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

Leung, Kwok Nam; Ou, Kai Ling; Chung, Pak‐Kwong; Thøgersen‐Ntoumani, Cecilie

doi:10.3390/ijerph18147686

Cited by 17 publications

(11 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…No quantitative studies have specifically examined the association between informational SOSU and general PA. Perrino et al investigated the relationship between informational SOSU and walking in older Hispanic-Americans but found no significant association [ 24 ]. Nevertheless, the qualitative components of three mixed methods studies [ 97 , 100 , 101 ] and five qualitative studies [ 22 , 29 , 93 , 95 , 96 ] highlight the importance of informational SOSU for PA and exercise.…”

Section: Resultsmentioning

confidence: 99%

Physical activity and functional social support in community-dwelling older adults: a scoping review

Steinhoff,

Reiner

2024

BMC Public Health

View full text Add to dashboard Cite

Background Globally, the population of older people is increasing and is estimated to reach nearly 2.1 billion by 2050. Physical activity (PA) is one of the key components for successful ageing. However, PA decreases with age and many older adults do not meet PA guidelines. Previous research has shown that social support (SOSU) is related to PA in older people. The aim of this scoping review is to identify and map all of the available evidence and to explore the association between functional SOSU and PA in older adults. Functional SOSU consists of emotional, informational, instrumental and companionship SOSU and social comparison. Methods A scoping review was conducted using the Joanna-Briggs manual. Quantitative and qualitative studies investigating associations between functional SOSU and PA levels in older adults (mean age ≥ 60 years) were identified through a systematic search in seven electronic databases up to August 2023. After removing duplicates, 20,907 articles were screened for titles and abstracts. The results were analysed separately for different types of SOSU. Results 116 articles met the inclusion criteria; 72% were quantitative studies and 28% were qualitative studies. Most studies used self-reported PA measures, only 23% of the studies used objective-reported PA measures. Most studies of SOSU for PA reported positive associations but the evidence is inconclusive when the source of support is considered. PA is positively associated with general, emotional, informational, and companionship SOSU, while instrumental support may occasionally be negatively associated. Companionship support is particularly influential on PA, especially in group settings, as it promotes social connectedness. Qualitative studies show that social comparison also supports PA. Different forms of SOSU generally show positive associations with PA. Conclusions While the evidence on the association between functional SOSU and PA is mixed, most studies show that there is a positive association. PA may also be a strategy for improving social contact and social integration. This study offers a comprehensive overview of measures for SOSU and PA and thereby informs future research and policy-making.

show abstract

Section: Resultsmentioning

confidence: 99%

Physical activity and functional social support in community-dwelling older adults: a scoping review

Steinhoff,

Reiner

2024

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…Importantly, the deficit framework (e.g. hardships, obstacles, challenges and disadvantages), which has been used extensively by medical schools to capture the inequities experienced by prospective medical students, does not measure the full complexities inherent in an applicants' DT 43–45 . Our participants reported ‘disadvantaged’ labels may cause applicants to question if they qualify.…”

Section: Discussionmentioning

confidence: 99%

Medical students' perception of their ‘distance travelled’ in medical school applications

et al. 2023

View full text Add to dashboard Cite

IntroductionWithin medical school's holistic review of applicants includes a review of their distance travelled to get to this point in their education. The AAMC defines distance travelled (DT) as, ‘any obstacles or hardships you've overcome to get to this point in your education or any life challenges you've faced and conquered’. What medical students consider as their distance travelled has not been explored. The authors sought to identify the factors medical students perceive are important for medical school admissions to consider when assessing someone's ‘distance travelled’ by asking current medical students to share their DT experiences along with the barriers and facilitators they encountered on their medical school journey.MethodsThe authors conducted semi‐structured interviews with US medical students through purposeful sampling methods. The social‐ecological model framework was used to develop questions to elicit participants' experiences that contributed to their distance travelled. Interviews were conducted in 2021 and ranged from 60–75 minutes. Transcribed interviews were qualitatively analysed using interpretive description.ResultsA total of 31 medical students from seven medical schools were included in the study. Overall, participants defined distance travelled as an applicant's hardships (e.g. being the primary caregiver for a family member) and privileges (e.g. having physician parents) they experienced. Three major themes were identified: (1) individual‐level characteristics and factors, (2) interpersonal relationships and (3) aspects of the participants' community and society.DiscussionOur findings show that medical school applicants considered DT to be a valuable component of a holistic medical school admission process. Participants' experiences of DT were varied and complex. Our research suggests that admissions teams for medical schools should incorporate more comprehensive recruitment practices and inclusive methodological frameworks to accurately capture the diversity of identities and experiences of medical school applicants and to consider the factors that shape their journey to medical schools.

show abstract

“…Mobility is listed as the sixth vital sign 5 and is both directly and indirectly impacted by numerous conditions while also being a critical feature of many activities of daily living. 2 , 6 – 8 Thus, remotely monitoring this complex construct may be a valuable tool to understand the effects targeted interventions and to track overall health progress. 2 However, despite the advances made in this area, a lack of accepted and validated tools to remotely monitor mobility remain.…”

Section: Introductionmentioning

confidence: 99%

Acceptability of wearable devices for measuring mobility remotely: Observations from the Mobilise-D technical validation study

et al. 2023

View full text Add to dashboard Cite

Background This study aimed to explore the acceptability of a wearable device for remotely measuring mobility in the Mobilise-D technical validation study (TVS), and to explore the acceptability of using digital tools to monitor health. Methods Participants ( N = 106) in the TVS wore a waist-worn device (McRoberts Dynaport MM + ) for one week. Following this, acceptability of the device was measured using two questionnaires: The Comfort Rating Scale (CRS) and a previously validated questionnaire. A subset of participants ( n = 36) also completed semi-structured interviews to further determine device acceptability and to explore their opinions of the use of digital tools to monitor their health. Questionnaire results were analysed descriptively and interviews using a content analysis. Results The device was considered both comfortable (median CRS (IQR; min-max) = 0.0 (0.0; 0–20) on a scale from 0–20 where lower scores signify better comfort) and acceptable (5.0 (0.5; 3.0–5.0) on a scale from 1–5 where higher scores signify better acceptability). Interviews showed it was easy to use, did not interfere with daily activities, and was comfortable. The following themes emerged from participants’ as being important to digital technology: altered expectations for themselves, the use of technology, trust, and communication with healthcare professionals. Conclusions Digital tools may bridge existing communication gaps between patients and clinicians and participants are open to this. This work indicates that waist-worn devices are supported, but further work with patient advisors should be undertaken to understand some of the key issues highlighted. This will form part of the ongoing work of the Mobilise-D consortium.

show abstract

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

Cited by 17 publications

References 57 publications

Physical activity and functional social support in community-dwelling older adults: a scoping review

Physical activity and functional social support in community-dwelling older adults: a scoping review

Medical students' perception of their ‘distance travelled’ in medical school applications

Acceptability of wearable devices for measuring mobility remotely: Observations from the Mobilise-D technical validation study

Contact Info

Product

Resources

About