Older Adults' Perceptions toward Walking: A Qualitative Study Using a Social-Ecological Model

Area of Science:

• Gerontology
• Public Health
• Urban Planning

Background:

• Promoting physical activity in older adults is crucial for healthy aging.
• Understanding older adults' perspectives on walking is essential for effective interventions.
• The social-ecological model provides a comprehensive framework for analyzing health behaviors.

Purpose of the Study:

• To investigate older adults' perceptions of walking experiences.
• To identify factors influencing walking behavior across multiple levels.
• To propose content for future walking interventions tailored to older adults.

Main Methods:

• Semi-structured interviews were conducted with 38 older adults (mean age 72.8 years).
• Qualitative data were analyzed using thematic deductive analysis with QSR-NVivo software.
• The social-ecological model guided the identification of relevant themes.

Main Results:

• Individual factors: perceived health benefits, barriers, fall risk, perseverance.
• Social environment: social support and interaction.
• Physical environment: walkability, safety, facilities, weather.
• Policy level: community programs and supportive culture.

Conclusions:

• Findings inform the development of multilevel walking interventions for older adults.
• Future interventions should include professionals, practical advice, and enjoyable activities.
• Addressing individual, social, environmental, and policy factors can enhance walking participation.