J Aging Phys Act. 2021 Apr 1;29(2):296-307. doi: 10.1123/japa.2020-0116. Epub 2020 Sep 9.
The Coaching for Healthy Ageing trial evaluated the impact on physical activity (PA) and falls based on a year-long intervention in which participants aged 60+ receive a home visit, regular health coaching by physiotherapists, and a free activity monitor. This interview study describes the participants' experiences of the intervention and ideas for improvement. The authors sampled purposively for maximum variation in experiences. The data were analyzed thematically by two researchers. Most of the 32 participants reported that the intervention increased PA levels, embedded activities, and generated positivity about PA. They were motivated by quantified PA feedback, self-directed goals, and person-centered coaching. Social connectivity motivated some, but the intervention did not support this well. The intervention structure allowed participants to trial and embed activities. Autonomy and relatedness were emphasized and should be included in future program theory. The authors identified synergistic effects, likely "essential ingredients," and potential areas for improving this and similar interventions.
《健康老龄化指导试验》评估了为期一年的干预措施对身体活动（PA）和跌倒的影响，该干预措施包括为 60 岁以上的参与者提供家访、由物理治疗师定期进行健康指导以及免费的活动监测器。本访谈研究描述了参与者对干预措施的体验以及改进意见。作者根据经验的最大差异进行了有目的的抽样。两位研究人员对数据进行了主题分析。大多数 32 名参与者报告称，干预措施提高了 PA 水平、嵌入了活动，并对 PA 产生了积极性。他们受到量化 PA 反馈、自我设定目标和以个人为中心的指导的激励。社交联系激励了一些人，但干预措施并没有很好地支持这一点。干预措施的结构允许参与者尝试和嵌入活动。自主性和关联性得到了强调，应该纳入未来的项目理论中。作者确定了协同效应，即“必要的因素”，以及改善这一干预措施和类似干预措施的潜在领域。
