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Self-organizing peer coach groups to increase daily physical activity in community dwelling older adults

Many older adults do not reach the recommended level of physical activity, despite many professional-delivered physical activity interventions. Here we study the implementation of a novel physical activity intervention for older adults that is self-sustainable (no financial support) and self-organiz...

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Autores principales: van de Vijver, Paul, Schalkwijk, Frank, Numans, Mattijs E, Slaets, Joris P.J., van Bodegom, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7567038/
https://www.ncbi.nlm.nih.gov/pubmed/33088676
http://dx.doi.org/10.1016/j.pmedr.2020.101181
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author van de Vijver, Paul
Schalkwijk, Frank
Numans, Mattijs E
Slaets, Joris P.J.
van Bodegom, David
author_facet van de Vijver, Paul
Schalkwijk, Frank
Numans, Mattijs E
Slaets, Joris P.J.
van Bodegom, David
author_sort van de Vijver, Paul
collection PubMed
description Many older adults do not reach the recommended level of physical activity, despite many professional-delivered physical activity interventions. Here we study the implementation of a novel physical activity intervention for older adults that is self-sustainable (no financial support) and self-organizing (participants act as organizers) due to peer coaching. We implemented three groups and evaluated process and effect using participatory observations, questionnaires, six-minute walk tests and body composition measures from October 2016 to September 2018. The intervention was implemented by staff without experience in physical activity interventions. Facilitators were a motivated initiator and a non-professional atmosphere for participants to take ownership. Barriers were the absence of motivated participants to take ownership and insufficient participants to ensure the presence of participants at every exercise session. The groups exercised outside five days a week and were self-organizing after 114, 216 and 263 days. The initial investments were 170€ for sport equipment and 81–187 h. The groups reached 118 members and a retention of 86.4% in two years. The groups continue to exist at the time of writing and are self-sustainable. Quality of life increased 0.4 on a ten-point scale (95%CI 0.1–0.7; p = 0.02) and six-minute walk test results improved with 33 m (95%CI 18–48; p < 0.01) annually. Self-organizing peer coach groups for physical activity are feasible, have positive effects on health and require only a small investment at the start. It is a sustainable and potentially scalable intervention that could be a promising method to help many older adults age healthier.
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spelling pubmed-75670382020-10-20 Self-organizing peer coach groups to increase daily physical activity in community dwelling older adults van de Vijver, Paul Schalkwijk, Frank Numans, Mattijs E Slaets, Joris P.J. van Bodegom, David Prev Med Rep Short Communication Many older adults do not reach the recommended level of physical activity, despite many professional-delivered physical activity interventions. Here we study the implementation of a novel physical activity intervention for older adults that is self-sustainable (no financial support) and self-organizing (participants act as organizers) due to peer coaching. We implemented three groups and evaluated process and effect using participatory observations, questionnaires, six-minute walk tests and body composition measures from October 2016 to September 2018. The intervention was implemented by staff without experience in physical activity interventions. Facilitators were a motivated initiator and a non-professional atmosphere for participants to take ownership. Barriers were the absence of motivated participants to take ownership and insufficient participants to ensure the presence of participants at every exercise session. The groups exercised outside five days a week and were self-organizing after 114, 216 and 263 days. The initial investments were 170€ for sport equipment and 81–187 h. The groups reached 118 members and a retention of 86.4% in two years. The groups continue to exist at the time of writing and are self-sustainable. Quality of life increased 0.4 on a ten-point scale (95%CI 0.1–0.7; p = 0.02) and six-minute walk test results improved with 33 m (95%CI 18–48; p < 0.01) annually. Self-organizing peer coach groups for physical activity are feasible, have positive effects on health and require only a small investment at the start. It is a sustainable and potentially scalable intervention that could be a promising method to help many older adults age healthier. 2020-08-21 /pmc/articles/PMC7567038/ /pubmed/33088676 http://dx.doi.org/10.1016/j.pmedr.2020.101181 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Short Communication
van de Vijver, Paul
Schalkwijk, Frank
Numans, Mattijs E
Slaets, Joris P.J.
van Bodegom, David
Self-organizing peer coach groups to increase daily physical activity in community dwelling older adults
title Self-organizing peer coach groups to increase daily physical activity in community dwelling older adults
title_full Self-organizing peer coach groups to increase daily physical activity in community dwelling older adults
title_fullStr Self-organizing peer coach groups to increase daily physical activity in community dwelling older adults
title_full_unstemmed Self-organizing peer coach groups to increase daily physical activity in community dwelling older adults
title_short Self-organizing peer coach groups to increase daily physical activity in community dwelling older adults
title_sort self-organizing peer coach groups to increase daily physical activity in community dwelling older adults
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7567038/
https://www.ncbi.nlm.nih.gov/pubmed/33088676
http://dx.doi.org/10.1016/j.pmedr.2020.101181
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