根据社会生态模型,老年人对自己家中的体力活动和久坐行为的看法
Naureen Akber Ali Meghani1, Joanne Hudson2, Gareth Stratton3
1Applied Sports Technology, Exercise and Medicine (A-STEM) Research Centre, Swansea University, Bay Campus, Swansea, United Kingdom.
老年人的身体活动 (PA) 和家庭的久坐行为 (SB) 是复杂的,受个人,社会和环境因素的影响. 考虑社会生态模型 (SEM) 的多个层面的整体方法是有效干预的关键.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 关于家庭环境对老年人身体活动 (PA) 和久坐行为 (SB) 的影响的研究有限.
- 社会生态模型 (SEM) 为理解这些影响提供了一个框架.
研究的目的:
- 调查老年人的家庭环境中的PA和SB.
- 应用SEM来确定影响老年人PA和SB的因素.
主要方法:
- 使用33个深度访谈和5个焦点小组 (n=16) 与多样化的老年人 (平均年龄72±5) 进行定性探索设计.
- 使用反射性主题分析在SEM框架内生成和解释主题.
主要成果:
- 个人因素 (态度,感知,动机),人际因素 (家庭,朋友),组织因素 (医疗保健),社区因素 (社会群体),物理环境 (微观环境) 和政策因素 (封锁,医疗保健系统) 都会影响PA和SB.
- 在多个层面上,SEM有效地确定了活动的促进者和障碍.
结论:
- 在家庭环境中修改PA和SB是复杂的,需要采用整体方法,整合所有SEM级别的影响.
- 研究结果可以为优化PA和最大限度地减少老年人家庭SB的干预措施的设计提供信息.
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