Social, Economic, Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK.
Centre for Public Policy, University of Glasgow, Glasgow G11 6EW, UK.
Int J Environ Res Public Health. 2024 Jun 27;21(7):843. doi: 10.3390/ijerph21070843.
Physical inactivity contributes to over 800,000 deaths annually. Numerous non-pharmacological interventions provide a route to address this behavioural risk factor linked to the growth of non-communicable diseases. Here, we consider a nature-based intervention, specifically group outdoor health walks (GOHW), as a non-pharmacological intervention to increase physical activity and contribute to health and quality of life amongst older adults. We used the theoretically grounded Capability, Opportunity, Motivation, and Behaviour (COM-B) model as a lens to examine interviews with participants in a GOHW with an activity tracker and signposted by health clinics in Scotland, UK. Analysis identified capabilities, opportunities, and motivations, their impact on behaviour, and perceived physical and mental health. The application of the COM-B model to intervention evaluation allowed us to examine two separate behaviours, that of (i) engaging with the intervention itself, and (ii) incorporating the behaviour into one's life that the intervention targets. Analysis identified emerging capabilities, opportunities, and motivations that supported additional health-promoting behaviours, including increased time outdoors in nature and leadership to self-organise continued group walks. We offer insight into the design of nature-based interventions to effectively engage older adults with chronic health conditions and foster personal behaviour change for health and well-being.
身体活动不足导致每年有超过 80 万人死亡。许多非药物干预措施为解决与非传染性疾病增长相关的这种行为风险因素提供了途径。在这里，我们将基于自然的干预措施，特别是团体户外健康散步（GOHW），视为一种非药物干预措施，以增加老年人的身体活动量，并促进他们的健康和生活质量。我们使用了有理论基础的能力、机会、动机和行为（COM-B）模型作为一个视角，来分析在苏格兰，使用活动追踪器并由健康诊所标记的 GOHW 中参与者的访谈。分析确定了能力、机会和动机，及其对行为的影响，以及感知到的身心健康。COM-B 模型在干预评估中的应用使我们能够检查两种不同的行为，即（i）参与干预本身，以及（ii）将行为融入干预所针对的生活中。分析确定了新出现的能力、机会和动机，这些能力、机会和动机支持了其他促进健康的行为，包括增加在户外自然环境中的时间和自我组织继续进行团体散步的领导力。我们提供了有关设计基于自然的干预措施的见解，以有效地吸引有慢性健康状况的老年人，并促进他们的个人行为改变，以实现健康和幸福。
