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Community Readiness for the Promotion of Physical Activity in Older Adults—A Cross-Sectional Comparison of Rural and Urban Communities

Author

Listed:
  • Dirk Gansefort

    (Leibniz Institute for Prevention Research and Epidemiology—BIPS, Achterstr. 30, 28359 Bremen, Germany)

  • Tilman Brand

    (Leibniz Institute for Prevention Research and Epidemiology—BIPS, Achterstr. 30, 28359 Bremen, Germany)

  • Christina Princk

    (Leibniz Institute for Prevention Research and Epidemiology—BIPS, Achterstr. 30, 28359 Bremen, Germany)

  • Hajo Zeeb

    (Leibniz Institute for Prevention Research and Epidemiology—BIPS, Achterstr. 30, 28359 Bremen, Germany
    Research Focus Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany)

Abstract

Communities can play an important role in delivering public health programs to older adults, but they differ in the provision of local structures and resources. The community readiness (CR) approach applies a stage model of change to the community level and analyzes structures and the degree of willingness to take action on a health issue. This study compared the CR regarding the promotion of physical activity as part of healthy ageing for older adults among urban and rural communities in North-West Germany. A cross-sectional CR assessment with key respondents in 23 municipalities (11 urban and 12 rural communities) was conducted using a semi-structured interview. Interviews were scored across the five CR dimensions and global CR score was calculated (scores between 1 = no awareness and 9 = professionalization). Wilcoxon rank-sum test and hierarchical regression models were used to compare urban and rural communities. In total, 118 interviews were conducted (response rate 69.8%). On average, the communities showed moderate CR scores (4.9 ± 0.3; Range: 4.3–5.4; preplanning or preparation phase). The global CR score was slightly higher in rural than in urban communities (regression coefficient = 0.29, 95% confidence interval (CI): ?0.02–0.59). The rural communities showed significantly higher CR scores in the ‘Knowledge of efforts’ dimension (0.70, 95% CI: 0.26–1.14) and in the ‘Knowledge of the issue’ (0.37, 95% CI: 0.04–0.70). Rural communities display a slightly higher CR level than urban communities. In the next step, targeted capacity building activities will be initiated among communities with low CR levels.

Suggested Citation

  • Dirk Gansefort & Tilman Brand & Christina Princk & Hajo Zeeb, 2018. "Community Readiness for the Promotion of Physical Activity in Older Adults—A Cross-Sectional Comparison of Rural and Urban Communities," IJERPH, MDPI, vol. 15(3), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:3:p:453-:d:134869
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    References listed on IDEAS

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    1. Iordan Kostadinov & Mark Daniel & Linda Stanley & Agustina Gancia & Margaret Cargo, 2015. "A Systematic Review of Community Readiness Tool Applications: Implications for Reporting," IJERPH, MDPI, vol. 12(4), pages 1-16, March.
    2. Sarah Forberger & Karin Bammann & Jürgen Bauer & Susanne Boll & Gabriele Bolte & Tilman Brand & Andreas Hein & Frauke Koppelin & Sonia Lippke & Jochen Meyer & Claudia R. Pischke & Claudia Voelcker-Reh, 2017. "How to Tackle Key Challenges in the Promotion of Physical Activity among Older Adults (65+): The AEQUIPA Network Approach," IJERPH, MDPI, vol. 14(4), pages 1-18, April.
    3. Ross, Catherine E., 2000. "Walking, exercising, and smoking: does neighborhood matter?," Social Science & Medicine, Elsevier, vol. 51(2), pages 265-274, July.
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    1. Manuela Peters & Tiara Ratz & Frauke Wichmann & Sonia Lippke & Claudia Voelcker-Rehage & Claudia R. Pischke, 2022. "Ecological Predictors of Older Adults’ Participation and Retention in a Physical Activity Intervention," IJERPH, MDPI, vol. 19(6), pages 1-25, March.
    2. Xiaojie Zhang & Xiaoyu Liu & Lili Wang, 2023. "Evaluating Community Capability to Prevent and Control COVID-19 Pandemic in Shenyang, China: An Empirical Study Based on a Modified Framework of Community Readiness Model," IJERPH, MDPI, vol. 20(5), pages 1-19, February.
    3. Apirak Bumyut & Sasithorn Thanapop & Dusanee Suwankhong, 2022. "Exploring Readiness towards Effective Implementation of Safety and Health Measures for COVID-19 Prevention in Nakhon-Si-Thammarat Community-Based Tourism of Southern Thailand," IJERPH, MDPI, vol. 19(16), pages 1-13, August.
    4. Furqan Ahmed & Ghufran Ahmad & Katharina Paff & Florence Samkange-Zeeb & Tilman Brand, 2021. "A Cross-Sectional Community Readiness Assessment for Implementing School-Based Comprehensive Sexuality Education in Islamabad, Pakistan," IJERPH, MDPI, vol. 18(4), pages 1-14, February.
    5. Gesa Lehne & Claudia Voelcker-Rehage & Jochen Meyer & Karin Bammann & Dirk Gansefort & Tanja Brüchert & Gabriele Bolte, 2019. "Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework," IJERPH, MDPI, vol. 16(3), pages 1-17, February.

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