Predictors of adherence in a community-based tai chi program

Area of Science:

• Gerontology
• Public Health
• Behavioral Science

Background:

• Community-based tai chi programs offer health benefits for middle-aged and older adults.
• Understanding factors influencing adherence is crucial for program success in diverse populations.
• Low socioeconomic environments may present unique challenges to program participation.

Purpose of the Study:

• To identify factors associated with adherence to a 16-week tai chi program.
• To inform strategies for optimizing participation in community-based tai chi interventions.
• To examine adherence predictors in a multi-ethnic, low socioeconomic population.

Main Methods:

• Analysis of data from 210 participants across three tai chi program cohorts (August 2009 - March 2012).
• Adherence measured by the total number of tai chi sessions attended.
• Regression modeling used to identify significant predictors of adherence.

Main Results:

• Greater adherence was linked to older age, higher perceived stress, and elevated mental and physical health scores (Short Form-36).
• Higher baseline weekly physical activity was associated with lower adherence.
• Educational attainment and perceived stress emerged as key factors influencing participation.

Conclusions:

• Future community tai chi programs should consider targeting less-educated individuals with poorer mental and physical health.
• Interventions aiming to improve adherence should address perceived stress and baseline physical activity levels.
• Tailoring program outreach and support based on socioeconomic and health profiles can enhance engagement.