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开始社区步行计划前进行身体活动的障碍和促进因素。

Barriers and Motivators to Physical Activity Prior to Starting a Community-Based Walking Program.

机构信息

School of Nursing, Purdue University, West Lafayette, IN 47907, USA.

Cooperative Extension, Purdue University, West Lafayette, IN 47907, USA.

出版信息

Int J Environ Res Public Health. 2021 Oct 12;18(20):10659. doi: 10.3390/ijerph182010659.

Abstract

Despite the clear benefits of an active lifestyle, most American adults fail to meet physical activity (PA) guidelines. Because of its safety and ease, walking is a promising population-level strategy to increase PA. There is a need to further understand why adults do and do not participate in walking. This study provides a broader understanding of barriers and motivators of walking prior to starting a walking program. Four years of baseline data from a community-based walking program were analyzed (n = 1491). Descriptive statistics summarized participant characteristics, barriers, reinforcements, and current PA. Chi-square tests were used to assess differences in the barrier and reinforcement responses between participant's PA level and age categories. Open-ended responses were analyzed using thematic analysis. On average, participants were white (96%), middle-aged (52 ± 13 years old) females (92%). Poor weather and time were frequently reported barriers to walking. Open-ended responses (n = 141) identified additional barriers of lack of motivation (n = 37), joint issues (n = 29), fatigue (n = 24), safety or lack of environmental supports (n = 17), family or work demands (n = 15), and lacking a walking partner (n = 9). Good weather, health, and weight loss were frequently reported motivators. Additional motivators (n = 282) identified included stress relief and mental health (n = 82), social time (n = 70), dog care (n = 41), other health benefits (n = 38), connect with nature (n = 19), enjoyment (14), occupation (n = 11), and environmental and community supports (n = 6). Findings highlight the importance of understanding participant barriers and motivators for PA before starting a program. Future research should examine how reported barriers and motivators are related to program completion and adherence. Tailoring community-based programs to address specific barriers and motivators may enable more participants to effectively change and maintain PA.

摘要

尽管积极的生活方式有明显的好处,但大多数美国成年人都未能达到身体活动(PA)指南的要求。由于安全性和便利性,散步是一种很有前途的提高 PA 的人群策略。有必要进一步了解成年人为什么参与或不参与散步。这项研究提供了在开始步行计划之前,对步行的障碍和动机的更广泛的理解。一项基于社区的步行计划的四年基线数据(n = 1491)进行了分析。描述性统计总结了参与者的特征、障碍、增强因素和当前的 PA。卡方检验用于评估参与者的 PA 水平和年龄类别之间障碍和增强反应的差异。对开放式回答进行了主题分析。平均而言,参与者是白人(96%),年龄在 52 ± 13 岁之间的女性(92%)。恶劣的天气和时间经常被报告为散步的障碍。开放式回答(n = 141)确定了缺乏动力(n = 37)、关节问题(n = 29)、疲劳(n = 24)、安全或缺乏环境支持(n = 17)、家庭或工作需求(n = 15)和缺乏步行伙伴(n = 9)等其他障碍。良好的天气、健康和减肥经常被报告为动机。确定的其他动机(n = 282)包括缓解压力和心理健康(n = 82)、社交时间(n = 70)、照顾狗(n = 41)、其他健康益处(n = 38)、与自然接触(n = 19)、享受(n = 14)、职业(n = 11)和环境及社区支持(n = 6)。研究结果强调了在开始计划之前了解参与者对 PA 的障碍和动机的重要性。未来的研究应该研究报告的障碍和动机与计划完成和坚持的关系。针对特定的障碍和动机调整基于社区的项目,可能使更多的参与者能够有效地改变和保持 PA。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a53b/8535237/d4abd9175043/ijerph-18-10659-g001.jpg

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