Using formative research with older adults to inform a community physical activity programme: Get Healthy, Get Active

Sanders, George J.; Roe, Brenda; Knowles, Zöe; Kaehne, Axel; Fairclough, Stuart J.

doi:10.1017/s1463423618000373

Cited by 9 publications

(19 citation statements)

References 83 publications

(119 reference statements)

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“…Consistent with the literature, we found that health issues operated as both barriers and enablers to PA (12,(25)(26)(27). Well-designed PA programs beneficial to the management of health issues, combined with educational messages about the health benefits of PA, will facilitate older adults to overcome health-related barriers to actively participate in PA (1).…”

Section: Discussionsupporting

confidence: 86%

“…and enablers (e.g., having a fulfilling life, having more time after retirement, and pro-exercise culture). We only identified one empirical study reporting that older age and disinterest were barriers to PA (26). More empirical research is needed to establish the evidence on these newly identified barriers and enablers to PA in older adults.…”

Section: Discussionmentioning

confidence: 99%

“…We also found that presence and absence of self-motivation, enjoyment, time, peer support and favourable environmental factors acted as enablers and barriers, respectively. PA programs with a focus on addressing these barriers might have great potential to effectively promote older adults to undertake and maintain PA (26).…”

Section: Discussionmentioning

confidence: 99%

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Ethnic Differences in Barriers and Enablers to Physical Activity Among Older Adults

You

Lautenschlager

Wan

et al. 2021

Front. Public Health

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Despite its well-known health benefits, most older adults do not commit to undertaking sufficient physical activity (PA). In this study we aimed to examine the perceived benefits of and barriers and enablers to PA from the perspectives of older Caucasian and Chinese adults living in Australia. Individual and group interviews with 17 Caucasian (mean age: 72.8 years) and 47 Chinese adults (mean age: 74.0 years) were conducted and analysed using thematic analysis. Overall, participants knew about the benefits of PA on physical health but had inconsistent views on its benefits on mental and cognitive health. Older Caucasian and Chinese adults reported similar barriers (e.g., health issues, costs, bad weather and lack of time) and enablers (e.g., improving health; environmental enablers such as adequate and walkable spaces and good natural environment; peer support; and self-motivation) to PA. In comparison, older Chinese adults reported barriers more often, and reported some unique barriers relating to language and culture issues. The findings contribute to developing targeted PA programs for older Caucasian and Chinese adults.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

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Ethnic Differences in Barriers and Enablers to Physical Activity Among Older Adults

You

Lautenschlager

Wan

et al. 2021

Front. Public Health

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“…The process of data analysis is described in Table 3; based on (Sibeoni et al, 2017, p. 49;Sanders et al, 2019).…”

Section: Process Of Inductive Thematic Analysismentioning

confidence: 99%

A Good Night’s Sleep: Learning About Sleep From Autistic Adolescents’ Personal Accounts

Pavlopoulou

2020

Front. Psychol.

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BackgroundSleep is a strong predictor of quality of life and has been related to cognitive and behavioral functioning. However, research has shown that most autistic people experience sleep problems throughout their life. The most common sleep problems include sleep onset delay, frequent night-time wakings and shorter total sleep time. Despite the importance of sleep on many domains, it is still unclear from first-hand accounts what helps autistic people to sleep. The purpose of this study is to explore together with autistic adolescents their sleep-related practices before bedtime and during the day which contribute to a good night’s sleep.MethodsFifty-four autistic adolescents collaborated with an academic researcher in a novel adapted photo-elicitation methodology, rooted in a Lifeworld framework. The adolescents were invited to collect and analyze their data. The data were also presented in a community knowledge exchange event.ResultsSeveral self-reported practices that facilitate better nocturnal sleep were identified. Those were organized into two thematics: Evening/bedtime factors and Day time factors. These included practices such as personalized sensory and relaxation tools before bed and during night-time, engaging in a range of physical activities during daytime and accommodating personal time to engage with highly preferred and intense focus activities and hobbies. It also included spending time in predictable and fun ways with family members before bedtime.ConclusionThis is the first time that a study uses a novel methodological approach based on personal accounts elicited by photos rooted in a Lifeworld framework to describe personal sleep-related practices before bedtime and during the day to identify a “good night of sleep” in autistic adolescents. The outcomes from the current study showed that sleep facilitating factors are in a direct contrast to the sleep hygiene recommendations. Therefore, it is thus important for the sleep practitioners and healthcare providers to move beyond providing standardized sleep hygiene interventions. A Lifeworld led care model that pays attention to personal experiences, promotes sense of agency, evaluates both autism-specific strengths and struggles could and should complement biomedical approaches.Lay SummaryThis is the first study to examine autistic adolescents’ self-reported sleep habits and factors which facilitate autistic adolescents’ sleep by employing adapted photo-elicitation interviews. This study is innovative in at least three ways. First, it examines the factors that may facilitate a good night’s sleep through personal accounts of autistic adolescents. Second, this is the first sleep study to adopt a collaborative, flexible approach to understanding positive sleep factors in the lives of autistic adolescents. This study employed a personalized approach into collecting, categorizing, coding, and analyzing qualitative data allowing autistic adolescents and the researcher to work together across key stages of data collection and data analysis. Third, we adopted a theoretical framework that allows us to consider autistic adolescents in both agency and vulnerability positions when it comes to their sleep difficulties. Our results highlight that sleep should be treated individually and in relation to the environmental and personal factors that affect each autistic person. Hence, researchers and professionals may benefit from working collaboratively with autistic adolescents with the aim to identify individual strengths and adopt a positive narrative around sleep. Furthermore, it is important to further examine both the daytime and evening factors that may affect bedtime and the quality and quantity of sleep as well as the role of intense focused interests and physical activities that cultivate positive feelings and help autistic people to relax before bedtime.

