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E-Thesis 471 views 217 downloads

Developing a Person-Centred, Multi-level Physical Activity Intervention for Older Adults / TAYLOR WATERS

Swansea University Author: TAYLOR WATERS

DOI (Published version): 10.23889/SUthesis.59730

Abstract

Physical inactivity in older adults presents a significant problem within contemporary society. Governments around the world are recognising this importance and the large impact of physical inactivity on health and health-related expenditure, yet interventions promoting physical activity have typica...

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Published: Swansea 2022
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Hudson, Joanne ; Mackintosh, Kelly ; McNarry, Melitta
URI: https://cronfa.swan.ac.uk/Record/cronfa59730
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first_indexed 2022-03-29T09:11:41Z
last_indexed 2022-03-30T03:27:45Z
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spelling 2022-03-29T10:38:05.0241485 v2 59730 2022-03-29 Developing a Person-Centred, Multi-level Physical Activity Intervention for Older Adults c57f3d957692dd3cda87c92089a779ed TAYLOR WATERS TAYLOR WATERS true false 2022-03-29 Physical inactivity in older adults presents a significant problem within contemporary society. Governments around the world are recognising this importance and the large impact of physical inactivity on health and health-related expenditure, yet interventions promoting physical activity have typically produced only small or short‐lived behaviour change. Through three related studies, this thesis aims to develop a person-centred, multi-level physical activity intervention within a residential estate of older adults. The first study used qualitative methods to develop a person-centred understanding of the multi-level influencers of physical activity engagement within the targeted individuals. These findings were then applied within study 2, which implemented a 12-week physical activity intervention within the residential estate and used a mixed-methods approach to assess its implementation and explore personal experiences of the intervention strategies designed by the person-centred approach. The final study explored the transitions associated with older adults to develop an understanding of purpose, meaning and identity in later life, and how this can influence physical activity behaviour. The findings of the third study were presented within a composite vignette of the transition experiences of 4 older adults within the residential estate. The thesis presents an effective and appropriate strategy for developing person-centred, multi-level physical activity intervention for older adults. Contrary to the health-focused emphasis that is predominantly adopted by public health initiatives, the findings of this thesis highlight the importance of purpose, and related constructs such as meaning and identity for understanding and promoting physical activity behaviour in older adults. The findings suggest that future person-centred physical activity interventions for older adults should take into consideration the changes in sense of purpose as individuals become older and design intervention strategies to maximise a sense of purpose in life, and to provide more meaningful sources of physical activity. E-Thesis Swansea Physical Activity, Older Adults, Behaviour Change, Intervention 21 3 2022 2022-03-21 10.23889/SUthesis.59730 COLLEGE NANME COLLEGE CODE Swansea University Hudson, Joanne ; Mackintosh, Kelly ; McNarry, Melitta Doctoral Ph.D KESS 2022-03-29T10:38:05.0241485 2022-03-29T10:08:30.2969441 Faculty of Science and Engineering School of Engineering and Applied Sciences - Uncategorised TAYLOR WATERS 1 59730__23712__949ecc636ec0436bae588d7fc7dfc30c.pdf Waters_Taylor_PhD_Thesis_Final _Redacted_Signatures.pdf 2022-03-29T10:30:45.9504171 Output 16120762 application/pdf E-Thesis – open access true true eng
title Developing a Person-Centred, Multi-level Physical Activity Intervention for Older Adults
spellingShingle Developing a Person-Centred, Multi-level Physical Activity Intervention for Older Adults
TAYLOR WATERS
title_short Developing a Person-Centred, Multi-level Physical Activity Intervention for Older Adults
title_full Developing a Person-Centred, Multi-level Physical Activity Intervention for Older Adults
title_fullStr Developing a Person-Centred, Multi-level Physical Activity Intervention for Older Adults
title_full_unstemmed Developing a Person-Centred, Multi-level Physical Activity Intervention for Older Adults
title_sort Developing a Person-Centred, Multi-level Physical Activity Intervention for Older Adults
author_id_str_mv c57f3d957692dd3cda87c92089a779ed
author_id_fullname_str_mv c57f3d957692dd3cda87c92089a779ed_***_TAYLOR WATERS
author TAYLOR WATERS
author2 TAYLOR WATERS
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publishDate 2022
institution Swansea University
doi_str_mv 10.23889/SUthesis.59730
college_str Faculty of Science and Engineering
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hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Engineering and Applied Sciences - Uncategorised{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Uncategorised
document_store_str 1
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description Physical inactivity in older adults presents a significant problem within contemporary society. Governments around the world are recognising this importance and the large impact of physical inactivity on health and health-related expenditure, yet interventions promoting physical activity have typically produced only small or short‐lived behaviour change. Through three related studies, this thesis aims to develop a person-centred, multi-level physical activity intervention within a residential estate of older adults. The first study used qualitative methods to develop a person-centred understanding of the multi-level influencers of physical activity engagement within the targeted individuals. These findings were then applied within study 2, which implemented a 12-week physical activity intervention within the residential estate and used a mixed-methods approach to assess its implementation and explore personal experiences of the intervention strategies designed by the person-centred approach. The final study explored the transitions associated with older adults to develop an understanding of purpose, meaning and identity in later life, and how this can influence physical activity behaviour. The findings of the third study were presented within a composite vignette of the transition experiences of 4 older adults within the residential estate. The thesis presents an effective and appropriate strategy for developing person-centred, multi-level physical activity intervention for older adults. Contrary to the health-focused emphasis that is predominantly adopted by public health initiatives, the findings of this thesis highlight the importance of purpose, and related constructs such as meaning and identity for understanding and promoting physical activity behaviour in older adults. The findings suggest that future person-centred physical activity interventions for older adults should take into consideration the changes in sense of purpose as individuals become older and design intervention strategies to maximise a sense of purpose in life, and to provide more meaningful sources of physical activity.
published_date 2022-03-21T04:17:15Z
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