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A Meta-Study of Qualitative Research on Social Support Related to Physical Activity Among Older Adults

L. Jayne Beselt, Michelle C. Patterson, Meghan H. McDonough, Jennifer Hewson, and Scott MacKay

Physical activity (PA) and social support have known benefits for the well-being and health of older adults, and social support is associated with PA behavior and positive affective experiences in PA contexts. The aim of this study was to synthesize qualitative research conducted on the experiences of social support related to PA among older adults (age ≥55 years). Following meta-study methodology, the authors searched nine databases and extracted information from 31 studies. Results were synthesized in terms of common themes and in light of theoretical and methodological perspectives used. The qualitative literature identifies supportive behaviors and social network outcomes which may be useful for informing how best to support older adults to be physically active. This literature rarely reflected the experiences of vulnerable populations, and future research should aim to further understand supportive behaviors which enable older adults to overcome barriers and challenges to being physically active.

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Social Supports and Barriers for Older Adults Not Participating in Group Physical Activity

Lindsay Morrison, Meghan H. McDonough, Jennifer Hewson, Ann Toohey, Cari Din, and Sarah J. Kenny

Group physical activity can provide physical and social benefits; however, social barriers or a lack of social support may affect participation. This study examined social-support needs and barriers among older adults who were not participating in group physical activities. Using interpretive description, semistructured interviews were conducted with 38 older adults (M = 70.9 years; 81.6% women). Themes were grouped into two categories. Category 1, expectations and initial impressions, consisted of the following: (a) Groups cannot meet everyone’s expectations or interests, (b) groups are intimidating to join, and (c) the need for inclusive programming. Category 2, social processes within group physical activity, consisted of (a) modeling physical activity behaviors, (b) sharing information and suggestions about physical activity opportunities, and (c) encouragement and genuine interest. Outreach to this population should aim to address these barriers and utilize these supportive behaviors to reduce feelings of intimidation and promote participation among older adults.

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Social Support and Body Image in Group Physical Activity Programs for Older Women

Michelle Patterson, Meghan H. McDonough, Jennifer Hewson, S. Nicole Culos-Reed, and Erica Bennett

Physical declines with aging may negatively impact women’s body image. Group physical activity can be a source of social support that may improve body image. We examined how social support experienced in group physical activity programs impacts older women’s body image. Guided by interpretive description, we interviewed 14 women age 65 years and older who participated in group physical activity classes. Although women experienced both positive and negative body image, body image was generally positively impacted by physical activity. Four themes described social support processes that affected body image in the physical activity context: fitting in and being inspired through identifying with others; what is discussed and not discussed; providing comfort, understanding, and acceptance; and skilled and empathetic interactions with instructors. Understanding how social support in group physical activity can promote positive body image throughout aging can inform practical guidelines for facilitating and improving support in this context.

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Experiences With Social Participation in Group Physical Activity Programs for Older Adults

Chantelle Zimmer, Meghan H. McDonough, Jennifer Hewson, Ann Toohey, Cari Din, Peter R.E. Crocker, and Erica V. Bennett

Little is known about how social participation can be facilitated among older adults in group physical activity and its psychosocial benefits that contribute to successful aging. This study aimed to understand older adults’ experiences with social participation in group physical activity programs. Using interpretive description methodology, 16 observations, eight focus groups, and two interviews with participants unable to attend focus groups were conducted with adults 55 years and older attending programs across four recreation facilities. Group programs were found to influence social participation through (a) a meaningful context for connecting and (b) instructors’ expectations of social interaction. Social participation in these programs addressed psychosocial needs by (c) increasing social contact and interaction, (d) fostering social relationships and belonging, and (e) promoting regular engagement. Training for instructors should include balancing the physical aspects of program delivery with the social, while also considering older adults’ diverse needs and preferences for social interaction.

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Instructor Social Support in the Group Physical Activity Context: Older Participants’ Perspectives

Lindsay Morrison, Meghan H. McDonough, Chantelle Zimmer, Cari Din, Jennifer Hewson, Ann Toohey, Peter R.E. Crocker, and Erica V. Bennett

Instructors in organized physical activity classes can be a source of social support through their relationships with participants, influence on participants’ interactions with each other, and design of activities. Grounded in interpretive description, the objective of this study was to examine older adults’ experiences of and their perspectives on group physical activity instructors’ supportive behaviors. Observations of 16 group physical activity classes (N = 295) and focus groups or interviews with N = 38 class participants aged ≥ 55 (n = 29 women) were conducted at four municipal recreation facilities in a Canadian city. Five themes shed light on how instructors provided social support: (a) supporting autonomous engagement, (b) developing caring connections, (c) fostering trust through expert instruction, (d) managing conflict directly and effectively, and (e) creating a climate where people want to go. Instructor training should consider older adults’ social support needs and help instructors embody behaviors that support continued physical activity participation, thereby contributing to healthy aging.