Challenges to Engaging Older Adults in a Group-Based Walking Intervention: Lessons From the Residents in Action Trial

in Journal of Aging and Physical Activity

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Jenny L. OlsonCollege of Medicine and College of Health and Human Development, Pennsylvania State University,  State College, PA, USA
Diabetes Australia Western Australia, Subiaco, WA, Australia
Physical Activity and Well-Being Research Group, School of Psychology, Curtin University, Perth, WA, Australia

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Anthony PapathomasSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom

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Marlene KritzPhysical Activity and Well-Being Research Group, School of Psychology, Curtin University, Perth, WA, Australia

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Nikos NtoumanisPhysical Activity and Well-Being Research Group, School of Psychology, Curtin University, Perth, WA, Australia
Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
School of Health and Welfare, Halmstad University, Halmstad, Sweden

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Eleanor QuestedPhysical Activity and Well-Being Research Group, School of Psychology, Curtin University, Perth, WA, Australia

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Cecilie Thøgersen-NtoumaniPhysical Activity and Well-Being Research Group, School of Psychology, Curtin University, Perth, WA, Australia
Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark

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This qualitative research explored older adults’ perceptions of participating in group-based walking programs set in independent-living retirement village contexts. Semistructured interviews were conducted with a subset of participants from the Residents in Action Trial. Data were analyzed through a combination of deductive and inductive thematic analysis. Findings were interpreted from a social identity perspective. Five themes were identified: (a) varying levels of social cohesion in retirement villages; (b) degree of shared identity between residents; (c) health, mobility, and preferred pace; (d) devotion to spouse; and (e) busy lives. When designing group-based walking interventions in retirement villages, it is important to consider community-level social cohesion and degree of relatedness between village residents. When attempting to build a sense of shared identity and relatedness between group members, researchers and policy makers should consider differing backgrounds, capabilities, schedules, and interests of participants.

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  • Amana Living. (2017). Retirement villages. https://www.amanaliving.com.au/retirement-villages/villages

  • Australian Government Department of Health. (2014). Australia’s physical activity and sedentary behaviour guidelines. http://www.health.gov.au/internet/main/publishing.nsf/Content/health-pubhlth-strateg-phys-act-guidelines#apaadult

    • Search Google Scholar
    • Export Citation
  • Ball, J.W., Bice, M.R., & Maljak, K.A. (2017). Exploring the relationship between Self-Determination Theory, adults’ barriers to exercise, and physical activity. Health Educator, 49(1), 3237. https://eric.ed.gov/?id=EJ1156136

    • Search Google Scholar
    • Export Citation
  • Bangsbo, J., Blackwell, J., Boraxbekk, C.-J., Caserotti, P., Dela, F., Evans, A.B., Jespersen, A.P., Gliemann, L., Kramer, A.F., Lundbye-Jensen, J., Mortensen, E.L., Lassen, A.J., Gow, A.J., Harridge, S.D.R., Hellsten, Y., Kjaer, M., Kujala, U.M., Rhodes, R.E., Pike, E.C.J.,…Viña, J. (2019). Copenhagen Consensus statement 2019: Physical activity and ageing. British Journal of Sports Medicine, 53(14), 856. https://doi.org/10.1136/bjsports-2018-100451

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Barusch, A.S., & Spaid, W.M. (1989). Gender differences in caregiving: Why do wives report greater burden? The Gerontologist, 29(5), 667676. https://doi.org/10.1093/geront/29.5.667

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Beauchamp, M.R., Ruissen, G.R., Dunlop, W.L., Estabrooks, P.A., Harden, S.M., Wolf, S.A., Liu, Y., Schmader, T., Puterman, E., Sheel, A.W., & Rhodes, R.E. (2018). Group-based physical activity for older adults (GOAL) randomized controlled trial: Exercise adherence outcomes. Health Psychology, 37(5), 451461. https://doi.org/10.1037/hea0000615

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Braun, V., Clarke, V., & Weate, P. (2016). Using thematic analysis in sport and exercise research. In B. Smith & A. Sparkes (Eds.), Routledge handbook of qualitative research in sport and exercise (pp. 191205). Routledge.

    • Search Google Scholar
    • Export Citation
  • Brennan, L.K., Baker, E.A., Haire-Joshu, D., & Brownson, R.C. (2003). Linking perceptions of the community to behavior: Are protective social factors associated with physical activity? Health Education & Behavior, 30(6), 740755. https://doi.org/10.1177/1090198103255375

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Burke, S.M., Carron, A.V., Eys, M.A., Ntoumanis, N., & Estabrooks, P.A. (2006). Group versus individual approach? A meta-analysis of the effectiveness of interventions to promote physical activity. Sport and Exercise Psychology Review, 2(1), 1935. https://core.ac.uk/display/19110

