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Older Adult Physical Activity Interventions
1. Seamus Nugent
Dr Niamh Murphy
Dr Mary Cowman
Department of Health, Sport and Exercise Science
Waterford Institute of Technology
2. Phase I – data collection and
analysis
Questionnaire with community based groups –
data collection (n = 300) and analysis
Demographics, activity levels, attitudes to PA,
(stages of change model), barriers and facilitators
to PA based on Socio-Ecological Model
36% male (n=108); 64% female (n=192). Mean age
66 years
3. Phase II – intervention design,
implementation and interpretation
Multiple setting intervention (5) designed and
implemented by community partners
Evaluation using REAIM framework (Glasgow,
1999)
Pre and Post questionnaires for participants
Interviews with key stakeholders.
4. Results from Phase I
81% claim to be sufficiently active but . . .
Only 31% meeting the PA guidelines
60% did no muscle strengthening activities in previous
7 days
However, 93% of older adults believe PA is extremely
important
Poor knowledge of PA guidelines
High level of car usage / low active travel
5. Barriers
Recent illness, operation or medical reasons
Not having a friend to be active with / inactive spouse
or partner
Gym apathy - 57% not interested in gym membership*
Lack of walking facilities in rural areas
Over 90% have access to car (barrier or facilitator??)
Walking environment safety (rural vs urban)
6. Facilitators
From Phase I older adults rated the following as the 4
most important facilitators
1. Social Support – having a friend to walk or be active
with
2. Organised groups in the local community
3. Instructor that makes PA fun*
4. Safe walking paths and parks
5. Gym activities that takes OA needs into
consideration*
7. Interventions (5) + Mass Media
Community Centre 1 – set up walking group to
increase walking levels; use outdoor gym
Community Centre 2 – 8 week walking programme
(Tuesdays); Chair based activities (Wednesdays)
Rural Setting 1 – walking group on Tuesday mornings
and chair based activities on Thursday nights
Rural Setting 2 – deliver circuit based PA to group in
community hall
Fitness facility – Make use of new gym setting
3/weekly at reduced rate with tea/coffee afterwards
8. Conclusion
All settings contacted adopted the programme and
feedback was good
Reach was low - <2%
Adoption and Implementation were good
Effectiveness: Interventions raised PA levels; increased
knowledge of PA guidelines; participants reported
‘health benefits’ and lowered barriers to PA but…
recruitment to new programmes was very difficult
Maintenance: 2 programmes still running at 6mths
4/5 settings did exit interview - very positive feedback
9. What works?
Programmes need long term funding commitments in
order for programmes to ‘bed in’
Use Community Halls and Community Sports Hubs
for OA programmes
Cost: recruitment to a programme such as GALM
(Stevens, 2008) was $84 per person in 2008. The cost
of my study: €3,300 including facilitator time = €786
with 45 participants
CPD for fitness facility management and staff
Raise awareness of growing market for PT
10. What works?
PA campaigns could do better in promoting the health
benefits of PA. For example debunking some of the
myths around muscle strengthening activities
Community groups from Phase I – provided no
physical activity
Social aspect of community group based PA with ‘fun
instructor’