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“…Evidence generated from the Get Healthy Get Active programme mapped against the intended outcomes. Notes:1Get Active Get Healthy, what we have learned so far[34], Tackling Inactivity[43], 2Design Principles[44], 3Sport England Evaluation Framework[45], 4Hertfordshire Evaluation Framework[49], 5Examples of publications include[50][51][52][53][54][55][56][57][58][59][60] Fynn et al International Journal of Behavioral Nutrition and Physical Activity (2021) 18:31…”

mentioning

confidence: 99%

Exploring influences on evaluation practice: a case study of a national physical activity programme

Fynn

Hardeman

Milton

et al. 2021

Int J Behav Nutr Phys Act

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Background Interventions to improve physical activity behaviour are a core part of public health policy and practice. It is essential that we evaluate these interventions and use the evidence to inform decisions to improve population health. Evaluation of ‘real-world’ interventions provide an opportunity to generate practice-relevant evidence, however these interventions are difficult to evaluate. Various guidelines have been developed to facilitate evaluation, but evidence about their effectiveness in practice is limited. To explore influences on evaluation practice in an applied context, we conducted a case study of Sport England’s ‘Get Healthy Get Active’ (GHGA) programme. This was a national programme that funded 33 projects that were delivered and evaluated across England. The programme was chosen as it was designed to generate evidence on the role of sport in increasing physical activity and improving health. The study aimed to explore and appraise whether strategies intended to facilitate project evaluation, including funder requirements to use a standardised evaluation framework and specific data collection methods, were effective in generating evidence that enabled the programme to meet its aims. Methods We applied a collective case study design involving 35 semi-structured interviews, and documentary analysis of multiple sources of evidence from 23 physical activity projects funded by GHGA. We applied thematic and framework analysis. We developed a logic model and mapped actual outcomes against intended outcomes. A narrative synthesis is provided. We discuss implications for the effective commissioning and evaluation of public health interventions. Results We identified five main themes of influences on evaluation practices that can act as barriers and facilitators to good practice: programme and project design; evaluation design; partnerships; resources; and organisational structures and systems. These influences are context-specific and operate through a complex set of interactions. Conclusion Developing a better understanding of how influences on evaluation practice can act as facilitators or barriers is vital to help close current gaps in the evidence-based practice cycle. Critically, organisational structures and systems are needed to facilitate collaborative decision making; integration of projects and evaluation across partners organisations; transfer of knowldege and insights between stakeholders; and more rapid feedback and dissemination.

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Using formative research with older adults to inform a community physical activity programme: Get Healthy, Get Active

Cited by 9 publications

References 83 publications

Ethnic Differences in Barriers and Enablers to Physical Activity Among Older Adults

Ethnic Differences in Barriers and Enablers to Physical Activity Among Older Adults

A Good Night’s Sleep: Learning About Sleep From Autistic Adolescents’ Personal Accounts

Exploring influences on evaluation practice: a case study of a national physical activity programme

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