A recent qualitative study was conducted as part of the 'SITLESS' randomised control trial which was implemented in four European countries (Denmark, Spain, Germany and Northern Ireland)[1]. It investigated the ability of an enhanced exercise referral scheme (ERS), including self-management strategies to reduce sedentary behaviour (SB), increase physical activity (PA) and improve physical function. All participants were aged 65 or over and the study was conducted based on a standardised protocol and semi-structured questioning.
The results of this study found many overarching themes with various sub -themes. To summarise the overarching themes were split into:
- Context
- Implementation
- Mechanisms of impact
- Perceived effects
And within these overarching themes included sub-themes such as:
- Social + personal environmental factors
- Personal factors
- Social, practical and structural enablers
- Habit formation
- Increased awareness of the health benefits associated with increasing PA and reducing SB
- The impact of the lived experience of the programme on physical functioning
- The impact of functional and emotional well-being in motivating change
- Impact on social relationships
- Physical and mental well-being benefits of developing healthier behaviours
- Difficulties of maintaining change without supportive structures in place
The results of this study therefore highlight both the barriers and facilitators in regards to participation in an exercise referral scheme. Analysis of these themes suggest that the creation and design of an intervention should include group-based training as it promotes adherence to the programme, and to encourage the maintenance of specific behaviours through peer support and connectedness. Furthermore, enjoyment is an important factor and is a potential mediator for maintenance. Therefore, to promote PA maintenance and reduce SB, signposting and access to facilities should be key factors in the promotion of positive lifestyle behaviours.
References:
[1] BLACKBURN, N et al., 2021. Older Adults’ Experiences of a Physical Activity and Sedentary Behaviour Intervention: A Nested Qualitative Study in the SITLESS Multi-Country Randomised Clinical Trial. International Journal of Environmental Research and Public Health, 18(9), 4730
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