB, collectively framed as assets. These assets were categorised into 5 sub-themes: physical assets (eg. standing up to reduce stiffness); psychological assets (eg. standing up to reduce feelings of guilt); interpersonal assets (eg. standing up to answer the phone); knowledge assets (eg. standing up due to knowing the benefits of breaking SB) and activities of daily living assets (eg. standing up to get a drink).

CONCLUSION

This study provides important considerations from older adults' perspectives to modify their daily sedentary patterns. The assets identified by participants could be used to co-create a tailored intervention with older adults to reduce SB, which may increase effectiveness and adherence.

摘要

目的

公共卫生领域对促进成功和积极老龄化的关注日益增加。减少老年人久坐行为(SB)的干预措施是可行的,并且通过根据个人情况和环境进行调整可以得到改善。久坐行为无处不在;因此,调整过程的一部分是确保个人的日常久坐习惯能够得到改变。本研究的目的是了解老年人的观点,并确定在制定改变日常久坐模式的解决方案时的重要考虑因素。

方法

这是一项定性研究。15名老年志愿者(平均年龄 = 78岁)参加了4个焦点小组中的1个,以确定改变日常久坐习惯的解决方案。两名研究人员主持焦点小组,第三名研究人员在活动挂图上做详细的现场记录,以核实研究结果。数据被记录下来并进行主题分析。

结果

参与者希望有一个具有一系列选项的解决方案,该方案可以根据个人需求和情况进行调整。建议的策略是利用日常活动以及个人已经自然中断久坐行为的原因,将这些统称为资产。这些资产被分为5个子主题:身体资产(例如,站起来以减轻僵硬感);心理资产(例如,站起来以减轻内疚感);人际资产(例如,站起来接电话);知识资产(例如,由于知道打破久坐行为的好处而站起来)和日常生活活动资产(例如,站起来去喝水)。

结论

本研究从老年人的角度提供了改变其日常久坐模式的重要考虑因素。参与者确定的资产可用于与老年人共同创建一个量身定制的干预措施,以减少久坐行为,这可能会提高有效性和依从性。

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