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Levinger P, Dreher BL, Soh SE, Dow B, Batchelor F, Hill KD. Multigenerational spaces: the usage and activities of different age groups within six community parks in Victoria, Australia. J Public Health (Oxf) 2024; 46:403-411. [PMID: 38925873 DOI: 10.1093/pubmed/fdae119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Revised: 05/13/2024] [Accepted: 06/07/2024] [Indexed: 06/28/2024] Open
Abstract
BACKGROUND This study investigated how different spaces within multigenerational local parks are being used by older people and other age groups. METHODS Observation of park visitors occurred in six Victorian parks one month after park refurbishment. Parks were classified into six spaces based on equipment/amenities and associated expected activity. Observations were summarized descriptively, and negative binomial regression models were used to examine the association between visitor counts and classified targeted areas. RESULTS A total of 12 501 people visited the parks with 4.1% older visitors. The number of older visitors in each park area was consistently less than other age groups, with counts of older visitors being 50% less in mixed spaces (95% confidence interval [CI] 0.38, 0.65), 40% less in adult exercise equipment areas (95% CI 0.46, 0.77) and 59% less in walking paths (95% CI 0.31, 0.55). The number of older visitors engaging in physical activity were significantly greater in walking paths (incidence rate ratios 1.75; 95% CI 1.16, 2.64) compared with children's play spaces. CONCLUSION The number of visitors across different age groups varied significantly between the park targeted areas. Most spaces were mainly used by the intended target age group/user, with no particular area used by all age groups in similar proportions.
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Affiliation(s)
- Pazit Levinger
- Clinical Gerontology, National Ageing Research Institute, Melbourne, VIC 3050, Australia
- Institute for Health and Sport, Victoria University, Melbourne, VIC 3011, Australia
- Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Melbourne, VIC 3199, Australia
| | - Bronwyn L Dreher
- Clinical Gerontology, National Ageing Research Institute, Melbourne, VIC 3050, Australia
| | - Sze-Ee Soh
- Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Melbourne, VIC 3199, Australia
- School of Primary and Allied Health Care, Monash University, Melbourne, VIC 3199, Australia
| | - Briony Dow
- Clinical Gerontology, National Ageing Research Institute, Melbourne, VIC 3050, Australia
- Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC 3010, Australia
- School of Nursing and Midwifery, Deakin University, Waurn Ponds, VIC 3216, Australia
| | - Frances Batchelor
- Clinical Gerontology, National Ageing Research Institute, Melbourne, VIC 3050, Australia
- Department of Physiotherapy, The University of Melbourne, Melbourne, VIC 3010, Australia
| | - Keith D Hill
- Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Melbourne, VIC 3199, Australia
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Wei X, Xu M, Yang L, Gao Z, Kuang J, Zhou K. Determinants Influencing Health-Promoting Behaviors in Individuals at High Risk of Stroke: A Cross-Sectional Study. HEALTH EDUCATION & BEHAVIOR 2024; 51:457-466. [PMID: 36960724 DOI: 10.1177/10901981231160149] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/25/2023]
Abstract
BACKGROUND Health-promoting behaviors and positive lifestyle changes are crucial for effective stroke prevention. However, individuals at high risk of stroke exhibit poor health behavior due to a deficiency of individual motivation. Moreover, there are only a few studies on health-promoting behaviors that have applied behavior change theories in individuals at high risk of stroke. OBJECTIVE This study aimed to use the theory of the planned behavior (TPB) model to investigate determinants of health-promoting behaviors for stroke prevention and control. METHOD In this cross-sectional study, 263 participants were recruited from five community health centers in Qingdao. Confirmatory factor analysis was performed to assess the reliability and validity of the constructs, and structural equation modeling was used to analyze the proposed relationships between the TPB-related variables. RESULTS The attitudes, subjective norms, and perceptions of behavioral control positively influenced behavioral intention. The behavioral intention had a positive effect on health-promoting behaviors. Attitudes, subjective norms, and perceived behavioral control were influenced primarily by the mediating variable behavioral intention to affect health-promoting behaviors. Stroke knowledge was an influential facilitator of behavioral attitudes, subjective norms, and perceived behavior control. CONCLUSION The TPB-based model is suitable for explaining health-promoting behaviors in individuals at risk of stroke and for guiding the development of effective health management programs. A comprehensive person-centered motivation behavior strategy that is based on health education and complemented by social support and health resource optimization is critical in promoting health behavior motivation and health promotion behaviors in stroke high-risk groups.
