Department of Kinesiology & Physical Education, University of Lethbridge, 4401 University Drive, Lethbridge, AB T1K 3M4, Canada.
Int J Environ Res Public Health. 2020 Jan 22;17(3):717. doi: 10.3390/ijerph17030717.
Older adults accumulate more sedentary time (ST) than any other age group, especially those in assisted living residences (ALRs). Reducing prolonged ST could help maintain function among older adults. However, to develop effective intervention strategies, it is important to understand the factors that influence sedentary behavior. The purpose of this study was to explore perceptions of ST as well as barriers and motivators to reducing ST among older adults in assisted living, in the context of the Social Ecological Model (SEM). Using a qualitative description approach, we sought to learn about participants' perceptions of sedentary time in their daily lives. Semi-structured focus groups were held at six ALRs with 31 participants (84% women, 83.5 ± 6.5 years). Data were transcribed and coded using an inductive thematic approach. Themes were categorized based on four levels of the SEM: individual, social, physical environment, and organization. Many reported barriers were at the individual level (e.g., lack of motivation, pain, fatigue) while others were associated with the organization or social environment (e.g., safety concerns, lack of activities outside of business hours, and social norms). These findings suggest that there are unique challenges and opportunities to consider when designing ST interventions for assisted living.
老年人比其他任何年龄段的人积累的久坐时间（ST）都要多，尤其是那些住在辅助生活住所（ALRs）的老年人。减少长时间久坐可能有助于维持老年人的功能。然而，为了制定有效的干预策略，了解影响久坐行为的因素是很重要的。本研究的目的是在社会生态学模型（SEM）的背景下，探讨辅助生活中的老年人对久坐时间的看法，以及减少久坐时间的障碍和动机。本研究采用定性描述方法，旨在了解参与者日常生活中对久坐时间的看法。在六家辅助生活养老院共进行了 31 名参与者（84%为女性，年龄 83.5±6.5 岁）的半结构式焦点小组。使用归纳主题方法对数据进行转录和编码。主题根据 SEM 的四个层次进行分类：个人、社会、物理环境和组织。许多人报告的障碍存在于个人层面（例如，缺乏动力、疼痛、疲劳），而其他障碍则与组织或社会环境有关（例如，安全问题、营业时间外缺乏活动以及社会规范）。这些发现表明，在为辅助生活设计 ST 干预措施时，需要考虑到独特的挑战和机遇。
