Ashlyn M Jendro, Mary Ann Talley, Kaitlin M Gallagher, Abigail C Schmitt
{"title":"Gait Biomechanics of Older Adults in Outdoor and Simulated Environments: A Scoping Review.","authors":"Ashlyn M Jendro, Mary Ann Talley, Kaitlin M Gallagher, Abigail C Schmitt","doi":"10.1123/japa.2024-0192","DOIUrl":"https://doi.org/10.1123/japa.2024-0192","url":null,"abstract":"<p><strong>Background/objectives: </strong>Although walking studies conducted in replicated outdoor environments (e.g., virtual reality) or surfaces (e.g., grass surface in a laboratory) provide a safe way to analyze how older adults walk outdoors, how gait variables compare for the outdoor adjacent studies and true outdoor studies are unknown. The objective of this scoping review is to compare and contrast gait variables among older adults across outdoor and outdoor adjacent settings (i.e., outdoor adjacent environments and outdoor adjacent surfaces) and identify commonly measured variables.</p><p><strong>Methods: </strong>Primary source research papers were included that measured kinematic or spatiotemporal gait variables in an outdoor or adjacent environment/surface among adults 60+ years. Five bibliographic databases were searched for publications with terms related to older adults, walking/gait, outdoor/outdoor simulated environments, and kinematics/spatiotemporal variables. Articles were screened and summarized for sample information, collection methodology, and gait variables.</p><p><strong>Results: </strong>A sample of 1,020 articles were screened after duplicate removal, with only 16 studies meeting inclusion criteria. Studies conducted outdoors reported more variables than outdoor adjacent studies; however, few studies had overlapping spatiotemporal or kinematic variables. Across all studies, inconsistency of regularly measured spatiotemporal variables and reporting of variability exists. For instance, while gait velocity was reported in 63% of included studies, other measures such as step/stride width and step time were inconsistently reported.</p><p><strong>Conclusions: </strong>Little is known about how older adults ambulate in outdoor and simulated outdoor environments/surfaces. Authors acknowledge the significance of studies done indoors, but hope we are at a time of transition. Spatiotemporal variability in outdoor environments is understudied; more research of spatiotemporal and kinematic variables in real-world environments could help move toward understanding how people move in everyday life. Significance/Implications: A better understanding of how older adults move in daily life can help improve established therapy modalities and fall prevention strategies; however, the lack of comprehensive data comparing gait variables in outdoor environments to gait variables in outdoor adjacent environments makes drawing conclusions difficult. This review offers suggestions for future research to strengthen the body of literature and increase ecological validity for collection of outdoor gait measures. They include (a) standardized reporting of spatial and temporal variability measures using percent coefficient of variation and SDs, (b) integrating advanced technologies to enhance ecological validity, and (c) including diverse populations to improve generalizability.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-18"},"PeriodicalIF":1.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Daily Total Physical Activity and Hospitalization or Death in Older Adults in Assisted Living Residences: An Exploratory Cohort Study Using Two ActivPAL Accelerometers in Japan.","authors":"Tsunetaka Kijima, Kenju Akai, Shiho Amagasa, Shigeru Inoue, Shingo Yamagata, Yutaka Ishibashi, Hironori Tsukihashi, Tetsuya Makiishi","doi":"10.1123/japa.2024-0088","DOIUrl":"https://doi.org/10.1123/japa.2024-0088","url":null,"abstract":"<p><p>Older adults in assisted living residences spend most of their time engaged in sedentary activities. However, the relationship between physical activity, sitting time, or lying time and hospitalization and mortality in older adults remains unclear. Therefore, the present study aimed to evaluate the relationship between physical activity and hospitalization or death among older adults in assisted living residences. This exploratory prospective study included older adults in assisted living residences in Japan. Using two ActivPAL accelerometers attached to the chest and thigh, we assessed physical activity and posture, including lying down, sitting, standing, and stepping. The participants were followed up for 2-2.5 years. The primary outcome was a composite outcome, including all-cause hospitalization and mortality in a time-to-event analysis. Of 112 residents in two facilities, 35 patients