Understanding the behavioural determinants of active travel among older adults: A mixed methods study

IF 3.2 3区 工程技术 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Avet Khachatryan , Paula Voorheis , Ignacio Tiznado-Aitken , Michelle Silver
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引用次数: 0

Abstract

Introduction

Active travel is an accessible form of physical activity, associated with physical and mental health benefits, particularly for older adults. This study aimed to identify the behavioural determinants that significantly impact older adults’ engagement in active travel as well as how and why these behavioural determinants occur.

Methods

This study employed an explanatory sequential mixed methods design informed by the Theoretical Domains Framework (TDF). The study focused on older adults in Scarborough, Canada. In the quantitative phase, a TDF-informed survey was distributed among Scarborough older adults and analyzed using descriptive statistics, Chi-squared tests, and generalized linear models. TDF determinants that significantly impacted older adult participants in active travel were identified. The qualitative phase followed up with select survey participants about their experiences with these TDF determinants. Semi-structured interviews were conducted, and data was analyzed using thematic codebook analysis. To integrate the quantitative and quantitative results, data were interpreted and integrated using a joint display matrix.

Results

The survey results suggest that the TDF domains of motivation (i.e., feeling inspired to active travel) and skill (i.e., having the aptitude to active travel) were highly predictive of active travel behaviour among older adults in Scarborough, Canada. Beyond the TDF, the likelihood of active travel increased if participants reported being encouraged and satisfied with their health, fitness, exercise, and well-being in general. The interview results suggest that fostering motivation and skill require a network of interventions that address multiple TDF domains such as promoting action planning, creating commitment, building social connectedness, increasing awareness of active travel options, and building emotional and physical safety. By integrating the quantitative and qualitative results, three overarching themes were presented about older adults’ needs to engage in active travel: building reassurance (i.e., putting safety first); building meaningfulness (i.e., creating joy, fulfillment, and purpose); and building relatedness (i.e., creating awareness and connection).

Conclusions

This study suggests several important implications for future research and policy. The results of this study provide evidence to support investment in both built environment improvements (e.g., safer intersections, bike lanes, lower vehicle speed limits, public transit subsidies) as well as tailored activities to promote active travel (e.g., public awareness campaigns, skill development activities, organized walks). The mixed methods study design employed in this study in conjunction with a novel application of the TDF allowed for a more thorough understanding of behavioural determinants of active travel among older adults.

了解老年人积极出行的行为决定因素:混合方法研究
引言 积极出行是一种方便的体育活动形式,对身心健康有益,尤其是对老年人而言。本研究旨在确定对老年人参与积极出行产生重大影响的行为决定因素,以及这些行为决定因素是如何产生的以及产生的原因。研究重点是加拿大士嘉堡的老年人。在定量研究阶段,向士嘉堡的老年人发放了一份以 TDF 为基础的调查问卷,并使用描述性统计、卡方检验和广义线性模型进行分析。确定了对老年人积极出行有重大影响的 TDF 决定因素。定性阶段对部分调查参与者进行了跟踪调查,了解他们在这些 TDF 决定因素方面的经验。我们进行了半结构式访谈,并使用主题编码本分析法对数据进行了分析。为了整合定量和定性结果,我们使用联合显示矩阵对数据进行了解释和整合。 调查结果表明,TDF 的动机(即积极出行的灵感)和技能(即积极出行的能力)对加拿大士嘉堡老年人的积极出行行为具有很高的预测性。除了 TDF 之外,如果参与者对自己的健康、体能、锻炼和总体幸福感表示鼓励和满意,那么积极出行的可能性就会增加。访谈结果表明,要培养积极性和技能,需要针对多个 TDF 领域(如促进行动规划、创造承诺、建立社会联系、提高对积极出行选择的认识以及建立情感和身体安全)采取一系列干预措施。通过整合定量和定性结果,提出了老年人参与积极出行需求的三大主题:建立保证(即把安全放在第一位);建立意义(即创造快乐、成就感和目的);以及建立关联(即建立意识和联系)。本研究的结果为投资改善建筑环境(如更安全的交叉路口、自行车道、降低车速限制、公共交通补贴)以及有针对性的活动(如提高公众意识活动、技能发展活动、有组织的步行)提供了支持。本研究采用了混合方法研究设计,并对 TDF 进行了新颖的应用,从而对老年人积极出行的行为决定因素有了更透彻的了解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.10
自引率
11.10%
发文量
196
审稿时长
69 days
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