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Chand BR, Veerhuis N, Traynor V. "I don't trust it, so I don't read it": How do older Australians navigate and search for information about their health and driving? TRAFFIC INJURY PREVENTION 2023; 24:224-231. [PMID: 36763373 DOI: 10.1080/15389588.2023.2169044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 01/08/2023] [Accepted: 01/11/2023] [Indexed: 06/18/2023]
Abstract
OBJECTIVES Driving is pivotal to successful aging, yet older people may need to adapt their driving to changes associated with aging or transition to driving retirement at some stage. However, most older people are reluctant to discuss or plan for changes to their future mobility. This study describes formative research to inform a social marketing campaign to promote the "DRIVING AND STAYING INDEPENDENT" resource assisting older drivers to make informed decisions about timely changes to their driving. METHODS Semi-structured interviews were conducted with 16 drivers aged between 67 and 84 years living in the state of NSW, Australia. A discussion guide based on social marketing principles was used to explore the perspectives and experiences of older drivers seeking health and driving information. Thematic analysis was conducted on the interview data. RESULTS Succinct, clear messages with a clear call to action were identified as essential features of social marketing campaigns targeting older drivers. Realistic portrayals of older people in marketing material are important in engaging the audience. Older drivers preferred positive messages that emphasize the relevance of the product to them. Trusted and reputable sources were of utmost importance when seeking health and driving information. Traditional channels such as TV and radio remain the dominant media consumed by the older participants, however, digital resources are being used increasingly. CONCLUSIONS This study provides important insights for an evidence-based social marketing campaign promoting the "DRIVING AND STAYING INDEPENDENT" resource to older drivers. The findings add to the limited literature on campaigns targeting older adults and may prove valuable for promoting other issues relevant to older adults. Campaigns targeting older drivers should consider selecting clear messages, demonstrating relevance to the audience, using trustworthy sources and selecting channels used by older adults.
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Affiliation(s)
- Benjamin R Chand
- School of Health and Society, University of Wollongong, Wollongong, Australia
| | - Nadine Veerhuis
- Aged Dementia Health Education and Research, School of Nursing, University of Wollongong, Wollongong, Australia
| | - Victoria Traynor
- Aged Dementia Health Education and Research, School of Nursing, University of Wollongong, Wollongong, Australia
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2
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Pettersson B, Bajraktari S, Skelton DA, Zingmark M, Rosendahl E, Lundin-Olsson L, Sandlund M. Recruitment strategies and reach of a digital fall-prevention intervention for community-dwelling older adults. Digit Health 2022; 8:20552076221126050. [PMID: 36118253 PMCID: PMC9478742 DOI: 10.1177/20552076221126050] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 08/24/2022] [Indexed: 11/17/2022] Open
Abstract
Background To have an impact on the population's health, preventive interventions have
to reach a large proportion of the intended population. Digital solutions
show potential for providing wider access to fall preventive exercise.
However, there is a lack of knowledge about how to reach the target group.
The aim of this study was to describe the recruitment process used in the
Safe Step randomised controlled trial and the characteristics of the
participants reached. Methods Several recruitment methods, both digital and non-digital, were adopted to
reach the intended sample size. Sociodemographic parameters from the
baseline questionnaire were used to describe participant characteristics.
The characteristics were also compared to a representative sample of older
adults in the Swedish population. Results In total, 1628 older adults were recruited. Social media proved to be the
most successful recruitment strategy, through which 76% of the participants
were recruited. The participants reached had a mean age of 75.9 years, lived
in both urban and rural locations, were already frequent users of the
Internet and applications (smartphone/tablet) (79.9%), had higher education
(71.9%), and a large proportion were women (79.4%). In comparison with the
general population participants in the Safe Step study were more highly
educated (p < 0.001), women in the study more frequently
lived alone (p < 0.001) and men more often reported
poorer self-rated health (p = 0.04). Within the study, men
reported a faster deteriorating balance (p = 0.003) and
more prescribed medication (p < 0.001) than women. Conclusion Recruitment via social media is a useful strategy for reaching older adults,
especially women and frequent users of the Internet, for a fully
self-managed and digital fall prevention exercise intervention. This study
underlines that a range of interventions must be available to attract and
suit older adults with different functional statuses and digital skills.
