A Grounded Theory of Walking for Health Promotion in Older Urban Adults.

IF 4.6 2区 医学 Q1 GERONTOLOGY
Dong Ha Kim, Seunghyun Yoo
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引用次数: 0

Abstract

Background and objectives: Walking enhances the health, quality of life, and independence of older adults. However, a global decline in urban walking necessitates a re-evaluation of segmented, quantitative approaches to policies and theoretical frameworks in geriatric medicine for promoting walking among older adults. This study conceptualized the perceptions, experiences, and behaviors regarding walking, from a health promotion perspective, among older urban adults.

Research design and methods: Pedestrian-friendly communities were explored for older adults in Seoul, South Korea, using a grounded theory. Thirty-eight older adults actively engaged in walking were recruited between July and December 2020. A qualitative multimethod approach was used, and the collected data were analyzed using open, axial, and selective coding, with axial coding integrating textual and spatiobehavioral information.

Results: The open-coding process yielded 92 concepts, 47 subcategories, and 19 categories. Using axial and selective coding principles, a conceptual framework was developed to explain how walking shaped the daily lives of older urban adults and provided multidimensional health benefits. Walking perception attributes were characterized by "embodied subjectivity as a healthy older adult," "autonomy of movement," and "walking as a way to enrich or sustain life." Active walking facilitated interactions between older adults and their neighborhood environment within the context of compact and accessible urban living.

Discussion and implications: A healthy and age-friendly community encourages interactions between older adults and their neighborhood environment by providing opportunities for daily walking for several purposes, such as providing a sense of autonomy, increasing health-promoting behaviors, and creating a sense of community.

步行促进城市老年人健康的基础理论。
背景和目标:步行能增强老年人的健康、生活质量和独立性。然而,由于全球城市步行人数减少,因此有必要重新评估老年医学中促进老年人步行的政策和理论框架的细分、定量方法。本研究从促进健康的角度出发,对城市老年人对步行的看法、经验和行为进行了概念化:研究设计和方法:采用基础理论对韩国首尔老年人步行友好社区进行了调查。在 2020 年 7 月至 12 月期间,招募了 38 名积极参与步行的老年人。研究采用了多种定性方法,并使用开放式编码、轴向编码和选择性编码对收集到的数据进行分析,其中轴向编码综合了文本信息和空间行为信息:结果:开放式编码过程产生了 92 个概念、47 个子类别和 19 个类别。利用轴向和选择性编码原则,我们建立了一个概念框架来解释步行如何影响城市老年人的日常生活,并提供多方面的健康益处。步行感知属性的特点是 "作为健康老年人的体现主体性"、"运动的自主性 "和 "步行是丰富或维持生活的一种方式"。在城市生活紧凑、交通便利的背景下,积极步行促进了老年人与邻里环境之间的互动:一个健康和对老年人友好的社区通过提供日常步行的机会,鼓励老年人与邻里环境之间的互动,从而达到几个目的,如提供自主感、增加促进健康的行为和创造社区感。
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来源期刊
Gerontologist
Gerontologist GERONTOLOGY-
CiteScore
11.00
自引率
8.80%
发文量
171
期刊介绍: The Gerontologist, published since 1961, is a bimonthly journal of The Gerontological Society of America that provides a multidisciplinary perspective on human aging by publishing research and analysis on applied social issues. It informs the broad community of disciplines and professions involved in understanding the aging process and providing care to older people. Articles should include a conceptual framework and testable hypotheses. Implications for policy or practice should be highlighted. The Gerontologist publishes quantitative and qualitative research and encourages manuscript submissions of various types including: research articles, intervention research, review articles, measurement articles, forums, and brief reports. Book and media reviews, International Spotlights, and award-winning lectures are commissioned by the editors.
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