Components of a Behavior Change Model Drive Quality of Life in Community-Dwelling Older Persons

Author:

Mayo Nancy E.123ORCID,Mate Kedar3ORCID,Akinrolie Olayinka4ORCID,Chan Hong5ORCID,Salbach Nancy M.678ORCID,Webber Sandra C.5ORCID,Barclay Ruth5ORCID

Affiliation:

1. Department of Medicine, School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada

2. Divisions of Clinical Epidemiology, Geriatrics, Experimental Medicine, McGill University Health Centre (MUHC), Montreal, QC, Canada

3. Centre for Outcomes Research and Evaluation (CORE), Research Institute of the MUHC, Montreal, QC, Canada

4. Applied Health Sciences, Faculty of Graduate Studies, University of Manitoba, Winnipeg, MB, Canada

5. College of Rehabilitation Sciences, Faculty of Graduate Studies, University of Manitoba, Winnipeg, MB, Canada

6. Department of Physical Therapy, University of Toronto, Toronto, ON, Canada

7. Toronto Rehabilitation Institute Chair at the University of Toronto, Toronto, ON, Canada

8. KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada

Abstract

This study aimed to inform a measurement approach for older persons who wish to engage in active living such as participating in a walking program. The Patient Generated Index, an individualized measurement approach, and directed and summative content analyses were carried out. A sample size of 204 participants (mean age 75 years; 62% women) was recruited; it generated 934 text threads mapped to 460 unique categories within 45 domains with similarities and differences for women and men. The Capability, Opportunity, Motivation, and Behaviors Model best linked the domains. The results suggest that older persons identify the need to overcome impaired capacity, low motivation, and barriers to engagement to live actively. These are all areas that active living programs could address. How to measure the outcomes of these programs remains elusive.

Publisher

Human Kinetics

Subject

Geriatrics and Gerontology,Gerontology,Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation

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