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Affiliation(s)
- Beatrice Pettersson
- Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden
| | - Saranda Bajraktari
- Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden
| | - Dawn A Skelton
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
| | - Magnus Zingmark
- Municipality of Östersund, Health and Social Care Administration, Östersund, Sweden
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
| | - Erik Rosendahl
- Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden
| | - Lillemor Lundin-Olsson
- Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden
| | - Marlene Sandlund
- Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden
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3
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Clark L, Thoreson S, Goss CW, Marosits M, Zimmer LM, Flattes V, DiGuiseppi C. Older Adults' Perceptions of a Church-Based Social Marketing Initiative to Prevent Falls Through Balance and Strength Classes. J Appl Gerontol 2021; 40:1475-1482. [PMID: 33406989 DOI: 10.1177/0733464820984288] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Despite evidence that balance and strength training and other multicomponent exercise classes reduce the risk and rate of falls and fall-related injuries, few older adults participate. To increase uptake of balance- and strength-based fall-prevention classes, we designed and implemented a social marketing program, delivered through churches. Diverse stakeholders in this social marketing initiative included class participants, instructors, church leaders and members, and public health and recreation partners. We used interpretive description to explore perceptions of the social marketing messages and the barriers and facilitators older church members encountered to balance-class enrollment and adherence. The results were three practical, clinically relevant thematic summaries of older adults' experience. The marketing initiative succeeded in helping older adults hear about the classes, decide whether classes fit their lifestyle and needs, and continue attendance.
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Affiliation(s)
| | - Sallie Thoreson
- Colorado Department of Public Health and Environment, Denver, USA
| | - Cynthia W Goss
- University of Colorado Anschutz Medical Campus, Aurora, USA
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Layeghiasl M, Malekzadeh J, Shams M, Maleki M. Using Social Marketing to Reduce Salt Intake in Iran. Front Public Health 2020; 8:207. [PMID: 32582611 PMCID: PMC7289950 DOI: 10.3389/fpubh.2020.00207] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Accepted: 05/05/2020] [Indexed: 01/21/2023] Open
Abstract
Objectives: WHO has recommended that the average salt intake must be <5 grams per day. However, people consume salt much more in many countries. In this study, we design and implement an intervention based on social marketing model to reduce salt consumption in Yasuj, Iran. Materials and Methods: This study employed a quasi-experimental pretest-posttest with control group design which consisted of a formative research (qualitative-quantitative) and an interventional phase. To collect the qualitative data, six focus group discussions by participating of 66 people were established. The qualitative data were analyzed manually using directed content analysis. In quantitative study, 166 people aged 25-50 years completed a KAP questionnaire, and their average salt intake was determined through measuring sodium in their urine sample. By analyzing the data, marketing mix components were determined for designing an intervention. An educational package (including posters for installing in the kitchen, pamphlets, phone counseling, four educational classes, and brief interventions done by physicians and other health personnel) focused on reducing salt intake and using alternatives was developed. For one month, program was implemented for intervention group. Two months later, KAP survey and measuring the urine sodium were repeated for intervention and control groups. The data was compared for two groups, before and after the intervention by using independent t-test, paired t-tests and repeated measures ANOVA. Results: The qualitative findings showed that most participants agreed that the salt intake was high in Iran. Most of them recommended home-based and family-driven strategies to reduce salt intake, offered using healthier alternatives for salt, and recognized physicians and health care providers in healthcare facilities as the most important to encourage people to reduce salt intake. After the intervention, the mean and standard deviation of KAP were improved significantly in intervention group. The mean salt intake decreased significantly by 3.01 ± 2.38 in the intervention group and repeated measures ANOVA showed significant change over time (P < 0.001) and a significant difference between two groups (P = 0.04). Also, the interaction between time and group was significant (P = 0.001). Conclusion: The mean salt intake among the study population was approximately three times more than the level recommended by the WHO. The social marketing-based intervention succeeded in reducing the salt intake of the study subjects by ~3 grams on average.