were assessed using ActivPAL accelerometers. The primary outcome was observed in 22 of 19,154 person-days. The median values of the step count, upright time, sitting time, and lying down time were 1,004 steps, 149.5 min, 563.8 min, and 729.3 min, respectively. An upright time of <150 min/day significantly increased the risk of hospitalization and mortality compared with an upright time of >150 min daily. Upright time may be an important indicator of physical activity and posture in older adults in assisted living residences. Upright time of >150 min daily for older adults in assisted living residences might be an essential key affecting hospitalization and mortality; encouraging older adults to spend time outside their rooms may be beneficial.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"White Box Modeling of Self-Determined Sequence Exercise Program Among Sarcopenic Older Adults: Uncovering a Novel Strategy Overcoming Decline of Skeletal Muscle Area.","authors":"Meqi Wei, Shichun He, Deyu Meng, Zongnan Lv, Hongzhi Guo, Guang Yang, Ziheng Wang","doi":"10.1123/japa.2024-0123","DOIUrl":"https://doi.org/10.1123/japa.2024-0123","url":null,"abstract":"<p><strong>Background: </strong>Resistance exercise, Taichi exercise, and the hybrid exercise program consisting of the two aforementioned methods have been demonstrated to increase the skeletal muscle mass of older individuals with sarcopenia. However, the exercise sequence has not been comprehensively investigated. Therefore, we designed a self-determined sequence exercise program, incorporating resistance exercises, Taichi, and the hybrid exercise program to overcome the decline of skeletal muscle area and reverse sarcopenia in older individuals.</p><p><strong>Methods: </strong>Ninety-one older patients with sarcopenia between the ages of 60 and 75 completed this three-stage randomized controlled trial for 24 weeks, including the self-determined sequence exercise program group (n = 31), the resistance training group (n = 30), and the control group (n = 30). We used quantitative computed tomography to measure the effects of different intervention protocols on skeletal muscle mass in participants. Participants' demographic variables were analyzed using one-way analysis of variance and chi-square tests, and experimental data were examined using repeated-measures analysis of variance. Furthermore, we utilized the Markov model to explain the effectiveness of the exercise programs among the three-stage intervention and explainable artificial intelligence to predict whether intervention programs can reverse sarcopenia.</p><p><strong>Results: </strong>Repeated-measures analysis of variance results indicated that there were statistically significant Group × Time interactions detected in the L3 skeletal muscle density, L3 skeletal muscle area, muscle fat infiltration, handgrip strength, and relative skeletal muscle mass index. The stacking model exhibited the best accuracy (84.5%) and the best F1-score (68.8%) compared to other algorithms. In the self-determined sequence exercise program group, strength training contributed most to the reversal of sarcopenia.</p><p><strong>Conclusion: </strong>One self-determined sequence exercise program can improve skeletal muscle area among sarcopenic older people. Based on our stacking model, we can predict whether sarcopenia in older people can be reversed accurately. The trial was registered in ClinicalTrials.gov. TRN:NCT05694117.</p><p><strong>Significance: </strong>Our findings indicate that such tailored exercise interventions can substantially benefit sarcopenic patients, and our stacking model provides an accurate predictive tool for assessing the reversibility of sarcopenia in older adults. This approach not only enhances individual health outcomes but also informs future development of targeted exercise programs to mitigate age-related muscle decline.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-13"},"PeriodicalIF":1.4,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mustafa Cemali, Demet Öztürk, Mustafa Sarı, A Ayşe Karaduman