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Affiliation(s)
- Xiao Wei
- Qingdao University, Qingdao, China
| | | | - Li Yang
- Qingdao University, Qingdao, China
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Janik F, Fabre C, Seichepine AL, Masquelier B, Barbier F, Toulotte C. Middle-term effects of education programme in chronic low back pain patients to an adherence to physical activity: A randomized controlled trial. PATIENT EDUCATION AND COUNSELING 2024; 119:108081. [PMID: 38000153 DOI: 10.1016/j.pec.2023.108081] [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: 01/26/2023] [Revised: 11/14/2023] [Accepted: 11/15/2023] [Indexed: 11/26/2023]
Abstract
OBJECTIVE This study was to measure the impact of an education programme in Chronic Low Back Pain (CLBP) patients on their changing behaviour; particularly on the resumption or maintenance of physical activity (PA) at three and six months after care. METHODS A two-group, randomised controlled clinical trial was conducted on 68 patients as the control group (CG) and 68 as the experimental group (EG). All patients benefited from a four-week multidisciplinary programme, with an educative programme for the EG. The dropouts of patients during the follow-up period and the PA level were measured at three and six months after the end of care. RESULTS At 3-months, the EG presented a significant higher level of physical activity (91% of EG versus 77% of CG, p < 0.001) and at six months, this group presented a lower dropout rate than CG (60% of EG versus 73% of CG, p = 0.017). CONCLUSION The educative programme, added to a multidisciplinary care plan, can improve adherence to the care programme and the continuum of PA. PRACTICE IMPLICATIONS Add an educative programme focused on motivation, physical activity, stress management and daily activities seems necessary to accompany CLBP patient towards the maintenance of a regular PA.
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Affiliation(s)
- Frédérick Janik
- Univ. Lille, Univ. Artois, Univ. Littoral Côte d'Opale, ULR 7369 - URePSSS - Unité de Recherche Pluridisciplinaire Sport Santé Société, F-59000 Lille, France; Centre de Réadaptation Fonctionnelle " Les Hautois " - Groupe AHNAC, F-62590 Oignies, France.
| | - Claudine Fabre
- Univ. Lille, Univ. Artois, Univ. Littoral Côte d'Opale, ULR 7369 - URePSSS - Unité de Recherche Pluridisciplinaire Sport Santé Société, F-59000 Lille, France
| | - Anne Laure Seichepine
- Centre de Réadaptation Fonctionnelle " Les Hautois " - Groupe AHNAC, F-62590 Oignies, France
| | - Bernadette Masquelier
- Centre de Réadaptation Fonctionnelle " Les Hautois " - Groupe AHNAC, F-62590 Oignies, France
| | - Fabienne Barbier
- Centre de Réadaptation Fonctionnelle " Les Hautois " - Groupe AHNAC, F-62590 Oignies, France
| | - Claire Toulotte
- Univ. Artois, Univ. Lille, Univ. Littoral Côte d'Opale, ULR 7369, Unité de Recherche Pluridisciplinaire Sport Santé Société (URePSSS), F-62800 Liévin, France
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Wisnesky UD, Olson J, Paul P, Dahlke S. Percepciones y experiencias de los adultos mayores con respecto a la actividad Sit-to-stand: Un estudio etnográfico de viabilidad previa. Rev Lat Am Enfermagem 2023. [DOI: 10.1590/1518-8345.6128.3812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Resumen Objetivo: el propósito de este estudio de viabilidad previa fue examinar percepciones y experiencias con respecto a la actividad Sit-to-stand entre los adultos mayores de Brasil que viven en sus hogares en comunidades urbanas. Método: el método de exploración se enfocó en la etnografía. Se utilizó muestreo intencional para reclutar 20 adultos mayores. Se emplearon cinco medios para generar datos, a saber: encuestas sociodemográficas, observaciones participantes, entrevistas informales, entrevistas formales semiestructuradas y notas de campo. Para el análisis de los datos se recurrió a análisis de contenido cualitativo. Resultados: la experiencia de los adultos mayores con problemas de movilidad en relación con la actividad Sit-to-stand dependió de sus expectativas en torno a la movilidad, las cuales implicaron muchos factores que actuaron en conjunto para influenciar sus creencias y actitudes con respecto a la actividad, al igual que preferencias, conductas y percepciones culturales. Aparentemente, a los participantes de este estudio la actividad les resultó amena; sin embargo, los inconvenientes más notorios para adoptar la actividad Sit-to-stand surgió en la forma de déficits en sus necesidades personales e intrapersonales. Conclusión: las recomendaciones resultantes de los hallazgos del estudio indican la necesidad de diseñar estrategias de implementación para la intervención Sit-to-stand a la medida de las necesidades de este grupo poblacional específico.