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Affiliation(s)
- Mehdi Layeghiasl
- Department of Health Education and Promotion, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Janmohamad Malekzadeh
- Department of Nutrition, Yasuj University of Medical Sciences, Yasuj, Iran.,Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
| | - Mohsen Shams
- Department of Health Education and Promotion, School of Health, Yasuj University of Medical Sciences, Yasuj, Iran.,Iranian Social Marketing Association, Yasuj University of Medical Sciences, Yasuj, Iran
| | - Mostafa Maleki
- Iranian Social Marketing Association, Yasuj University of Medical Sciences, Yasuj, Iran.,Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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5
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de Jong LD, Coe D, Bailey C, Adams N, Skelton DA. Views and experiences of visually impaired older people and exercise instructors about the Falls Management Exercise programme: a qualitative study. Disabil Rehabil 2019; 43:2561-2567. [DOI: 10.1080/09638288.2019.1704894] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Lex D. de Jong
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
| | - Dorothy Coe
- Faculty of Health and Life Sciences, Northumbria University, Newcastle, UK
| | - Catherine Bailey
- Department of Nursing, Midwifery and Health, Northumbria University, Newcastle, UK
| | - Nicola Adams
- Faculty of Health and Life Sciences, Northumbria University, Newcastle, UK
| | - Dawn A. Skelton
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
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6
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de Jong LD, Lavender AP, Wortham C, Skelton DA, Haines TP, Hill AM. Exploring purpose-designed audio-visual falls prevention messages on older people's capability and motivation to prevent falls. HEALTH & SOCIAL CARE IN THE COMMUNITY 2019; 27:e471-e482. [PMID: 30887630 DOI: 10.1111/hsc.12747] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Revised: 02/05/2019] [Accepted: 02/27/2019] [Indexed: 06/09/2023]
Abstract
The number of falls and fall-associated injury rates among older people continues to rise worldwide. Increased efforts to influence older people's falls prevention behaviour are needed. A two-phase exploratory community-based participatory study was conducted in Western Australia. First, three prototype audio-visual (AV) falls prevention messages were designed collaboratively with six older people. Second, the messages' effect on community-dwelling older people's knowledge, awareness and motivation to take action regarding falls prevention was explored using focus groups. Data were analysed using thematic analysis to explore participants' responses to the messages. The participants' (n = 54) perspectives on the AV messages varied widely and stereotypes of ageing appeared to influence these. The presented falls facts (including falls epidemiology statistics) increased some participants' falls risk awareness and falls prevention knowledge. Other participants felt ready-to-use falls prevention information was lacking. Some expressed positive emotions or a personal connection to the messages and suggested the messages helped reduce ageing-related stigma. Strongly opposing viewpoints suggested that other participants identified implicit negative messages about ageing, which reduced their motivation with the messages. Suggestions to improve the message persuasiveness included adding more drama and tailoring messages to appeal to multiple age groups. Overall, the AV falls prevention messages designed in collaboration with older people elicited a divergent range of positive and negative perspectives from their peers, which was conceptualised by the overarching theme 'we all look at things different ways'. Opinions differed regarding whether the messages would appeal to older people. Public campaigns targeting falls prevention should be designed and tailored towards older peoples' differing perspectives about ageing.
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Affiliation(s)
- Lex D de Jong
- Faculty of Health Sciences, School of Physiotherapy and Exercise Science, Curtin University, Bentley, Perth, WA, Australia
| | - Andrew P Lavender
- Faculty of Health Sciences, School of Physiotherapy and Exercise Science, Curtin University, Bentley, Perth, WA, Australia
| | - Chris Wortham
- School of Arts and Sciences, The University of Notre Dame Australia, Fremantle, WA, Australia
| | - Dawn A Skelton
- School of Health and Life Sciences, Centre for Living, Glasgow Caledonian University, Glasgow, UK
| | - Terry P Haines
- School of Primary and Allied Health Care, Monash University, Frankston, VIC, Australia
| | - Anne-Marie Hill
- Faculty of Health Sciences, School of Physiotherapy and Exercise Science, Curtin University, Bentley, Perth, WA, Australia
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7
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Munford D, Gunn H. What are the perceptions and experiences of falls amongst people with stroke who live in the community? Disabil Rehabil 2018; 42:722-729. [DOI: 10.1080/09638288.2018.1510047] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Danielle Munford
- School of Health Professions, University of Plymouth, Plymouth, UK
| | - Hilary Gunn
- School of Health Professions, University of Plymouth, Plymouth, UK
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8
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Currie DW, Thoreson SR, Clark L, Goss CW, Marosits MJ, DiGuiseppi CG. Factors Associated With Older Adults' Enrollment in Balance Classes to Prevent Falls: Case-Control Study. J Appl Gerontol 2018; 39:908-914. [PMID: 30451055 DOI: 10.1177/0733464818813022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Balance training decreases fall risk among older adults, but few participate in such training. We examined the association of exposure to social marketing to promote balance classes, personal characteristics and other factors, with older adults' balance class participation. Adults aged ⩾60 years were eligible for this case-control study if they attended any church enrolled in a trial testing the effect of social marketing on balance class participation. Cases attended balance classes during the study period; controls were randomly sampled congregants who did not join a class. Cases were more likely to attend churches that received the social marketing program, and were older, more often female, and more frequently experienced "near falls" than controls. Participation was also associated with increasing age of the church's leader and rural church attendance. Programs to promote balance classes may need to be tailored to target some risk groups, including men and urban and suburban congregants.