{"title":"Assessment of Pain, Frailty, Fear of Falling, and Kinesiophobia in Older Adults With and Without Type 2 Diabetes Mellitus.","authors":"Mustafa Cemali, Demet Öztürk, Mustafa Sarı, A Ayşe Karaduman","doi":"10.1123/japa.2024-0134","DOIUrl":"https://doi.org/10.1123/japa.2024-0134","url":null,"abstract":"<p><strong>Objectives: </strong>To compare older adults without Type 2 diabetes mellitus (DM) on levels of pain, frailty, fear of falling, and kinesiophobia, and to examine the relationship between these parameters in older adults with Type 2 DM.</p><p><strong>Methods: </strong>The study population included 120 older adults aged 65-88 years (mean: 70.98 ± 6.53), divided into two groups: 60 with and 60 without Type 2 DM. Pain, frailty, fear of falling, and kinesiophobia were assessed using the Visual Analog Scale, the Edmonton Frail Scale, the Tinetti Fall Efficacy Scale, and the Tampa Kinesiophobia Scale.</p><p><strong>Results: </strong>There was a statistically significant difference between the groups in terms of pain severity, frailty, fear of falling, and kinesiophobia (p < .05). A significant association was observed between pain severity, frailty, fear of falling, and kinesiophobia in older adults with Type 2 DM (p < .05).</p><p><strong>Conclusions: </strong>Higher levels of pain, frailty, fear of falling, and kinesiophobia were observed in participants with Type 2 DM compared with those without. The levels of frailty, fear of falling, higher levels of pain, and kinesiophobia were increased in those with Type 2 DM. An increase in fear of falling and kinesiophobia was associated with increased frailty. Furthermore, kinesiophobia was associated with an elevated fear of falling, and that fear of falling was associated with an increased likelihood of kinesiophobia.</p><p><strong>Implications: </strong>Health care professionals, public agencies, and nongovernmental organizations should work together to develop and implement policies, plans, and environmental regulations aimed at increasing physical activity levels and promoting independence in older adults with Type 2 DM.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patricia Lucas, Luigi T Bercades, Kay Hammond, Nicola Power
{"title":"Connecting With Older Adults in a Gym Environment: Perspectives of Fitness Professionals.","authors":"Patricia Lucas, Luigi T Bercades, Kay Hammond, Nicola Power","doi":"10.1123/japa.2024-0156","DOIUrl":"10.1123/japa.2024-0156","url":null,"abstract":"<p><strong>Background/objectives: </strong>As the world's aging population increases, the importance of prophylactic measures to combat disease becomes essential. Physical activity is a protective factor against noncommunicable disease, and exercise within gym facilities is a common way for older adults to engage in it. Older exercisers consider the quality of fitness professionals (FPs) an essential factor in their motivation to participate in physical activity. This study aims to investigate the FPs' expectations, learning, insights, and recommendations from their experiences of working with older adults in a gym environment.</p><p><strong>Methods: </strong>Participants were six gym instructors working at a facility in Auckland, New Zealand who supervise older adults in exercise classes and instruct on the use of gym equipment. They participated in semistructured interviews with a qualified research assistant. The authors utilized a pragmatic qualitative descriptive approach to the research and examined the data using inductive thematic analysis.</p><p><strong>Findings: </strong>Several broad themes were identified from the FPs' thoughts about instructing older adults. These included social interactions and developing relationships, openness, or resistance of older people to learning; FPs' expectations of older adults; a continuum of feelings; and professional learning and self-evaluation.</p><p><strong>Conclusion: </strong>The perceptions of FPs connecting with older adults provide insights for improving the implementation of exercise programs to increase positive outcomes from exercise among older adults. Crucial to these outcomes are relationship building and understanding the needs of older adults in a gym environment. Significance/Implications: From this study, we suggest there are opportunities for developing training courses as part of ongoing FPs' professional development to actively encourage older adult participation in physical activity for health and well-being.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Physical Activity Levels on Parkinson's Disease Motor and Nonmotor Symptoms and Quality of Life in Older Adults With Parkinson's Disease.","authors":"Younguk Kim, Jin Hyun Kim, Angela L Ridgel","doi":"10.1123/japa.2024-0252","DOIUrl":"https://doi.org/10.1123/japa.2024-0252","url":null,"abstract":"<p><strong>Background: </strong>Parkinson's disease (PD) affects motor and nonmotor functions, impacting PD-related quality of life. The role of physical activity (PA) in the management of PD symptoms is increasingly recognized.</p><p><strong>Purpose: </strong>To examine the effects of PA levels on PD motor and nonmotor symptoms, and health-related quality of life, using the Fox Insight study's data set. It also examines PA's moderating effects on the age-PD motor function relationship.