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非裔美国人在社区环境中参与锻炼干预的体验的内容分析。

A Content Analysis of African Americans' Experience of Engaging in Exercise Intervention in a Community Setting.

机构信息

Department of Community and Health Policy, School of Nursing, Indiana University Bloomington, Bloomington, IN, USA.

Eli Lilly & Co., Indianapolis, IN, USA.

出版信息

J Integr Complement Med. 2024 Feb;30(2):146-156. doi: 10.1089/jicm.2023.0130. Epub 2023 Aug 16.

Abstract

Although an increasing number of African Americans 50 years of age and older practice , a mind-body exercise, to manage their health conditions, little is known about their perceptions and experiences of engaging in and learning exercise. This study aimed to explore the subjective perceptions of the health benefits, engagement, adherence, and learning of exercise in African Americans 45-85 years of age as a foundation for promoting this approach for African Americans' physical and psychological health. Fifteen African Americans were enrolled in a 1-h exercise program twice a week for 8 weeks (a total of 16 sessions) in the activity center of a local church. Participants were interviewed after the intervention to explore their perceptions of learning and practicing exercise. Interviews were conducted in person, audio recorded, transcribed verbatim, and analyzed using content analysis. Five themes emerged: (1) Perceived benefits of practicing , (2) helpful strategies for learning, (3) facilitators for home practice, (4) motivators for exercise adherence, and (5) recommending to others. exercise was perceived to be effective for balance, flexibility, muscle strength, sleep quality, emotion regulation, and stress management. Nearly 75% of participants reported home practice at least twice a week. Middle-age and older African Americans' responses provide insights on health benefits associated with practicing exercise, adherence, home practice, and learning, which may serve as the first step to promoting the use of exercise in this population and may be adopted to similar exercise interventions with minority older adults in the future.

摘要

尽管越来越多的 50 岁及以上的非裔美国人练习身心锻炼来管理他们的健康状况,但对于他们参与和学习身心锻炼的看法和经验却知之甚少。本研究旨在探索 45-85 岁非裔美国人对身心锻炼的健康益处、参与度、坚持度和学习的主观认知,为促进身心锻炼方法在非裔美国人身心健康方面的应用奠定基础。15 名非裔美国参与者在当地教堂的活动中心每周两次参加 1 小时的身心锻炼计划,共 8 周(共 16 次)。在干预结束后,参与者接受了采访,以探讨他们对学习和实践身心锻炼的看法。采访是面对面进行的,录音,逐字转录,并使用内容分析进行分析。研究结果产生了五个主题:(1)练习身心锻炼的感知益处,(2)学习身心锻炼的有用策略,(3)促进在家中练习的因素,(4)锻炼坚持的动机,(5)向他人推荐身心锻炼。身心锻炼被认为对平衡、灵活性、肌肉力量、睡眠质量、情绪调节和压力管理有效。近 75%的参与者报告说每周至少在家中练习两次。中年和老年非裔美国人的反应提供了与练习身心锻炼、坚持、在家中练习和学习相关的健康益处的见解,这可能是促进该人群使用身心锻炼的第一步,也可能被未来用于少数民族老年人的类似锻炼干预措施。

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