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Older Adults’ Experiences of a Physical Activity and Sedentary Behaviour Intervention: A Nested Qualitative Study in the SITLESS Multi-Country Randomised Clinical Trial

Background: The SITLESS programme comprises exercise referral schemes and self-management strategies and has been evaluated in a trial in Denmark, Spain, Germany and Northern Ireland. The aim of this qualitative study was to understand the implementation and contextual aspects of the intervention in...

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Autores principales: Blackburn, Nicole E., Skjodt, Mathias, Tully, Mark A., Mc Mullan, Ilona, Giné-Garriga, Maria, Caserotti, Paolo, Blancafort, Sergi, Santiago, Marta, Rodriguez-Garrido, Sara, Weinmayr, Gudrun, John-Köhler, Ulrike, Wirth, Katharina, Jerez-Roig, Javier, Dallmeier, Dhayana, Wilson, Jason J., Deidda, Manuela, McIntosh, Emma, Coll-Planas, Laura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124427/
https://www.ncbi.nlm.nih.gov/pubmed/33946717
http://dx.doi.org/10.3390/ijerph18094730
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author Blackburn, Nicole E.
Skjodt, Mathias
Tully, Mark A.
Mc Mullan, Ilona
Giné-Garriga, Maria
Caserotti, Paolo
Blancafort, Sergi
Santiago, Marta
Rodriguez-Garrido, Sara
Weinmayr, Gudrun
John-Köhler, Ulrike
Wirth, Katharina
Jerez-Roig, Javier
Dallmeier, Dhayana
Wilson, Jason J.
Deidda, Manuela
McIntosh, Emma
Coll-Planas, Laura
author_facet Blackburn, Nicole E.
Skjodt, Mathias
Tully, Mark A.
Mc Mullan, Ilona
Giné-Garriga, Maria
Caserotti, Paolo
Blancafort, Sergi
Santiago, Marta
Rodriguez-Garrido, Sara
Weinmayr, Gudrun
John-Köhler, Ulrike
Wirth, Katharina
Jerez-Roig, Javier
Dallmeier, Dhayana
Wilson, Jason J.
Deidda, Manuela
McIntosh, Emma
Coll-Planas, Laura
author_sort Blackburn, Nicole E.
collection PubMed
description Background: The SITLESS programme comprises exercise referral schemes and self-management strategies and has been evaluated in a trial in Denmark, Spain, Germany and Northern Ireland. The aim of this qualitative study was to understand the implementation and contextual aspects of the intervention in relation to the mechanisms of impact and to explore the perceived effects. Methods: Qualitative methodologies were nested in the SITLESS trial including 71 individual interviews and 12 focus groups targeting intervention and control group participants from postintervention to 18-month follow-up in all intervention sites based on a semi-structured topic guide. Results: Overarching themes were identified under the framework categories of context, implementation, mechanisms of impact and perceived effects. The findings highlight the perceived barriers and facilitators to older adults’ engagement in exercise referral schemes. Social interaction and enjoyment through the group-based programmes are key components to promote adherence and encourage the maintenance of targeted behaviours through peer support and connectedness. Exit strategies and signposting to relevant classes and facilities enabled the maintenance of positive lifestyle behaviours. Conclusions: When designing and implementing interventions, key components enhancing social interaction, enjoyment and continuity should be in place in order to successfully promote sustained behaviour change.
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spelling pubmed-81244272021-05-17 Older Adults’ Experiences of a Physical Activity and Sedentary Behaviour Intervention: A Nested Qualitative Study in the SITLESS Multi-Country Randomised Clinical Trial Blackburn, Nicole E. Skjodt, Mathias Tully, Mark A. Mc Mullan, Ilona Giné-Garriga, Maria Caserotti, Paolo Blancafort, Sergi Santiago, Marta Rodriguez-Garrido, Sara Weinmayr, Gudrun John-Köhler, Ulrike Wirth, Katharina Jerez-Roig, Javier Dallmeier, Dhayana Wilson, Jason J. Deidda, Manuela McIntosh, Emma Coll-Planas, Laura Int J Environ Res Public Health Article Background: The SITLESS programme comprises exercise referral schemes and self-management strategies and has been evaluated in a trial in Denmark, Spain, Germany and Northern Ireland. The aim of this qualitative study was to understand the implementation and contextual aspects of the intervention in relation to the mechanisms of impact and to explore the perceived effects. Methods: Qualitative methodologies were nested in the SITLESS trial including 71 individual interviews and 12 focus groups targeting intervention and control group participants from postintervention to 18-month follow-up in all intervention sites based on a semi-structured topic guide. Results: Overarching themes were identified under the framework categories of context, implementation, mechanisms of impact and perceived effects. The findings highlight the perceived barriers and facilitators to older adults’ engagement in exercise referral schemes. Social interaction and enjoyment through the group-based programmes are key components to promote adherence and encourage the maintenance of targeted behaviours through peer support and connectedness. Exit strategies and signposting to relevant classes and facilities enabled the maintenance of positive lifestyle behaviours. Conclusions: When designing and implementing interventions, key components enhancing social interaction, enjoyment and continuity should be in place in order to successfully promote sustained behaviour change. MDPI 2021-04-29 /pmc/articles/PMC8124427/ /pubmed/33946717 http://dx.doi.org/10.3390/ijerph18094730 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Blackburn, Nicole E.
Skjodt, Mathias
Tully, Mark A.
Mc Mullan, Ilona
Giné-Garriga, Maria
Caserotti, Paolo
Blancafort, Sergi
Santiago, Marta
Rodriguez-Garrido, Sara
Weinmayr, Gudrun
John-Köhler, Ulrike
Wirth, Katharina
Jerez-Roig, Javier
Dallmeier, Dhayana
Wilson, Jason J.
Deidda, Manuela
McIntosh, Emma
Coll-Planas, Laura
Older Adults’ Experiences of a Physical Activity and Sedentary Behaviour Intervention: A Nested Qualitative Study in the SITLESS Multi-Country Randomised Clinical Trial
title Older Adults’ Experiences of a Physical Activity and Sedentary Behaviour Intervention: A Nested Qualitative Study in the SITLESS Multi-Country Randomised Clinical Trial
title_full Older Adults’ Experiences of a Physical Activity and Sedentary Behaviour Intervention: A Nested Qualitative Study in the SITLESS Multi-Country Randomised Clinical Trial
title_fullStr Older Adults’ Experiences of a Physical Activity and Sedentary Behaviour Intervention: A Nested Qualitative Study in the SITLESS Multi-Country Randomised Clinical Trial
title_full_unstemmed Older Adults’ Experiences of a Physical Activity and Sedentary Behaviour Intervention: A Nested Qualitative Study in the SITLESS Multi-Country Randomised Clinical Trial
title_short Older Adults’ Experiences of a Physical Activity and Sedentary Behaviour Intervention: A Nested Qualitative Study in the SITLESS Multi-Country Randomised Clinical Trial
title_sort older adults’ experiences of a physical activity and sedentary behaviour intervention: a nested qualitative study in the sitless multi-country randomised clinical trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124427/
https://www.ncbi.nlm.nih.gov/pubmed/33946717
http://dx.doi.org/10.3390/ijerph18094730
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