    • Search Google Scholar
    • Export Citation
  • Cao, V., Chung, C., Ferreira, A., Nelken, J., Brooks, D., & Cott, C. (2010). Changes in activities of wives caring for their husbands following stroke. Physiotherapy Canada, 62(1), 3543. https://doi.org/10.3138/physio.62.1.35

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Carr, R.M., Prestwich, A., Kwasnicka, D., Thogersen-Ntoumani, C., Gucciardi, D.F., Quested, E., Hall, L.H., & Ntoumanis, N. (2019). Dyadic interventions to promote physical activity and reduce sedentary behaviour: Systematic review and meta-analysis. Health Psychology Review, 13(1), 91109. https://doi.org/10.1080/17437199.2018.1532312

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chase, J.A. (2015). Interventions to increase physical activity among older adults: A meta-analysis. Gerontologist, 55(4), 706718. https://doi.org/10.1093/geront/gnu090

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Collins, C., & Jones, R. (1997). Emotional distress and morbidity in dementia carers: A matched comparison of husbands and wives. International Journal of Geriatric Psychiatry, 12(12), 11681173. https://doi.org/10.1002/(SICI)1099-1166(199712)12:12<1168::AID-GPS711>3.0.CO;2-F

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Connell, C.M. (1994). Impact of spouse caregiving on health behaviors and physical and mental health status. American Journal of Alzheimer’s Care and Related Disorders & Research, 9(1), 2636. https://doi.org/10.1177/153331759400900105

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Devereux-Fitzgerald, A., Powell, R., Dewhurst, A., & French, D.P. (2016). The acceptability of physical activity interventions to older adults: A systematic review and meta-synthesis. Social Science & Medicine, 158, 1423. https://doi.org/10.1016/j.socscimed.2016.04.006

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Duckham, R.L., Tait, J.L., Nowson, C.A., Sanders, K.M., Taaffe, D.R., Hill, K.D., & Daly, R.M. (2018). Strategies and challenges associated with recruiting retirement village communities and residents into a group exercise intervention. BMC Medical Research Methodology, 18(1), 173. https://doi.org/10.1186/s12874-018-0633-4

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ekerdt, D.J., & Koss, C. (2016). The task of time in retirement. Ageing & Society, 36(6), 12951311. https://doi.org/10.1017/S0144686X15000367

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Farrance, C., Tsofliou, F., & Clark, C. (2016). Adherence to community based group exercise interventions for older people: A mixed-methods systematic review. Preventive Medicine, 87, 155166. https://doi.org/10.1016/j.ypmed.2016.02.037

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Grant, F., Hogg, M.A., & Crano, W.D. (2015). Yes, we can: Physical activity and group identification among healthy adults. Journal of Applied Social Psychology, 45(7), 383390. https://doi.org/10.1111/jasp.12305

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hallal, P.C., Andersen, L.B., Bull, F.C., Guthold, R., Haskell, W., & Ekelund, U. (2012). Global physical activity levels: Surveillance progress, pitfalls, and prospects. Lancet, 380(9838), 247257. https://doi.org/10.1016/S0140-6736(12)60646-1

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hu, X., Xia, B., Skitmore, M., Buys, L., & Zuo, J. (2017). Retirement villages in Australia: A literature review. Pacific Rim Property Research Journal, 23(1), 101122. https://doi.org/10.1080/14445921.2017.1298949

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jancey, J., Holt, A.-M., Lee, A.H., Kerr, D.A., Hart, E., Robinson, S., Anderson, A.S., Hills, A.P., & Howat, P. (2018). Retirement village physical activity and nutrition intervention process evaluation: Informing practice. Australasian Journal on Ageing, 37(4), E144E149. https://doi.org/10.1111/ajag.12578

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jancey, J., Holt, A.-M., Lee, A., Kerr, D., Robinson, S., Tang, L., Anderson, A.S., Hills, A.P., & Howat, P. (2017). Effects of a physical activity and nutrition program in retirement villages: A cluster randomised controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 92. https://doi.org/10.1186/s12966-017-0543-6

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kachanoff, F.J., Wohl, M.J.A., Koestner, R., & Taylor, D.M. (2019). Them, Us, and I: How group contexts influence basic psychological needs. Current Directions in Psychological Science, 29(1), 4754. https://doi.org/10.1177/0963721419884318

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kaczynski, A.T., & Glover, T.D. (2012). Talking the talk, walking the walk: Examining the effect of neighbourhood walkability and social connectedness on physical activity. Journal of Public Health, 34(3), 382389. https://doi.org/10.1093/pubmed/fds011

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kassavou, A., Turner, A., & French, D.P. (2013). Do interventions to promote walking in groups increase physical activity? A meta-analysis [Article]. International Journal of Behavioral Nutrition & Physical Activity, 10(1), 1829. https://doi.org/10.1186/1479-5868-10-18

