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Older people's adherence to community-based group exercise programmes: a multiple-case study.

Clare Killingback1, Fotini Tsofliou2, Carol Clark3

  • 1Royal London House, R601, Faculty of Health and Social Sciences, Bournemouth University, Christchurch Road, Bournemouth, BH1 3LT, UK. ckillingback@bournemouth.ac.uk.

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Summary
This summary is machine-generated.

Community-based group exercise programmes (CBGEP) help older adults sustain physical activity. Key factors for adherence include individual, instructor, program design, social support, and perceived benefits.

Keywords:
AdherenceCommunity-Based exercise programmeMultiple-Case studyOlder peoplePhysical activity

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Area of Science:

  • Gerontology and Public Health
  • Exercise Science and Kinesiology
  • Sociology of Health

Background:

  • Physical inactivity is a global health issue, increasing non-communicable disease risk.
  • Sustaining physical activity is crucial for health and wellbeing gains.
  • Community-based group exercise programmes (CBGEP) show promise in increasing and sustaining physical activity in older adults.

Purpose of the Study:

  • To address the gap in understanding long-term adherence to real-life CBGEP among older adults in the UK.
  • To identify factors enabling sustained physical activity in older people participating in CBGEP.
  • To provide insights for improving the effectiveness of CBGEP for older populations.

Main Methods:

  • A multiple case study design involving 27 older adults (≥60 years) in South-West England.
  • Collection of qualitative data (observations, focus groups, interviews, documents) and quantitative data.
  • Analysis using inductive thematic analysis, explanation building, and descriptive statistics.

Main Results:

  • Identified five key factors contributing to adherence in successful CBGEP.
  • Factors include individual characteristics, instructor qualities (personality, professionalism), programme design (location, cost, music, adaptability), social belonging, and perceived physical/psycho-social benefits.
  • These factors collectively explain sustained adherence to CBGEP for over a year.

Conclusions:

  • Consideration of identified adherence factors is essential for supporting sustained physical activity in aging populations.
  • Findings are relevant for practitioners and policymakers aiming to prevent non-communicable diseases and enhance social connectivity in older adults through CBGEP.
  • CBGEP play a vital role in maintaining physically active lifestyles and social engagement among older individuals.