</p><p><strong>Methods: </strong>In this cross-sectional observational study, 1,288 participants with PD (55.8% men, age: 64.54 ± 9.99) from the Fox Insight study were divided into four groups (N = 322 each) based on their PA level as measured by the Physical Activity Scale for the Elderly (PASE). PD motor and nonmotor symptoms were assessed using the Unified Parkinson's Disease Rating Scale-2 (UPDRS-2), Parkinson's Disease Questionnaire-8 (PDQ-8), Geriatric Depression Scale-Short Form, Penn Parkinson's Daily Activities Questionnaire-15, and EuroQol-Visual Analog Scale. Statistical analyses included Kruskal-Wallis, Pearson's correlation, and multiple linear regression, with alpha set at .05.</p><p><strong>Results: </strong>Higher PASE correlated with better UPDRS-2, Parkinson's Disease Questionnaire-8, Geriatric Depression Scale-Short Form, Penn Parkinson's Daily Activities Questionnaire-15, and EuroQol-Visual Analog Scale. The study found significant influences of PASE on UPDRS-2, age, Geriatric Depression Scale-Short Form, body mass index, and EQ-VAS (R2adj = .174, F = 53.998, p < .001). Notably, PASE moderated the relationship between age and UPDRS-2, suggesting a pivoting role in slowing PD-related symptom progression with age (R2adj = .145, F = 73.47, p < .001).</p><p><strong>Conclusion: </strong>Increased PA levels are associated with better outcomes in PD motor and nonmotor symptoms, improved PD-related quality of life, and a slowed progression of PD symptoms.</p><p><strong>Implications: </strong>Promoting higher levels of PA in older adults with PD effectively manages motor and nonmotor symptoms of PD. In addition, early and consistent PA is the key to moderating the progression of PD symptoms.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jiwon Choi, Jungmi Park, Jin-Young Choi, Taeksang Lee, Gyeong-Suk Jeon, Sung-Il Cho
{"title":"The Patterns of Physical Activity Using Latent Profile Analysis Applied to Accelerometry and Associated Sociodemographic and Health Factors Among Older Adults in Korea.","authors":"Jiwon Choi, Jungmi Park, Jin-Young Choi, Taeksang Lee, Gyeong-Suk Jeon, Sung-Il Cho","doi":"10.1123/japa.2024-0296","DOIUrl":"https://doi.org/10.1123/japa.2024-0296","url":null,"abstract":"<p><strong>Background/objectives: </strong>Although lower physical activity (PA) intensity and shorter duration are deemed appropriate for older adults, it remains unclear whether lighter intensity PA can be a significant characteristic of PA patterns. This study explored the underlying profile of PA patterns including lifestyle intensity assessed by accelerometry and associated sociodemographic factors among individuals aged ≥65 years.</p><p><strong>Methods: </strong>Using data from the 2017 Korea National Health and Nutrition Examination Survey, this study included 425 participants aged ≥65 years who wore an accelerometer for ≥10 hr/day, ≥3 days/week, over 1 week. To identify PA groups, latent profile analysis was conducted using the time spent in sedentary, light, lifestyle, and moderate-to-vigorous PA (MVPA). Multinomial logistic regression was performed to analyze sociodemographic factors influencing latent profiles.</p><p><strong>Results: </strong>Four profiles were identified, with lifestyle PA and MVPA as the key distinguishing patterns: high lifestyle PA, high MVPA, low overall PA, and average PA profiles. Compared with the average PA profile, older age and higher education lowered engagement in the high lifestyle PA profile, whereas better subjective health was positively associated. The high MVPA profile was positively associated with being men, whereas metabolic syndrome was negatively associated.</p><p><strong>Conclusions: </strong>The high lifestyle PA profile emerged as a novel discovery, considering the characteristics of older adults' PA. Rather than applying a uniform approach, a tailored approach to PA patterns for older adults is crucial. Significance/Implications: These findings underscore the importance of focusing on lifestyle-intensity activities such as casual walking and stretching in health promotion for older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Enzo A R Teza, Felipe de S Stigger, Augusto Demarchi, Lucas F Salvi, Mariane Ronconi, João Vítor El H Szortyka, Adriana T de Lemos
