Goodwin Maria V, Hogervorst Eef, Maidment David W
School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Br J Health Psychol. 2024 Feb;29(1):95-111. doi: 10.1111/bjhp.12689. Epub 2023 Sep 1.
Growing epidemiological evidence has shown hearing loss is associated with physical inactivity. Currently, there is a dearth in evidence investigating why this occurs. This study aimed to investigate the barriers and facilitators to physical activity in middle-aged and older adults with hearing loss.
Individual semi-structured qualitative interviews.
A phenomenological approach was taken. Ten adults (≥40 years) were interviewed via videoconferencing. The interview schedule was underpinned by the capability, opportunity, motivation and behaviour (COM-B) model. Reflexive thematic analysis was used to generate themes, which were subsequently mapped onto the COM-B model and behaviour change wheel.
Nine hearing loss specific themes were generated, which included the following barriers to physical activity: mental fatigue, interaction with the environment (acoustically challenging environments, difficulties with hearing aids when physically active) and social interactions (perceived stigma). Environmental modifications (digital capabilities of hearing aids), social support (hearing loss-only groups) and hearing loss self-efficacy were reported to facilitate physical activity.
Middle-aged and older adults with hearing loss experience hearing-specific barriers to physical activity, which has a deleterious impact on their overall health and well-being. Interventions and public health programmes need to be tailored to account for these additional barriers. Further research is necessary to test potential behaviour change techniques.
越来越多的流行病学证据表明听力损失与身体活动不足有关。目前，关于为何会出现这种情况的调查证据匮乏。本研究旨在调查有听力损失的中老年人进行身体活动的障碍和促进因素。
个体半结构化定性访谈。
采用现象学方法。通过视频会议对10名成年人（≥40岁）进行了访谈。访谈提纲以能力、机会、动机和行为（COM-B）模型为基础。采用反思性主题分析法生成主题，随后将这些主题映射到COM-B模型和行为改变轮上。
生成了9个与听力损失相关的特定主题，其中包括身体活动的以下障碍：精神疲劳、与环境的相互作用（声学挑战性环境、身体活动时助听器使用困难）以及社会互动（感知到的耻辱感）。据报告，环境改善（助听器的数字功能）、社会支持（仅针对听力损失群体）和听力损失自我效能感有助于身体活动。
有听力损失的中老年人在身体活动方面面临与听力相关的障碍，这对他们的整体健康和幸福感产生有害影响。干预措施和公共卫生项目需要进行调整，以考虑到这些额外的障碍。有必要进行进一步研究以测试潜在的行为改变技术。