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kritz, M., Thogersen-Ntoumani, C., Mullan, B., McVeigh, J., & Ntoumanis, N. (2020). Effective peer leader attributes for the promotion of walking in older adults. Gerontologist. 60(6), 11371148. https://doi.org/10.1093/geront/gnaa014

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mutrie, N., Biddle, S., & Gorely, T. (2015). Psychology of physical activity: Determinants, wellbeing and interventions (3rd ed.). Routledge. https://doi.org/10.4324/9780203123492

    • Search Google Scholar
    • Export Citation
  • Riessman, C.K. (2008). Narrative methods for the human sciences. Sage Publications. https://au.sagepub.com/en-gb/oce/narrative-methods-for-the-human-sciences/book226139

    • Search Google Scholar
    • Export Citation
  • Robinson, A., Elder, J., Emden, C., Lea, E., Turner, P., & Vickers, J. (2009). Information pathways into dementia care services: Family carers have their say. Dementia, 8(1), 1737. https://doi.org/10.1177/1471301208099051

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ryan, R.M., & Deci, E. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford Publications. https://psycnet.apa.org/record/2017-04680-000

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Samra, P.K., Rebar, A.L., Parkinson, L., van Uffelen, J.G.Z., Schoeppe, S., Power, D., Schneiders, A., Vandelanotte, C., & Alley, S. (2019). Physical activity attitudes, preferences, and experiences of regionally-based Australian adults aged 65 years and older. Journal of Aging and Physical Activity, 27(4), 446451. https://doi.org/10.1123/japa.2017-0426

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stevens, M., Rees, T., Coffee, P., Steffens, N.K., Haslam, S.A., & Polman, R. (2017). A social identity approach to understanding and promoting physical activity. Sports Medicine, 47(10), 19111918. https://doi.org/10.1007/s40279-017-0720-4

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stevens, M., Rees, T., & Polman, R. (2019). Social identification, exercise participation, and positive exercise experiences: Evidence from parkrun. Journal of Sports Sciences, 37(2), 221228. https://doi.org/10.1080/02640414.2018.1489360

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stimson, R.J., & Shyy, T.-K. (2018). Investigating and modelling potential demand for retirement housing: The Australian context. In R.R. Stough, K. Kourtit, P. Nijkamp, & U. Blien (Eds.), Modelling aging and migration effects on spatial labor markets (pp. 161187). Springer International Publishing. https://doi.org/10.1007/978-3-319-68563-2_9

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Tajfel, H. (1974). Social identity and intergroup behaviour. Social Science Information, 13(2), 6593. https://doi.org/10.1177/053901847401300204

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Tajfel, H., Billig, M.G., Bundy, R.P., & Flament, C. (1971). Social categorization and intergroup behaviour. European Journal of Social Psychology, 1(2), 149178. https://doi.org/10.1002/ejsp.2420010202

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Thogersen-Ntoumani, C., Ntoumanis, N., Uren, H., Stathi, A., Wold, C., & Hill, K.D. (2017). Perceptions of group-based walks and strategies to inform the development of an intervention in retirement villages: Perspectives of residents and village managers. Journal of Aging and Physical Activity, 25(2), 261268. https://doi.org/10.1123/japa.2015-0138

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Thøgersen-Ntoumani, C., Quested, E., Biddle, S.J., Kritz, M., Olson, J., Burton, E., Cerin, E., Hill, K.D., McVeigh, J., & Ntoumanis, N. (2019). Trial feasibility and process evaluation of a motivationally-embellished group peer led walking intervention in retirement villages using the RE-AIM framework: The Residents in Action Trial (RiAT). Health Psychology and Behavioral Medicine, 7(1), 202233. https://doi.org/10.1080/21642850.2019.1629934

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Thogersen-Ntoumani, C., Wright, A., Quested, E., Burton, E., Hill, K.D., Cerin, E., Biddle, S.J.H., & Ntoumanis, N. (2017). Protocol for the residents in action pilot cluster randomised controlled trial (RiAT): Evaluating a behaviour change intervention to promote walking, reduce sitting and improve mental health in physically inactive older adults in retirement villages. BMJ Open, 7(6), e015543. https://doi.org/10.1136/bmjopen-2016-015543

    • Crossref
    • Search Google Scholar
    • Export Citation
  • United Nations. (2019). World population prospects 2019. https://population.un.org/wpp/Download/Standard/Population/

  • Xiong, C., Biscardi, M., Astell, A., Nalder, E., Cameron, J.I., Mihailidis, A., & Colantonio, A. (2020). Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: A systematic review. PLoS One, 15(4), e0231848. https://doi.org/10.1371/journal.pone.0231848

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Zalewski, K.R., & Dvorak, L. (2011). Barriers to physical activity between adults with stroke and their care partners. Topics in Stroke Rehabilitation, 18(Suppl. 1), 666675. https://doi.org/10.1310/tsr18s01-666

    • Crossref
    • Search Google Scholar
    • Export Citation
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