{"title":"High-Intensity Functional Exercises Associated or Not With Cognitive Stimulation Improves Cognition and Physical Performance in Older Adults: A Double-Blind Randomized Controlled Trial.","authors":"Enzo A R Teza, Felipe de S Stigger, Augusto Demarchi, Lucas F Salvi, Mariane Ronconi, João Vítor El H Szortyka, Adriana T de Lemos","doi":"10.1123/japa.2024-0270","DOIUrl":"https://doi.org/10.1123/japa.2024-0270","url":null,"abstract":"<p><strong>Background/objectives: </strong>Studies suggest that physical exercise improves physical and cognitive function in older adults, though the benefits of dual-task interventions remain controversial. This study aimed to assess whether adding cognitive training in a dual-task fashion to a high-intensity functional exercise program enhances gait speed, lower-extremity strength, dynamic balance, balance confidence, and cognitive function in older adults after 16 weeks.</p><p><strong>Methods: </strong>This double-blind randomized controlled trial included 96 community-dwelling older adults, randomly assigned to either a high-intensity functional exercise program, with 50% of physical exercises incorporating a cognitive task, or the same program without the cognitive task. Both groups performed two sessions per week of group training, including progressive strength and balance exercises, over 16 weeks. Physical and cognitive performances were assessed at baseline and after 16 weeks.</p><p><strong>Results: </strong>Mixed repeated-measure analysis of variance only demonstrated a significant effect of time on most assessed outcomes (p < .05), indicating that, independent of the group, the experimental intervention had positive effects on gait speed, functional lower extremity strength, balance confidence, and cognitive function.</p><p><strong>Conclusions: </strong>Both interventions improved cognition and physical performance. Simultaneous cognitive dual-task training does not appear to offer greater benefits compared with a high-intensity functional exercise program in community-dwelling older adults. Significance/Implications: Regardless of the simultaneous stimulation with cognitive tasks, our results add further evidence about the beneficial role of physical exercise in maintaining and/or improving health outcomes in community-dwelling older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Konstantina Katsoulis, Danielle R Bouchard, Rogih R Andrawes, Bill Kapralos, David Dunstan, Jennifer Copeland, Sean Horton, Shilpa Dogra
{"title":"\"It's Good. It's Really Good.\": Perspectives of Older Adults, Exercise/Recreation Professionals, and Primary Care Providers on Designing a Movement Behavior Intervention Using the Staircase Approach.","authors":"Konstantina Katsoulis, Danielle R Bouchard, Rogih R Andrawes, Bill Kapralos, David Dunstan, Jennifer Copeland, Sean Horton, Shilpa Dogra","doi":"10.1123/japa.2024-0175","DOIUrl":"https://doi.org/10.1123/japa.2024-0175","url":null,"abstract":"<p><strong>Background/objectives: </strong>Interventions targeting sedentary behavior in older adults have reported mixed success for behavior change. The previously proposed Staircase Approach offers a novel strategy to support long-term behavior change by targeting a reduction in sedentary time before progressing to increasing physical activity levels. The current study aimed to understand the perceptions of older adults, exercise/recreation professionals, and primary care providers (PCPs) about the critical components of a new intervention based on the Staircase Approach.</p><p><strong>Methods: </strong>Participants (older adults, 65+ years; PCPs; and exercise/recreation professionals) from three Canadian provinces (Alberta, Ontario, and New Brunswick), participated in semistructured focus groups. Transcripts from the sessions were analyzed using reflexive thematic analysis in the context of a previously conducted review by our team.</p><p><strong>Results: </strong>There were 17 focus groups (n = 50): four in older adults (n = 14), five with PCPs (n = 14), and eight with exercise/recreation professionals (n = 22). Participants expressed varying opinions on the components necessary for a relevant intervention. The need to embed options within the intervention, and to promote and deliver the intervention, was clear. Some themes were consistent across and within groups (e.g., simple, motivational messaging), whereas others differed (e.g., education, delivery mode, and contact). PCPs added insights about the needs of older adults who typically do not participate in research.</p><p><strong>Conclusion: </strong>Older adults have varied requirements, preferences, and skill levels that necessitate providing many options in any newly designed intervention. Significance/Implications: The intervention for the new Staircase Approach will require collaboration between multiple sectors to be successful.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum. Does Attraction Toward Physical Activity Predict Physical Activity Behavior in Older Adults?","authors":"","doi":"10.1123/japa.2025-0118","DOIUrl":"10.1123/japa.2025-0118","url":null,"abstract":"","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"309"},"PeriodicalIF":1.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}