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9
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Smith ML, Bergeron CD, Ahn S, Towne SD, Mingo CA, Robinson KT, Mathis J, Meng L, Ory MG. Engaging the Underrepresented Sex: Male Participation in Chronic Disease Self-Management Education (CDSME) Programs. Am J Mens Health 2018; 12:935-943. [PMID: 29355070 PMCID: PMC6131430 DOI: 10.1177/1557988317750943] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2017] [Revised: 08/30/2017] [Accepted: 10/31/2017] [Indexed: 12/13/2022] Open
Abstract
Females are more likely than males to participate in evidence-based health promotion and disease prevention programs targeted for middle-aged and older adults. Despite the availability and benefits of Stanford's Chronic Disease Self-Management Education (CDSME) programs, male participation remains low. This study identifies personal characteristics of males who attended CDSME program workshops and identifies factors associated with successful intervention completion. Data were analyzed from 45,375 male CDSME program participants nationwide. Logistic regression was performed to examine factors associated with workshop attendance. Males who were aged 65-79 (OR = 1.27, p < .001), Hispanic (OR = 1.22, p < .001), African American (OR = 1.13, p < .001), Asian/Pacific Islander (OR = 1.26, p < .001), Native Hawaiian (OR = 3.14, p < .001), and residing in nonmetro areas (OR = 1.26, p < .001) were more likely to complete the intervention. Participants with 3+ chronic conditions were less likely to complete the intervention (OR = 0.87, p < .001). Compared to health-care organization participants, participants who attended workshops at senior centers (OR = 1.38, p < .001), community/multipurpose facilities (OR = 1.21, p < .001), and faith-based organizations (OR = 1.37, p < .001) were more likely to complete the intervention. Men who participated in workshops with more men were more likely to complete the intervention (OR = 2.14, p < .001). Once enrolled, a large proportion of males obtained an adequate intervention dose. Findings highlight potential strategies to retain men in CDSME programs, which include diversifying workshop locations, incorporating Session Zero before CDSME workshops, and using alternative delivery modalities (e.g., online).
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Affiliation(s)
- Matthew Lee Smith
- Center for Population Health and Aging,
Texas A&M University, College Station, TX, USA
- Department of Environmental and
Occupational Health, School of Public Health, Texas A&M University, College
Station, TX, USA
- Department of Health Promotion and
Behavior, College of Public Health, The University of Georgia, Athens, GA, USA
| | | | - SangNam Ahn
- Center for Population Health and Aging,
Texas A&M University, College Station, TX, USA
- Division of Health Systems Management
and Policy, School of Public Health, The University of Memphis, Memphis, TN,
USA
| | - Samuel D. Towne
- Center for Population Health and Aging,
Texas A&M University, College Station, TX, USA
- Department of Health Promotion and
Community Health Sciences, School of Public Health, Texas A&M University,
College Station, TX, USA
| | - Chivon A. Mingo
- Gerontology Institute, College of Arts
& Sciences, Georgia State University, Atlanta, GA, USA
| | - Kayin T. Robinson
- Department of Health Promotion and
Behavior, College of Public Health, The University of Georgia, Athens, GA, USA
| | - Jamarcus Mathis
- Department of Health Promotion and
Behavior, College of Public Health, The University of Georgia, Athens, GA, USA
| | - Lu Meng
- Department of Environmental and
Occupational Health, School of Public Health, Texas A&M University, College
Station, TX, USA
| | - Marcia G. Ory
- Center for Population Health and Aging,
Texas A&M University, College Station, TX, USA
- Department of Environmental and
Occupational Health, School of Public Health, Texas A&M University, College
Station, TX, USA
- Department of Health Promotion and
Community Health Sciences, School of Public Health, Texas A&M University,
College Station, TX, USA
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10
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Liddle JLM, Lovarini M, Clemson LM, Jang H, Lord SR, Sherrington C, Willis K. Masculinity and preventing falls: insights from the fall experiences of men aged 70 years and over. Disabil Rehabil 2018; 41:1055-1062. [PMID: 29320881 DOI: 10.1080/09638288.2017.1419381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