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Affiliation(s)
- Uirá Duarte Wisnesky
- University of Alberta, Canada; University of Alberta, Canada; Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil
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Wisnesky UD, Olson J, Paul P, Dahlke S. Percepções e experiências de idosos com a atividade Sit-to-stand: Um estudo etnográfico de pré-viabilidade. Rev Lat Am Enfermagem 2023. [DOI: 10.1590/1518-8345.6128.3814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Resumo Objetivo: o objetivo deste estudo de pré-viabilidade foi examinar percepções e experiências da atividade de Sit-to-stand com idosos brasileiros residentes em suas casas, no meio urbano. Método: o método exploratório foi etnografia focada. Foi utilizada a amostragem intencional para recrutar 20 idosos. Foram utilizados cinco meios de geração de dados: inquéritos sociodemográficos, observações participantes, entrevistas informais, entrevistas formais semiestruturadas e notas de campo. Os dados foram analisados mediante análise de conteúdo qualitativo. Resultados: a experiência dos idosos com problemas de mobilidade na realização da atividade Sit-to-stand dependia de suas expectativas de mobilidade envolvendo muitos fatores coordenados que, de forma conjunta, influenciaram suas crenças e atitudes em relação à atividade, suas preferências, seus comportamentos e percepções culturais. Os participantes deste estudo pareciam considerar a atividade aprazível; no entanto, as deficiências mais perceptíveis para o engajamento dos participantes na atividade Sit-to-stand surgiram de falhas em suas necessidades pessoais e intrapessoais. Conclusão: as recomendações geradas a partir dos achados do estudo convocam a concepção de estratégias de implementação da intervenção Sit-to-stand adaptadas às necessidades dessa população em particular.
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Affiliation(s)
- Uirá Duarte Wisnesky
- University of Alberta, Canada; University of Alberta, Canada; Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil
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Wisnesky UD, Olson J, Paul P, Dahlke S. Older people's perceptions and experiences of older people with the Sit-to-stand activity: An ethnographic pre-feasibility study. Rev Lat Am Enfermagem 2023; 31:e3813. [PMID: 36722635 PMCID: PMC9886074 DOI: 10.1590/1518-8345.6128.3813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 08/18/2022] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVE the purpose of this pre-feasibility study was to examine perceptions and experiences of a Sit-to-stand activity with urban Brazilian community-dwelling older people in their homes. METHOD the exploration method was focused ethnography. Purposive sampling was used to recruit 20 older people. Five means of data generation were used, namely: socio-demographic surveys, participant observations, informal interviews, formal semi-structured interviews, and field notes. Data analysis was qualitative content analysis. RESULTS the experience of mobility-challenged older people with the Sit-to-stand activity was dependent on their mobility expectations involving many factors that worked together to influence their beliefs and attitudes towards the activity, preferences, behaviors, and cultural perceptions. The participants of this study seemed to find the activity enjoyable; however, the most noticeable shortcomings for their engagement in the Sit-to-stand activity emerged as gaps in their personal and intrapersonal needs. CONCLUSION the recommendations generated from the study findings call for the design of implementation strategies for the Sit-to-stand intervention that are tailored to this particular population's needs.
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Affiliation(s)
- Uirá Duarte Wisnesky
- University of Alberta, Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada., University of Alberta, Faculty of Nursing, Edmonton, Alberta, Canada., Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil, Uirá Duarte Wisnesky E-mail:
| | - Joanne Olson
- University of Alberta, Faculty of Nursing, Edmonton, Alberta, Canada
| | - Pauline Paul
- University of Alberta, Faculty of Nursing, Edmonton, Alberta, Canada
| | - Sherry Dahlke
- University of Alberta, Faculty of Nursing, Edmonton, Alberta, Canada
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Xu Q, Xie H, Zheng D, Wu X, Zhang Y, Li T, Yan T. Predicting Intention to Participate in Community Physical Activities for Adults with Physical Disabilities. J Pers Med 2022; 12:jpm12111832. [PMID: 36579543 PMCID: PMC9697643 DOI: 10.3390/jpm12111832] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 10/30/2022] [Accepted: 11/01/2022] [Indexed: 11/06/2022] Open
Abstract
Structural equation modeling was used to derive a relationship predicting the intention to participate in community physical activity among community-dwelling adults with a physical disability in Xiamen, China. The data were collected in a cross-sectional survey. The structural equation modeling combined biomedicine and the theory of planned behavior. It integrated ratings using the rehabilitation set from the international classification of functioning, disability, and health and role-physical scores from the short form 36 health survey questionnaire instrument. The model demonstrated a good ability to predict self-reported participation intentions, explaining 62% of the variance. The standard coefficients showed that activity limitation (27%), role-physical score (21%) and body impairment (14%) were the most influential predictors. ICF-RS ratings and role-physical ratings together can usefully predict physically disabled adults' intention of participating in community physical activities. Suggestions are presented for multidisciplinary intervention and improving this portion of the WHO's classification system.
