What factors support older people to increase their physical activity levels? An exploratory analysis of the experiences of PACE-Lift trial participants

Highlights • A nurse led primary care walking based physical activity (PA) intervention showed increased step counts at 3 and 12 months. • We explored the factors that promoted this long-term behaviour change. • We selected intervention group participants who increased PA and those who had not to ex...

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Bibliographic Details
Published in:Archives of gerontology and geriatrics 2016-11, Vol.67, p.1-6
Main Authors: Victor, Christina R, Rogers, Annabelle, Woodcock, Alison, Beighton, Carole, Cook, Derek G, Kerry, Sally M, Iliffe, Steve, Whincup, Peter, Ussher, Michael, Harris, Tess J
Format: Article
Language:English
Subjects:
Actigraphy
Aged
Behaviour change
Couples
Exercise
Female
Humans
Internal Medicine
Male
Middle Aged
Multiple Chronic Conditions
Nurses
Older people
Physical activity
Practice Patterns, Nurses
Primary Health Care
Randomized Controlled Trials as Topic
Social Support
Spouses
Walking
Walking intervention
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Summary:Highlights • A nurse led primary care walking based physical activity (PA) intervention showed increased step counts at 3 and 12 months. • We explored the factors that promoted this long-term behaviour change. • We selected intervention group participants who increased PA and those who had not to explore facilitators and barriers to behaviour change. • We expected the two groups to give contrasting narratives but these did not emerge. • The groups differed in the identification of the same factor, eg social support,as either a facilitator or barrier. • Participants who sustained increased walking participated in the trial as couple and had a companion to walk with. • Those who did not improve lacked these, had higher levels of chronic illness and were more sceptical of the goal setting element of the intervention.
ISSN:0167-4943
1872-6976
DOI:10.1016/j.archger.2016.06.006