What makes community‐based physical activity programs for culturally and linguistically diverse older adults effective? A systematic review

Montayre, Jed; Neville, Stephen; Dunn, Ihaka; Shrestha‐Ranjit, Jagamaya; Clair, Valerie Wright‐St

doi:10.1111/ajag.12815

Cited by 16 publications

(6 citation statements)

References 25 publications

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“…When discussing ways for making programs more inclusive and accessible, some participants suggested targeted programs (e.g., graded classes, women’s only programs). This is consistent with previous studies which found that positive experiences at recreation centres can be cultivated by providing specialised classes for persons living with disabilities [ 39 ], introductory and graded classes for older adults [ 16 ], culturally-familiar programs instructed in native languages for CALD persons [ 53 ], women’s only classes [ 52 ], and trans-specific and gender non-conforming classes for LGBTQIA + individuals [ 32 ]. Several participants, especially those living with a disability, identified instructor training around adaption of programs to accommodate various levels and abilities as a means for improving accessibility and inclusion.…”

Section: Discussionsupporting

confidence: 91%

“…Key communication needs identified in this study included having more accessible and inclusive signage (e.g., bigger font on signs for those with vision impairment, multilingual signage) and information provision. This parallels previous research, which has shown that recreation centre use can be facilitated by providing information in other languages [ 52 , 53 ], distributing information about programs and services targeting specific cohorts [ 16 ], and having marketing materials and signage that reflect priority populations (e.g., informative advertisement of inclusion-centred spaces with images of LGBTQIA + people) [ 32 , 39 , 49 ]. Further, a systematic review indicated that signage/information for accessible routes in and around centres and alternative means of accessible information (e.g., braille, large print or audio brochures, tactile cues about location) are important for ensuring that fitness centres are accessible for people living with disabilities [ 27 ].…”

Section: Discussionsupporting

confidence: 72%

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Priority populations’ experiences of the accessibility and inclusion of recreation centres: a qualitative study

Rivera,

Smith,

Hesketh

2024

BMC Public Health

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Background Although the health benefits of physical activity are well documented, certain priority populations are often disproportionately insufficiently active and at higher risk of poor health. Recreation centres have the potential to provide accessible and supportive environments for physical activity for all. However, little is known about priority populations’ experiences of these venues and their views of how accessibility and inclusion can be optimised. This study aimed to gain in-depth insights of recreation centre experiences and potential strategies for improving inclusion and accessibility amongst priority populations (women, older adults, ethnic minorities, persons living with disabilities/additional needs, individuals identifying as LGBTQIA+, low socio-economic position). Methods This qualitative study (2021–2022) involved 18 semi-structured individual interviews with adult priority population users of recreation centres (50% 65 + years, 61.2% female) in one Melbourne municipality. Participants were asked to discuss their positive and negative experiences at the centres and to identify strategies for enhancing accessibility and inclusion. Interviews were audio-recorded and transcribed verbatim. Content analysis was performed for data analysis. Results While many participants had positive views of the facilities and programs at the centres, as they met their needs, they also had suggestions for improving accessibility and inclusion. Similarly, most participants were happy with the communications, felt included, and perceived the culture positively. Those who did not feel included at the centres offered many potential strategies for changing the culture, modifying communications (e.g., signage), and establishing partnerships for better access and inclusion. Conclusions The present study adds to essential knowledge concerning priority populations’ experiences of recreation centres. For recreation facilities that were generally perceived as having positive inclusion and accessibility, the findings nonetheless highlighted suggestions for further enhancement. These strategies may be useful more broadly for improving accessibility and inclusion, thereby promoting physical activity and ultimately health for all.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 72%

Priority populations’ experiences of the accessibility and inclusion of recreation centres: a qualitative study

Rivera,

Smith,

Hesketh

2024

BMC Public Health

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“…Furthermore, the provision of culturally responsive healthcare services to ameliorate Chinese late‐life immigrants’ loneliness and social isolation remains a common challenge for nurses (Stewart et al, 2011) and has not been well addressed (Zhao et al, 2020). It is imperative that healthcare services are designed to match older people's cultural perspectives, values and language needs, and maximised to reduce their barriers to accessing services (Montayre et al, 2020). However, many studies fail to distinguish late‐life immigrants from those who immigrated earlier in life and aged in the host country.…”

Section: Introductionmentioning

confidence: 99%

Chinese late‐life immigrants’ loneliness and social isolation in host countries: An integrative review

