School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD,Australia.
Health and Social Sciences cluster, Singapore Institute of Technology, Dover,Singapore.
J Aging Phys Act. 2022 Jun 1;31(1):48-58. doi: 10.1123/japa.2021-0192. Print 2023 Feb 1.
Adherence to prescribed exercise poses significant challenges for older adults despite proven benefits. The aim of this exploratory descriptive qualitative study was to explore the perceived barriers to and facilitators of prescribed home exercise adherence in community-dwelling adults 65 years and older. Three focus groups with 17 older adults (Mage ± SD = 77 ± 5.12) living in Singapore were conducted. Inductive thematic analysis revealed that "the level of motivation" of individuals constantly influenced their exercise adherence (core theme). The level of motivation appeared to be a fluid concept and changed due to interactions with two subthemes: (a) individual factors (exercise needs to be tailored to the individual) and (b) environmental factors (i.e., support is essential). Hence, these factors must be considered when designing strategies to enhance exercise adherence in this vulnerable population. Strategies must be informed by the culturally unique context, in this case, a developed country with a multiethnic urban Asian population.
尽管已证实锻炼有益，老年人坚持规定的运动姿势仍面临重大挑战。本探索性描述性定性研究的目的是探讨社区居住的 65 岁及以上成年人对规定的家庭锻炼的坚持的感知障碍和促进因素。在新加坡，对 17 名年龄在 77 岁及以上的老年人进行了三次焦点小组讨论（Mage ± SD = 77 ± 5.12）。归纳主题分析显示，个体的“动机水平”不断影响他们的锻炼坚持（核心主题）。动机水平似乎是一个流动的概念，由于与两个子主题的相互作用而发生变化：（a）个人因素（运动需要针对个人进行调整）和（b）环境因素（即支持是必不可少的）。因此，在为这一脆弱人群设计增强锻炼依从性的策略时，必须考虑这些因素。在这种情况下，策略必须根据文化独特的背景进行告知，即一个拥有多族裔城市亚洲人口的发达国家。
