Barriers to and Facilitators of Physical Activity Program Use Among Older Adults

Abstract

Objective: Regular physical activity (PA) is important for maintaining long-term physical, cognitive, and emotional health. However, few older adults engage in routine PA, and even fewer take advantage of programs designed to enhance PA participation. Though most managed Medicare members have free access to the Silver Sneakers and EnhanceFitness PA programs, the vast majority of eligible seniors do not utilize these programs. The goal of this qualitative study was to better understand the barriers to and facilitators of PA and participation in PA programs among older adults.Design: This was a qualitative study using focus group interviews.Setting: Focus groups took place at three Group Health clinics in King County, Washington.Participants: Fifty-two randomly selected Group Health Medicare members between the ages of 66 to 78 participated. Methods:We conducted four focus groups with 13 participants each. Focus group discussions were audio-recorded, transcribed, and analyzed using an inductive thematic approach and a social-ecological framework.Results: Men and women were nearly equally represented among the participants, and the sample was largely white (77%), well-educated (69% college graduates), and relatively physically active. Prominent barriers to PA and PA program participation were physical limitations due to health conditions or aging, lack of professional guidance, and inadequate distribution of information on available and appropriate PA options and programs. Facilitators included the motivation to maintain physical and mental health and access to affordable, convenient, and stimulating PA options. Conclusion:Older adult populations may benefit from greater support and information from their providers and health care systems on how to safely and successfully improve or maintain PA levels through later adulthood. Efforts among health care systems to boost PA among older adults may need to consider patient-centered adjustments to current PA programs, as well as alternative methods for promoting overall active lifestyle choices.

Identifying important factors for older adults’ physical activity participation across individual/group, structured/unstructured contexts

“…In an attempt to understand physical activity changes during older adulthood, researchers have focused on identifying barriers and facilitators to exercise participation (Bethancourt et al 2014). In their study, Bethancourt et al (2014) found that for older adults, barriers to physical activity participation included poor health, lack of professional guidance, and inadequate dissemination of information on available programs.…”

“…In their study, Bethancourt et al (2014) found that for older adults, barriers to physical activity participation included poor health, lack of professional guidance, and inadequate dissemination of information on available programs. They identified several facilitators of exercise participation including motivation to maintain physical and mental health and access to stimulating and accessible physical activity programs.…”

Atividade física após hospitalização por doenças do aparelho circulatório

“…Outra pesquisa qualitativa desenvolvida em Washington envolvendo sujeitos entre 66 e 78 anos identificou como principal barreira para o desenvolvimento de atividade física regular, limitações físicas decorrentes de problemas de saú-de ou envelhecimento. Ainda, concluiu que a falta de orientação profissional e ausência de orientação sobre programas de treinamento adequados estavam associados com os níveis de adesão 25 . Esperava-se encontrar maior prevalência de atividade física em indivíduos com maior renda familiar.…”

Gamification of Older Adults’ Physical Activity: An Eight-Week Study

“…One of the many reasons for this is because many individuals ≥50 years are physically inactive and do not meet the national guidelines for PA [5]. Motivation of older adults to participate in PA has been studied by many researchers [2,9,12,45,53,54]; however, limited research has been done on motivation as part of technology facilitation for older adults' PA.…”