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Older Adults’ Perceptions toward Walking: A Qualitative Study Using a Social-Ecological Model

Author

Listed:
  • Ka-Man Leung

    (Department of Health and Physical Education, Education University of Hong Kong, Hong Kong, China)

  • Kai-Ling Ou

    (Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China)

  • Pak-Kwong Chung

    (Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China)

  • Cecilie Thøgersen-Ntoumani

    (Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, 5000 Odense, Denmark)

Abstract

Objectives: In this study, we aimed to investigate older adults’ perceptions of their walking experiences, using the social-ecological model as a guiding framework and to propose future walking intervention content. Methods: Thirty-eight participants (19 women; 47% from private elderly centers; mean age = 72.8 (SD = 7.4 years) took part in semi-structured interviews. Qualitative data analysis software QSR-NVivo was used for thematic coding. Results: Thematic deductive analysis revealed pertinent themes at the individual level (health benefits and barriers, fall risk, perseverance, and walking as a suitable activity for older adults), social environment level (social support and social interaction), physical environment level (density, land-use mix, and connectivity; perceived safety, pedestrian facilities (benches, quality of walking paths and sidewalks, and aesthetics), other pedestrian behaviors, and weather, and policy level (lack of walking programs in the community, and supportive culture for an active lifestyle). Discussion: Our findings provide insights for the planning of future multilevel walking intervention programs for older adults in Hong Kong. It is suggested that future walking intervention should include professionals (e.g., physiotherapist or coach) in a group setting, practical walking recommendations such as proper walking posture, and additional fun activities for older adults.

Suggested Citation

  • Ka-Man Leung & Kai-Ling Ou & Pak-Kwong Chung & Cecilie Thøgersen-Ntoumani, 2021. "Older Adults’ Perceptions toward Walking: A Qualitative Study Using a Social-Ecological Model," IJERPH, MDPI, vol. 18(14), pages 1-19, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7686-:d:597445
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    References listed on IDEAS

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    1. Yuxin Cao & Chye Kiang Heng & John Chye Fung, 2019. "Using Walk-Along Interviews to Identify Environmental Factors Influencing Older Adults’ Out-of-Home Behaviors in a High-Rise, High-Density Neighborhood," IJERPH, MDPI, vol. 16(21), pages 1-22, November.
    2. Hae Young Yun, 2019. "Environmental Factors Associated with Older Adult’s Walking Behaviors: A Systematic Review of Quantitative Studies," Sustainability, MDPI, vol. 11(12), pages 1-45, June.
    3. Arlie Adkins & Carrie Makarewicz & Michele Scanze & Maia Ingram & Gretchen Luhr, 2017. "Contextualizing Walkability: Do Relationships Between Built Environments and Walking Vary by Socioeconomic Context?," Journal of the American Planning Association, Taylor & Francis Journals, vol. 83(3), pages 296-314, July.
    4. Devereux-Fitzgerald, Angela & Powell, Rachael & Dewhurst, Anne & French, David P., 2016. "The acceptability of physical activity interventions to older adults: A systematic review and meta-synthesis," Social Science & Medicine, Elsevier, vol. 158(C), pages 14-23.
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