PURPOSE To explore men's fall experiences through the lens of masculine identities so as to assist health professionals better engage men in fall prevention programs. METHODS Twenty-five men, aged 70-93 years who had experienced a recent fall, participated in a qualitative semi-structured interview. Men's willingness to engage in fall prevention programs taking account of individual contexts and expressions of masculinity, were conceptualised using constant comparative methods. RESULTS Men's willingness to engage in fall prevention programs was related to their perceptions of the preventability of falls; personal relevance of falls; and age, health, and capability as well as problem-solving styles to prevent falls. Fall prevention advice was rarely given when men accessed the health system at the time of a fall. CONCLUSIONS Contrary to dominant expectations about masculine identity, many men acknowledged fall vulnerability indicating they would attend or consider attending, a fall prevention program. Health professionals can better engage men by providing consistent messages that falls can be prevented; tailoring advice, understanding men are at different stages in their awareness of fall risk and preferences for action; and by being aware of their own assumptions that can act as barriers to speaking with men about fall prevention. Implications for rehabilitation Men accessing the health system at the time of the fall, and during rehabilitation following a fall represent prime opportunities for health professionals to speak with men about preventing falls and make appropriate referrals to community programs. Tailored advice will take account of individual men's perceptions of preventability; personal relevance; perceptions of age, health and capability; and problem-solving styles.
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Affiliation(s)
- J L M Liddle
- a Faculty of Health Sciences , The University of Sydney , Sydney , Australia
| | - Meryl Lovarini
- a Faculty of Health Sciences , The University of Sydney , Sydney , Australia
| | - Lindy M Clemson
- a Faculty of Health Sciences , The University of Sydney , Sydney , Australia
| | - Haeyoung Jang
- a Faculty of Health Sciences , The University of Sydney , Sydney , Australia
| | - Stephen R Lord
- b Neuroscience Research Australia , University of New South Wales , Sydney , Australia
| | - Catherine Sherrington
- c The George Institute for Global Health, The University of Sydney , Sydney , Australia
| | - Karen Willis
- d Melbourne Health , La Trobe University , Parkville , Australia
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11
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Sandlund M, Skelton DA, Pohl P, Ahlgren C, Melander-Wikman A, Lundin-Olsson L. Gender perspectives on views and preferences of older people on exercise to prevent falls: a systematic mixed studies review. BMC Geriatr 2017; 17:58. [PMID: 28212622 PMCID: PMC5316178 DOI: 10.1186/s12877-017-0451-2] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2016] [Accepted: 02/14/2017] [Indexed: 11/10/2022] Open
Abstract
Background To offer fall prevention exercise programs that attract older people of both sexes there is a need to understand both women’s and men’s views and preferences regarding these programs. This paper aims to systematically review the literature to explore any underlying gender perspectives or gender interpretations on older people’s views or preferences regarding uptake and adherence to exercise to prevent falls. Methods A review of the literature was carried out using a convergent qualitative design based on systematic searches of seven electronic databases (PubMed, CINAHL, Amed, PsycINFO, Scopus, PEDro, and OTseeker). Two investigators identified eligible studies. Each included article was read by at least two authors independently to extract data into tables. Views and preferences reported were coded and summarized in themes of facilitators and barriers using a thematic analysis approach. Results Nine hundred and nine unique studies were identified. Twenty five studies met the criteria for inclusion. Only five of these contained a gender analysis of men’s and women’s views on fall prevention exercises. The results suggests that both women and men see women as more receptive to and in more need of fall prevention messages. The synthesis from all 25 studies identified six themes illustrating facilitators and six themes describing barriers for older people either starting or adhering to fall prevention exercise. The facilitators were: support from professionals or family; social interaction; perceived benefits; a supportive exercise context; feelings of commitment; and having fun. Barriers were: practical issues; concerns about exercise; unawareness; reduced health status; lack of