Department of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, QC,Canada.
Divisions of Clinical Epidemiology, Geriatrics, Experimental Medicine, McGill University Health Centre (MUHC), Montreal, QC,Canada.
J Aging Phys Act. 2023 Jan 20;31(3):506-514. doi: 10.1123/japa.2022-0076. Print 2023 Jun 1.
This study aimed to inform a measurement approach for older persons who wish to engage in active living such as participating in a walking program. The Patient Generated Index, an individualized measurement approach, and directed and summative content analyses were carried out. A sample size of 204 participants (mean age 75 years; 62% women) was recruited; it generated 934 text threads mapped to 460 unique categories within 45 domains with similarities and differences for women and men. The Capability, Opportunity, Motivation, and Behaviors Model best linked the domains. The results suggest that older persons identify the need to overcome impaired capacity, low motivation, and barriers to engagement to live actively. These are all areas that active living programs could address. How to measure the outcomes of these programs remains elusive.
本研究旨在为希望积极参与生活（如参加步行计划）的老年人提供一种测量方法。采用患者生成指数（一种个体化的测量方法）和定向和总结性内容分析进行研究。共招募了 204 名参与者（平均年龄 75 岁，62%为女性），生成了 934 条与 460 个独特类别相关的文本线程，这些类别分布在 45 个领域内，男女之间存在相似和不同之处。能力、机会、动机和行为模型与这些领域的联系最为紧密。研究结果表明，老年人认识到需要克服能力受损、动机不足和参与障碍，以积极生活。这些都是积极生活项目可以解决的问题。如何衡量这些项目的成果仍然难以捉摸。
