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Related Experiment Video

Updated: Jun 19, 2025

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A Nature-Based Intervention for Promoting Physical Activity in Older Adults: A Qualitative Study Using the COM-B

Katherine N Irvine1, Daniel Fisher1,2, Margaret Currie1

  • 1Social, Economic, Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK.

International Journal of Environmental Research and Public Health
|July 27, 2024
PubMed
Summary
This summary is machine-generated.

Group outdoor health walks effectively increase physical activity and well-being in older adults. This nature-based intervention fosters sustained engagement and promotes additional health behaviors, enhancing quality of life.

Keywords:
behaviourchronic health conditionsgreen spacemental healthnon-pharmacological interventionphysical healthpreventionpublic health

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Area of Science:

  • Public Health
  • Behavioral Science
  • Gerontology

Background:

  • Physical inactivity is a major global health risk, contributing to over 800,000 deaths annually and linked to non-communicable diseases.
  • Non-pharmacological interventions are crucial for addressing physical inactivity and promoting health.
  • Older adults with chronic health conditions often face barriers to physical activity.

Purpose of the Study:

  • To evaluate a group outdoor health walks (GOHW) intervention for older adults using the Capability, Opportunity, Motivation, and Behaviour (COM-B) model.
  • To understand participant engagement with the GOHW intervention and its impact on physical activity and health.
  • To identify factors influencing sustained behavior change and the adoption of additional health-promoting behaviors.

Main Methods:

  • Qualitative analysis of interviews with participants in a GOHW program in Scotland, UK.
  • Utilized the COM-B model to examine intervention engagement and behavior change.
  • Incorporated data from activity trackers to supplement interview findings.

Main Results:

  • The COM-B model effectively explained engagement with GOHW and sustained physical activity.
  • Participants reported improvements in perceived physical and mental health.
  • Intervention fostered emergent capabilities, opportunities, and motivations for continued engagement, including self-organized walks and increased nature exposure.

Conclusions:

  • Group outdoor health walks are a promising nature-based intervention for increasing physical activity and well-being in older adults.
  • The COM-B model provides valuable insights for designing and evaluating such interventions.
  • Findings offer guidance for engaging older adults with chronic conditions and promoting lasting health behavior change.