Zhao

Holroyd

Garrett

et al. 2021

Journal of Clinical Nursing

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Aims and objective To synthesise current international empirical evidence on loneliness and social isolation in Chinese late‐life immigrants. Background Loneliness causes adverse health consequences in Chinese late‐life immigrants leading to increased utilisation of often increasingly limited healthcare resources. However, little is known about how Chinese late‐life immigrants perceive and experience loneliness and social isolation in their host countries. Design An integrative review methodology. Methods Using a systematic search strategy, Google scholar and databases, such as Scopus, Web of Science, PubMed, CHNAHL, Medline and open access Theses were searched. No limitation was placed on publication date. Peer‐reviewed studies published from the database inception to May 6, 2021 in the English language were included. The review process is reported according to PRISMA. Results Eight articles met the criteria and were included in this review. Two themes resulting from the data synthesis process were identified. Firstly, ‘disrupted social relations after late‐life immigration’ and secondly ‘moving away from filial expectations’. Conclusion Loneliness and social isolation are commonly experienced by Chinese late‐life immigrants when residing in host countries. Understanding and identification of the sources of loneliness and social isolation among late‐life immigrants are essential prompts for healthcare professionals, particularly nurses, to engage sensitively with Chinese late‐life immigrants. Nurses culturally relevant care delivery in a variety of settings may best serve recipients’ social and health related needs. Relevance to clinical practice This integrated review informs the planning of health and social services for addressing Chinese late‐life immigrants’ experiences of loneliness and social isolation. Focused attention on cultural responsiveness is an important component of providing quality and safe nursing care. This review of the recent evidence on socially‐rooted health concerns affected by both immigration and ageing will help advance nursing practice in providing culturally responsive care interventions.

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“…Other factors, such as social support, personal, and community motivation to engage, need to be encouraged [19]. Implementation of intervention programs that take into account cultural diversity may improve engagement in nonpharmacological strategies, for example, physical therapies [25], medication adherence, and vascular risk factor control [4] with consequent reduction in cerebrovascular disease burden.…”

Section: Discussionmentioning

confidence: 99%

Cerebrovascular Disease Profiles of Culturally and Linguistically Diverse Communities in South Western Sydney and New South Wales

et al. 2022

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Introduction: Culturally and linguistically diverse (CALD) communities are growing globally. Understanding patterns of cerebrovascular disease in CALD communities may improve health outcomes through culturally specific interventions. We compared rates of transient ischaemic attack (TIA)/stroke (ischaemic stroke, intracerebral haemorrhage) and stroke risk factor prevalence in overseas and Australian-born people in South Western Sydney (SWS) and New South Wales (NSW). Methods: This was a 10-year retrospective analysis (2011–2020) of SWS and NSW age-standardized rates per 100,000 person-years of TIA/stroke. Data were extracted from Health Information Exchange and Secure Analytics for Population Health Research and Intelligence systems. Rates of hypertension, type 2 diabetes mellitus (T2DM), atrial fibrillation (AF), smoking, and obesity were also calculated. Results: The SWS and NSW age-standardized rate of TIA/stroke for people born in Australia was 100 per 100,000 person-years (100/100,000/year). In SWS, 56.6% of people were overseas-born compared to 29.8% for NSW. The age-standardized rate of TIA/stroke for Polynesian-born people was more than double that of Australian-born people (p < 0.001). Hypertension (33 [SWS] vs. 27/100,000/year [NSW]) and T2DM (36 [SWS] vs. 26/100,000/year [NSW]) were the most common risk factors with rates >50/100,000/year (hypertension) and >80/100,000/year (T2DM) for people born in Polynesia, Melanesia, and Central America. Rates of T2DM, AF, and obesity for Polynesian-born people were over threefold greater than people born in Australia. Discussion/Conclusion: Greater rates of TIA/stroke were observed in specific CALD communities, with increased rates of cerebrovascular risk factors. Culturally specific, targeted interventions may bridge health inequalities in cerebrovascular disease.

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What makes community‐based physical activity programs for culturally and linguistically diverse older adults effective? A systematic review

Cited by 16 publications

References 25 publications

Priority populations’ experiences of the accessibility and inclusion of recreation centres: a qualitative study

Priority populations’ experiences of the accessibility and inclusion of recreation centres: a qualitative study

Chinese late‐life immigrants’ loneliness and social isolation in host countries: An integrative review

Cerebrovascular Disease Profiles of Culturally and Linguistically Diverse Communities in South Western Sydney and New South Wales

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