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Affiliation(s)
- Qi Xu
- Department of Clinical Medicine, Xiamen Medical College, Xiamen 361023, China
| | - Hongwu Xie
- Department of Rehabilitation Medicine, Fifth Hospital of Xiamen, Xiamen 361101, China
- Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China
| | - Dingzhao Zheng
- Department of Rehabilitation Medicine, Fifth Hospital of Xiamen, Xiamen 361101, China
| | - Xinhong Wu
- Department of Rehabilitation Medicine, Fifth Hospital of Xiamen, Xiamen 361101, China
| | - Yun Zhang
- Department of Rehabilitation Medicine, Fifth Hospital of Xiamen, Xiamen 361101, China
| | - Taibiao Li
- Department of Rehabilitation Medicine, Fifth Hospital of Xiamen, Xiamen 361101, China
- Correspondence: (T.L.); (T.Y.)
| | - Tiebin Yan
- Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China
- Correspondence: (T.L.); (T.Y.)
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Khani Jeihooni A, Jafari F, Shiraly R, Rakhshani T, Asadollahi A, Karami H. Physical activity behavior during Covid 19 pandemic among Iranian dwellers in Southern Iran based on planned behavior theory: a SEM analysis. BMC Public Health 2022; 22:1400. [PMID: 35864489 PMCID: PMC9303048 DOI: 10.1186/s12889-022-13797-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2022] [Accepted: 07/13/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic restrictions curtailed physical activity. The current study applied an integrated Theory of Planned Behavior to identify the determinants of physical activity behavior and the processes involved in the COVID-19 pandemic. METHODS A cross-sectional study was conducted in Shiraz city, Southern Iran, among 2500 people who met the inclusion criteria were included in the study. Data were collected using the demographic information questions and questionnaire based on the Theory of Planned Behavior (TPB) constructs. The Questionnaire via WhatsApp, emails, and SMS was shared. Data analysis was performed using SPSS26 and Amos version 24. Mean and standard deviation was used to describe the data. Also, one-way ANOVA and structural equation analysis were used to analyze the data. The significance level in all the tests was considered to be 0.05. RESULTS One thousand one hundred sixty-nine samples (46.8%) said they had been exercising less than 3 days a week, and 47.6% of them did not have any exercise or physical activities (n = 1191). The mean score of attitudes, SN, PBC, and intention were 9.38 ± 2.07, 9.27 ± 2.03, 9.32 ± 2.05, and 12.29 ± 2.35, respectively. The effect size values demonstrate the independent variables' high coefficient of influence on explaining the theoretical model. According to the results, the factors play an important role in samples' intention (η2 ≥ 0.2, p ≤ 0.05). The effect size of intention on doing physical activities and exercise during the SARS-CoV-2 pandemic is Eta square = 0.777, which means the measure was high. The obtained model was good based on the main goodness of fit indices (Chi2 = 108.6, df = 25, n = 2500, Chi2/df = 4.344, RMSEA = 0.036, AGFI = 0.92, CFI = 0.95, GFI = 0.90, Fornell-Larcker criterion = 0.87, HTMT = 0.89). CONCLUSION The TPB provides a useful framework to explore psychosocial determinants of physical activity behavior during the pandemic and identify key strategies for program planning aimed at improving exercise among people who were already influenced by quarantine and lockdown restrictions.
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Affiliation(s)
- Ali Khani Jeihooni
- Nutrition Research Center, Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, P. Code:7153675541, Iran.
| | - Fatemeh Jafari
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Ramin Shiraly
- Department of Community Medicine, School of Medicine, Health Behavior Science Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Tayebeh Rakhshani
- Nutrition Research Center, Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, P. Code:7153675541, Iran
| | - Abdolrahim Asadollahi
- Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hamed Karami
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
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