Meghani Naureen Akber Ali, Hudson Joanne, Straton Gareth, Mullins Jane
Swansea University Faculty of Science and Engineering, Swansea, UK
Swansea University Faculty of Science and Engineering, Swansea, UK.
BMJ Open. 2025 May 19;15(5):e090384. doi: 10.1136/bmjopen-2024-090384.
The population of ethnically diverse older adults (OAs) is increasing in the UK; this group faces complex health challenges that are exacerbated by language difficulties, socioeconomic status and acculturation experiences. Moreover, this diverse group is the least active and sedentary subgroup within the wider population, which raises a major concern for their health and highlights the need for effective behaviour change interventions to motivate this group to be less sedentary. Therefore, this study aims to explore the acceptability of a 12-week intervention to reduce sedentary behaviour (SB) for ethnically diverse sedentary OAs.
The study employed a qualitative approach to assess the acceptability of the 12-week single-arm intervention for reducing SB.
The study participants were recruited on a rolling basis from January to May 2024. The recruitment process was conducted through social community organisations and local religious groups in Swansea that provided leisure, sports and recreational activities for ethnically diverse OAs.
The target population for this study was ethnically diverse OAs aged ≥65 years (including women and men) among (n=20) OAs using in-depth interviews.
The intervention consisted of a 40-60 minute personalised one-to-one in-person health coaching session, a wearable activity tracker to remind participants to take breaks from prolonged sitting time, a pamphlet and weekly reminder messages via a mobile phone.
To assess the acceptability of the intervention.
Reflexive thematic analysis was performed using a deductive approach by integrating four predetermined MRC framework themes. Four overarching themes were included in our analysis: (1) acceptability, (2) usability, (3) functionality and (4) recruitment and retention. OAs were satisfied with the intervention and found it effective and acceptable. The multicomponent intervention provided users with strategies to achieve the goal of reducing their sitting time and provided them with opportunities to be active and independent. In addition, there were personal (eg, health) and social (eg, family) factors that influenced their decision to participate in the intervention.
The findings of this study support the acceptability of the intervention with an ethnically diverse group of OAs. Initial evidence also suggests that the intervention has the potential to increase activity and minimise sitting time in ethnically diverse OAs and therefore will inform a future effectiveness trial. The inclusion of an ethnically diverse population in this study has helped us to understand the needs and challenges of these groups to identify how to design culturally sensitive interventions that are tailored according to their needs. These insights will be incorporated into the planned effectiveness trial.
在英国，不同种族的老年人数量正在增加；这一群体面临着复杂的健康挑战，而语言困难、社会经济地位和文化适应经历又加剧了这些挑战。此外，在更广泛的人群中，这个多样化的群体是最不活跃且久坐不动的亚群体，这引发了对他们健康的重大担忧，并凸显了需要有效的行为改变干预措施来促使这个群体减少久坐时间。因此，本研究旨在探讨一项为期12周的干预措施对于不同种族久坐不动的老年人减少久坐行为的可接受性。
本研究采用定性方法来评估为期12周的单臂干预措施对减少久坐行为的可接受性。
研究参与者于2024年1月至5月滚动招募。招募过程通过斯旺西的社会社区组织和当地宗教团体进行，这些组织为不同种族的老年人提供休闲、体育和娱乐活动。
本研究的目标人群是年龄≥65岁（包括男性和女性）的不同种族的老年人，共20名，采用深入访谈的方式。
干预包括一次40 - 60分钟的个性化一对一现场健康指导课程、一个可穿戴活动追踪器以提醒参与者从长时间久坐中休息、一本小册子以及通过手机发送的每周提醒信息。
评估干预措施的可接受性。
采用演绎法，通过整合四个预先确定的医学研究委员会（MRC）框架主题进行反思性主题分析。我们的分析包括四个总体主题：（1）可接受性，（2）可用性，（3）功能，（4）招募与留存。老年人对干预措施感到满意，并认为其有效且可接受。多成分干预为用户提供了实现减少久坐时间目标的策略，并为他们提供了积极活动和保持独立的机会。此外，还有个人（如健康）和社会（如家庭）因素影响了他们参与干预的决定。
本研究结果支持该干预措施对于不同种族老年人群体的可接受性。初步证据还表明，该干预措施有可能增加不同种族老年人的活动量并减少久坐时间，因此将为未来的有效性试验提供参考。本研究纳入不同种族人群有助于我们了解这些群体的需求和挑战，以确定如何设计符合其需求的具有文化敏感性的干预措施。这些见解将纳入计划中的有效性试验。
