"Now I Am Walking Toward Health": A Qualitative Study About the Outcomes of Physical Activity Participation That Matter to Older Adults.

IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Journal of Aging and Physical Activity Pub Date : 2024-05-15 Print Date: 2024-10-01 DOI:10.1123/japa.2023-0290
Peter J Young, Christine Wallsworth, Hitika Gosal, Dawn C Mackey
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引用次数: 0

Abstract

Background/objectives: Randomized controlled trials that deliver physical activity interventions have demonstrated benefits for older adults across numerous health outcomes. However, too little attention has been directed to ensuring that such trials are measuring patient-relevant outcomes. To support outcome selection for future trials, the objective of this study was to understand what outcomes related to their physical activity participation older adults find important.

Methods: We conducted 12 semistructured interviews with adults aged 65 years and older and analyzed interview transcripts with a reflexive thematic analysis.

Results: Older adults desired diverse outcomes from their physical activity participation, ranging from generic (e.g., quality of life) to specific (e.g., leg strength). Relevant outcomes were classified under five themes: physical, clinical, social, psychological, and overarching, each with respective subthemes.

Conclusions: The outcomes that older adults found important were plentiful and rooted in a desire to improve their quality of life. Some of the outcome themes have been reported frequently in past trials (e.g., physical), but others have not (e.g., social). Future researchers should be aware of, and responsive to, the priorities of older adults when designing trials and defining outcomes. Significance/Implications: This study will help to improve outcome selection for future trials of physical activity with older adults. In alignment with a patient-oriented research philosophy, this study will also ground future outcome selection in the priorities of older adults.

"现在我正走向健康":关于对老年人重要的体育活动参与结果的定性研究。
背景/目的:提供体育锻炼干预措施的随机对照试验表明,老年人在许多健康结果方面都能受益。然而,人们很少关注如何确保此类试验测量的是与患者相关的结果。为了支持未来试验的结果选择,本研究的目的是了解老年人认为哪些与参与体育活动相关的结果是重要的:我们对 65 岁及以上的老年人进行了 12 次半结构式访谈,并通过反思性主题分析法对访谈记录进行了分析:结果:老年人希望从参与体育活动中获得不同的结果,从一般结果(如生活质量)到具体结果(如腿部力量)不等。相关结果分为五个主题:身体、临床、社会、心理和总体,每个主题都有各自的次主题:结论:老年人认为重要的结果有很多,其根源在于他们希望提高生活质量。在过去的试验中,一些结果主题已被频繁报道(如身体),但另一些则没有(如社会)。未来的研究人员在设计试验和定义结果时,应了解并响应老年人的优先事项。意义/影响:这项研究将有助于改进未来针对老年人的体育锻炼试验的结果选择。根据以患者为导向的研究理念,本研究还将使未来的结果选择以老年人的优先事项为基础。
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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
105
审稿时长
>12 weeks
期刊介绍: The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults. In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.
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