Background
Methods
The PA intervention
Sample and recruitment
Interview guide development
Interview process
Data analysis
Results
Characteristics of the interviewees
Non- participants (n = 17) | Participants (n = 8) | Total (N = 25) | |
---|---|---|---|
Age in years (SD; range) | 71.9 (3.97; 66–79) | 70.5 (2.88; 68–77) | 71.4(3.65; 66–79) |
n (%) | n (%) | N (%) | |
Sex | |||
Men | 7 (41.2) | 3 (37.5) | 10 (40.0) |
Women | 10 (58.8) | 5 (62.5) | 15 (60.0) |
Country of birth | |||
Germany | 15 (88.2) | 8 (100.0) | 23 (92.0) |
Other Country | 2 (11.8) | – | 2 (8.0) |
Education | |||
Secondary school or less | 10 (58.8) | 7 (87.5) | 17 (68.0) |
Higher education | 6 (35.3) | 1 (12.5) | 7 (28.0) |
Other | 1 (5.9) | – | 1 (4.0) |
Residential area | |||
Urban environment | 17 (100.0) | 6 (75.0) | 23 (92.0) |
Semi-rural environment | – | 2 (25.0) | 2 (8.0) |
Persons in the household | |||
1 person | 8 (47.1) | 4 (50.0) | 12 (48.0) |
2 persons | 9 (52.9) | 4 (50.0) | 13 (52.0) |
Self-rated healtha | |||
Good | 15 (88.2) | 8 (100.0) | 23 (92.0) |
Poor | 2 (11.8) | – | 2 (8.0) |
Minimum 30 min moderate to vigorous PA at least 4 days / week | |||
Yes | 14 (77.7) | 4 (22.2) | 18 (72.0) |
No | 3 (42.9) | 4 (57.1) | 7 (28.0) |
Thematic analysis results
Theme | Number | Quote |
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Dynamic model of the participation behaviour | ||
Q1.1 |
“My husband has been retired for 2 years. He worked until he was 65 years old and we have time, we are managing our own time and we will try to enjoy our lives to the most.” [VNT004,49,non-participant]
“It’s like, I try to enjoy each day, you can never know how quickly it may be over.” [VNT007:78,non-participant]
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Q1.2 |
“We both volunteer, so that, too, is one of the positive things.” [VNT008:51,non-participant]
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Q1.3 |
“It’s like this: we would like to get rid of the obligations we had throughout or lives and which we enjoyed fulfilling, that’s not the question, I enjoyed raising children.” [BNT007:58]
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Q1.4 |
“Regarding the process or whether one regards a certain sport as being sensible and so on, you pick what suits your type and what you still have the strength for. For example, I cannot play tennis anymore” [VNT010:129, non-participant]
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Key factors related to perceived fit of the PA intervention | ||
Time management of everyday life | Q2.1. |
“Usually, in summer, I am on the golf course two or three times a week. And my additional exercise has been going to the gym on a regular basis for 8 or 9 years.” [VT001:8,participant]
“So, I exercise two or three times a week, plus I go hiking once a month, I would do that twice, though [ … ]. I need to have fixed appointments, at least partly.” [VNT009:62,71,non-participant]
“But if I do participate it means that there will be a meeting once a week and this will be scheduled. It is not optional.” [BT001:55,participant]
|
Q2.2 |
“I no longer make plans other than on the spur of the moment. I can call the travel agency tomorrow and ask whether they have anything. And if they do I will be at another place the day after. I am living spontaneously and enjoying the present.” [VNT005:85,non-participant]
“I always have the feeling that I do not like to be tied, I think. Don’t know if I am right, just my thoughts. I want to do what I want at any given hour. Thus, I don’t like to be told what to do.” [BNT007:38,non-participant]
“I am, I hadn’t heard of it before and basically I wouldn’t have minded to participate. But that would have meant being tied in terms of time and I did not want that because we have been travelling a lot.” [VNT008:63,non-participant]
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Q2.3 |
“We have all been in this sports club for 40 years [ … ]. All seniors, just 14, 15, 16 people. And we go there every Tuesday. Gymnastics and volleyball, in former times [ … ].” [BNT005:11,non-participant]
“I have been there since I was young and I still do their accounting, too. One, twice, three times a month.” [BNT005:33,non-participant]
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Q2.4 |
“If I do something like this there is indeed some group pressure, but a very relaxed one. [ … ] That goes for any type of sport I would engage in.” [VNT006:154,non-participant]
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Goals addressed primarily with PA | Q2.5 |
“I have this pedometer and so I always have a clue. Today I did 4.000 steps and the day before that I did 15.000 steps. So I manage this and will do so, eventually, regarding food.” [VT002:14,participant]
|
Q2.6 |
“I am individualistic and wish to exercise accordingly. Hiking is okay, no doubt. Enjoying and feasting from the landscape is nice but please no high performance. If I have to be competitive I lose all desire.” [VNT009:25,non-participant]
“A walk there and back, on the beach. It is so expansive, you don’t even notice the 10 kilometers. Only the vastness of the landscape.” [VNT001:185,non-participant]
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Q2.7 |
“As for me, I consider it sensible, physical activity as well as establishing social contacts.” [VT001:12,participant]
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Q2.8 |
“For me it’s good that I can rate myself. I find this very important for me. And afterwards I pat myself on the shoulder and say ‘It’s not that bad yet.” [VT002:62,participant]
“When I am physically active and I feel that my body is still cooperating I think that’s positive. I get the feeling that it’s good being able to do today what many younger persons cannot. I have to say that I am sometimes very proud when I look around myself.” [OT001:24,participant]
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Multidimensional typology of participation behaviour | ||
‘Health designer’ | Q3.1 |
“[ … ] that it would be obvious for me to attend a meeting of the program, there is a reason for it.” [BT001:49,participant]
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Q3.2 |
“[ … ] and in case you have a day which is not so good, well, you have to overcome your weaker self.” [VNT007:74,non-participant].