support; and lack of interest. Considerably more women than men were included in the studies. Conclusion Although there is plenty of information on the facilitators and barriers to falls prevention exercise in older people, there is a distinct lack of studies investigating differences or similarities in older women’s and men’s views regarding fall prevention exercise. In order to ensure that fall prevention exercise is appealing to both sexes and that the inclusion of both men and women are encouraged, more research is needed to find out whether gender differences exists and whether practitioners need to offer a range of opportunities and support strategies to attract both women and men to falls prevention exercise. Electronic supplementary material The online version of this article (doi:10.1186/s12877-017-0451-2) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Marlene Sandlund
- Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
| | - Dawn A Skelton
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
| | - Petra Pohl
- Department of Rehabilitation and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
| | - Christina Ahlgren
- Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden
| | - Anita Melander-Wikman
- Department of Health Sciences, Division of Health and Rehabilitation, Luleå University of Technology, Luleå, Sweden
| | - Lillemor Lundin-Olsson
- Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden
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12
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DiGuiseppi CG, Thoreson SR, Clark L, Goss CW, Marosits MJ, Currie DW, Lezotte DC. Church-based social marketing to motivate older adults to take balance classes for fall prevention: cluster randomized controlled trial. Prev Med 2014; 67:75-81. [PMID: 25025522 DOI: 10.1016/j.ypmed.2014.07.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2014] [Revised: 07/02/2014] [Accepted: 07/05/2014] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Determine whether a church-based social marketing program increases older adults' participation in balance classes for fall prevention. METHODS In 2009-10, 51 churches (7101 total members aged ≥ 60) in Colorado, U.S.A. were randomized to receive no intervention or a social marketing program. The program highlighted benefits of class participation (staying independent, building relationships), reduced potential barriers (providing convenient, subsidized classes), and communicated marketing messages through church leaders, trained "messengers," printed materials and church-based communication channels. Between-group differences in balance class enrollment and marketing message recall among congregants were compared using Wilcoxon Two-Sample Test and regression models. RESULTS Compared to 25 control churches, 26 churches receiving the social marketing program had a higher median proportion (9.8% vs. 0.3%; p<0.001) and mean number (7.0 vs. 0.5; IRR=11.2 [95%CI: 7.5, 16.8]) of older adult congregants who joined balance classes. Intervention church members were also more likely to recall information about preventing falls with balance classes (AOR=6.2; 95% CI: 2.6, 14.8) and availability of classes locally (AOR=7.7; 95% CI: 2.6, 22.9). CONCLUSIONS Church-based social marketing effectively disseminated messages about preventing falls through balance classes and, by emphasizing benefits and reducing barriers and costs of participation, successfully motivated older adults to enroll in the classes.
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Affiliation(s)
- Carolyn G DiGuiseppi
- Colorado Injury Control Research Center, Department of Epidemiology, Colorado School of Public Health, Campus Box B119, 13001 E 17th Place, Aurora, CO 80045, USA.
| | - Sallie R Thoreson
- Colorado Department of Public Health and Environment, 4300 Cherry Creek Dr S, Denver, CO 80246, USA
| | - Lauren Clark
- College of Nursing, University of Utah, 10S 2000 E, Salt Lake City, UT 84112, USA
| | - Cynthia W Goss
- Colorado Injury Control Research Center, Department of Epidemiology, Colorado School of Public Health, Campus Box B119, 13001 E 17th Place, Aurora, CO 80045, USA
| | - Mark J Marosits
- Worldways Social Marketing, 240 Thames St., Suite 200, Newport, RI 02840, USA
| | - Dustin W Currie
- Colorado Injury Control Research Center, Department of Epidemiology, Colorado School of Public Health, Campus Box B119, 13001 E 17th Place, Aurora, CO 80045, USA
| | - Dennis C Lezotte
- Department of Biostatistics and Bioinformatics, Colorado School of Public Health, Campus Box B119, 13001 E 17th Place, Aurora, CO 80045, USA
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