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Improving centre-based group exercise participation of older adults using the behaviour change wheel

An emphasis on active ageing could help to delay the onset of frailty. In Singapore, Senior Activity Centres provide free and guided group exercise sessions for older adults. However, one such centre had very low participation rates among community-dwelling older adults despite running standardised...

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Autores principales: Kwok, Boon Chong, Wong, Wai Pong, Remedios, Louisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7887340/
https://www.ncbi.nlm.nih.gov/pubmed/33589505
http://dx.doi.org/10.1136/bmjoq-2020-001078
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author Kwok, Boon Chong
Wong, Wai Pong
Remedios, Louisa
author_facet Kwok, Boon Chong
Wong, Wai Pong
Remedios, Louisa
author_sort Kwok, Boon Chong
collection PubMed
description An emphasis on active ageing could help to delay the onset of frailty. In Singapore, Senior Activity Centres provide free and guided group exercise sessions for older adults. However, one such centre had very low participation rates among community-dwelling older adults despite running standardised programmes. Based on a needs analysis from a prior project, this paper reports on strategies implemented to improve the daily centre-based group exercise participation rate among community-dwelling older adults. Using the behaviour change wheel model, participant motivation domains were identified as primary gaps, while the psychological capability and physical opportunity were categorised as secondary gaps. A logic model was used to design a project to respond to these identified gaps and guide the evaluation approach. Three strategies were implemented over a 4-week period and reviewed at 6 months: (1) promotion of the exercise classes, (2) delayed rewards for participation and (3) health ambassadors. Evaluation findings highlighted that more resources were needed for the training of community-dwelling older adult healthcare ambassadors in the use of motivational interviewing. The interventions were found to be efficacious in increasing daily group exercise participation rate at the centre, from an average of three to nine participants per day over the 4 weeks. Furthermore, more than 60% of these participants achieved the WHO’s weekly minimum exercise recommendation for older adults (150 min moderate-intensity physical activity). To increase the engagement of older adults in physical activity or exercise participation, we recommend the use of behaviour change wheel model and the use of community-based health ambassadors. In conclusion, the project found improved daily centre-based group physical exercise participation rates when all the domains in the behaviour change wheel model were addressed.
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spelling pubmed-78873402021-03-03 Improving centre-based group exercise participation of older adults using the behaviour change wheel Kwok, Boon Chong Wong, Wai Pong Remedios, Louisa BMJ Open Qual Quality Improvement Report An emphasis on active ageing could help to delay the onset of frailty. In Singapore, Senior Activity Centres provide free and guided group exercise sessions for older adults. However, one such centre had very low participation rates among community-dwelling older adults despite running standardised programmes. Based on a needs analysis from a prior project, this paper reports on strategies implemented to improve the daily centre-based group exercise participation rate among community-dwelling older adults. Using the behaviour change wheel model, participant motivation domains were identified as primary gaps, while the psychological capability and physical opportunity were categorised as secondary gaps. A logic model was used to design a project to respond to these identified gaps and guide the evaluation approach. Three strategies were implemented over a 4-week period and reviewed at 6 months: (1) promotion of the exercise classes, (2) delayed rewards for participation and (3) health ambassadors. Evaluation findings highlighted that more resources were needed for the training of community-dwelling older adult healthcare ambassadors in the use of motivational interviewing. The interventions were found to be efficacious in increasing daily group exercise participation rate at the centre, from an average of three to nine participants per day over the 4 weeks. Furthermore, more than 60% of these participants achieved the WHO’s weekly minimum exercise recommendation for older adults (150 min moderate-intensity physical activity). To increase the engagement of older adults in physical activity or exercise participation, we recommend the use of behaviour change wheel model and the use of community-based health ambassadors. In conclusion, the project found improved daily centre-based group physical exercise participation rates when all the domains in the behaviour change wheel model were addressed. BMJ Publishing Group 2021-02-15 /pmc/articles/PMC7887340/ /pubmed/33589505 http://dx.doi.org/10.1136/bmjoq-2020-001078 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Quality Improvement Report
Kwok, Boon Chong
Wong, Wai Pong
Remedios, Louisa
Improving centre-based group exercise participation of older adults using the behaviour change wheel
title Improving centre-based group exercise participation of older adults using the behaviour change wheel
title_full Improving centre-based group exercise participation of older adults using the behaviour change wheel
title_fullStr Improving centre-based group exercise participation of older adults using the behaviour change wheel
title_full_unstemmed Improving centre-based group exercise participation of older adults using the behaviour change wheel
title_short Improving centre-based group exercise participation of older adults using the behaviour change wheel
title_sort improving centre-based group exercise participation of older adults using the behaviour change wheel
topic Quality Improvement Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7887340/
https://www.ncbi.nlm.nih.gov/pubmed/33589505
http://dx.doi.org/10.1136/bmjoq-2020-001078
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