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Q3.3 |
“[ … ] initially, I liked the idea very much to do this under supervision. Basically, I liked it but as I said before, it simply became too much for me. I had joined a sports club, I wanted to play golf again, I wanted to pursue my other leisure activities.” [VNT004:51,non-participant]
“Usually, in the summertime I am on the golf course for two or three times a week. Plus the exercise I get by going to the gym on a regular basis for 8 or 9 years now [ … ]. Adding to that, I spend about 45 min on the ergometer, biking steadily because riding my bike into town is not so great for the heart.” [VT001:8,participant]
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Q3.4 |
“Since I retired, I usually always carry a pedometer in my pocket so that I can check whether I have walked enough in the evening.” [VNT004:9, non-participant]
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‘Flexible Function-oriented type’ | Q3.5 |
“I don’t consume alcoholic beverages and I don’t smoke. Even my doctor said “Well done, good decision.” [VNT006:76,non-participant]
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Q3.6 |
“Particularly when you get older, it is important to stay fit [ … ]. I can feel it now that it won’t be possible without physical activity. But is has to be done at a level that one can decide for themselves and spontaneously, whatever and wherever.” [VNT006:12,126,non-participant]
“That I am not tied, it has to be an open and casual group in which I can decide for myself.” [VNT001:527, non-participant]
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‘Comparison and competition type’ | Q3.7 |
“When you are successful through sports and physical activity you almost automatically have a nice evening.” [BNT001:90,non-participant]
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Q3.8 |
“And then I thought I am joining in, just to find out whether in a comparative group or amongst the people who also joined in, well, whether I am the weakest one who always hobbles behind or whether I am average [...].” [VT002:32,participant]
“[ … ] and whenever new and young men join the group and fail I say to myself it’s good you joined and stayed.” [OT001:24–28,participant]
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‘Fun and Wellness-oriented type’ | Q3.9 |
“I only exercise when I enjoy it. But I don’t consider that as health and fitness training.” [BNT007:8,non-participant]
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Q3.10 |
“I am individualistic and wish to exercise accordingly. Hiking is okay, no doubt. Enjoying and feasting from the landscape is nice but please no high performance. If I have to be competitive, I lose all desire.” [VNT009:25,non-participant]
“I enjoy geocaching like you wouldn’t believe it. There are the most awesome hiding places [ … ]. Yes, I very much enjoy that.” [BNT004:76,non-participant]
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Dynamic factors influencing the type of participation behaviour | ||
Biographical experience with structured PA programs | Q4.1 |
“In winter, as a pupil I participated in the sledding championships with my friend and we ended up first. We received a certificate.” [BT001,23,participant]
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Q4.2 |
“Boys like to define themselves by physical performance and in that regard I was always at the back. That frustrated me somewhat so that I gave it up then.” [VNT008:45,non-participant]
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Q4.3 |
“Yeah, gym class! I’ve always enjoyed that, actually. I was always there, too.” (OT001:14,participant)
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Q4.4 |
“Actually, it was a compulsory subject. You didn’t have a choice. You had to do sports and be physically active.” [VNT001:5,non-participant]
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Awareness of physicals signs of ageing | Q4.5 |
“You aren’t getting younger. Some things don’t work out the way they used to, but I think one has to take a bit of care of the things one is still capable of doing.” [VT001:8,participant]
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Q4.6 |
“I know from experience that time and again I will come to a point where I do too much for myself, then I hang around and develop bad feelings.” [VNT002:58,non-participant]
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Social integration | Q4.7 |
“If one lives alone it might happen that some days you think to yourself ‘Oh my god, I haven’t spoken to anyone today,’ if one doesn’t go out.” [VNT007:54,non-participant]
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Q4.8 |
“Then take care of grandchildren a little more, meet our friends, relieve the children but first of all we want to travel. [ … ] This obligation to go someplace. That’s it, the group pressure and fixed appointments which is what I’ve had for so many years.” [VNT006:96,126,non-participant]
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Dynamic model of physical activity participation behaviour
Goals achieved primarily through PA
Time management of everyday life
Multidimensional typology of PA participation behaviour
Additional factors influencing the type of participation behaviour
Biographical experience with structured PA
Awareness of physicals signs of ageing
Social integration
Types of PA participation behaviour, characteristics of interviewees and participation in the PA intervention
Discussion
Suitability of PA intervention to needs of different behaviour types
Strengths and limitations
Practical implications
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PA interventions should address both proximal and long-term goals for PA
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Ideally, PA interventions should include both flexible and structured components and allow for choice