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Physical Activity Perceptions and Influences among Older Adults in Rural Nova Scotia

Published online by Cambridge University Press:  18 January 2016

Chad S. G. Witcher*
Affiliation:
Faculty of Physical Education and Recreation, University of Alberta
Nicholas L. Holt
Affiliation:
Faculty of Physical Education and Recreation, University of Alberta
Wendy Young
Affiliation:
Division of Community Health and Humanities, Memorial University
Chris Blanchard
Affiliation:
Department of Medicine, Dalhousie University
Donna Murnaghan
Affiliation:
School of Nursing, University of Prince Edward Island
John C. Spence
Affiliation:
Faculty of Physical Education and Recreation, University of Alberta
*
La correspondance et les demandes de tirés-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Chad Witcher, Ph.D. Assistant Professor, Public Health Faculty of Health Sciences University of Lethbridge 4401 University Drive West Lethbridge, AB T1K 3M4 ([email protected])

Abstract

This study identified factors that influenced physical activity (PA) participation among older adults from rural settings in Nova Scotia Canada and explored how the rural context may influence PA participation and promotion. Data were collected via individual semistructured interviews with 20 older adults (Mage = 77.5 years) from rural areas of Cape Breton and subjected to thematic analysis procedures (Braun & Clarke, 2006). Four themes representing factors that influence the prioritization of PA were identified: (1) historical context of activity, work, and productivity; (2) already busy with day-to-day activities; (3) being/staying on the go; and (4) cautionary approach. These findings suggest that PA promotion should be contextually salient, and highlight the need for a shared understanding between rural older adults and PA promoters regarding what constitutes being “physically active”. Effective promotion of PA among rural older adults may require a shift away from contemporary methods of PA promotion.

Résumé

Cette étude a identifié les facteurs qui influencent la participation à l’activité physique (AP) chez les adultes âgés de milieu rural en Nouvelle-Écosse, et a étudié comment le contexte rural peut influer sur la participation et la promotion de l’AP. Les données ont été recueillies au moyen d’entrevues semi-structurées individuelles avec 20 adultes plus âgés (Âgem = 77,5 ans) des régions rurales du Cap-Breton, Nouvelle-Écosse, et soumis à des procédures d’analyse thématique (Braun & Clarke, 2006). Quatre thèmes représentant facteurs qui influent sur la priorisation des AP ont été identifiés: (1) Le contexte historique de l’activité, le travail et la productivité; (2) déjà s’etant occupé avec les activités au jour le jour; (3) étant / restant sur la route; et (4) une approche prudente. Ces résultats suggèrent que la promotion de l’AP devrait être contextuellement saillant, et ils soulignent la nécessité d’une compréhension commune entre les personnes âgées en milieu rural et les promoteurs de l’AP sur ce qui constitue être «physiquement actif.” La promotion effective de l’AP chez les adultes ruraux âgés peut nécessitent le déplacement de méthodes contemporaines de cette promotion.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2016 

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References

Arcury, T. A., Quandt, S. A., & Bell, R. A. (2001). Staying healthy: The salience and meaning of health maintenance behaviors among rural older adults in North Carolina. Social Science & Medicine, 53, 15411556. doi:10.1016/S0277-9536(00)00442-1Google Scholar
Baert, V., Gorus, E., Mets, T., Geerts, C., & Bautmans, I. (2011). Motivators and barriers for physical activity in the oldest old: A systematic review. Ageing Research Reviews, 10, 464474. doi:10.1016/j.arr.2011.04.001Google Scholar
Bassett, R., Bourbonnais, V., & McDowell, I. (2007). Living long and keeping well. Elderly Canadians account for success in aging. Canadian Journal on Aging, 26, 113126. doi:10.1353/cja.2007.0034CrossRefGoogle ScholarPubMed
Booth, M. L., Bauman, A., & Owen, N. (2002). Perceived barriers to physical activity among older Australians. Journal of Aging and Physical Activity, 10, 271280. Retrieved from http://journals.humankinetics.com/japa Google Scholar
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77101. doi:10.1191/1478088706qp063oaGoogle Scholar
Brawley, L. R., Rejeski, W. J., & King, A. C. (2003). Promoting physical activity for older adults: The challenges for changing behavior. American Journal of Preventive Medicine, 25(3Sii), 172183. doi:10.1016/S0749-3797(03)00182-XGoogle Scholar
Canadian Society for Exercise Physiology (2015). Canadian physical activity and sedentary behaviour guidelines handbook. Ottawa, ON: Canadian Society for Exercise Physiology. Retrieved from http://www.csep.ca/english/view.asp?x=804 Google Scholar
Cape Breton District Health Authority (2006). Understanding our health. Final survey report. Sydney, NS: Cape Breton District Health Authority. Retrieved from http://www.gov.ns.ca/finance/communitycounts/documents/CBDHA%20Health%20Report%20FINAL%20July%2024.pdf Google Scholar
Colley, R. C., Garriguet, D., Janssen, I., Craig, C. L., Clarke, J., & Tremblay, M. S. (2011). Physical activity of Canadian adults: Accelerometer results from the 2007 to 2009 Canadian Health Measures Survey. Health Reports, 22(1), 18. Retrieved from Statistics Canada website: http://www.statcan.gc.ca/pub/82-003-x/82-003-x2011001-eng.htm Google Scholar
Conn, V. S., Tripp-Reimer, T., & Maas, M. L. (2003). Older women and exercise: Theory of planned behavior beliefs. Public Health Nursing, 20, 153163. doi:10.1046/j.1525-1446.2003.20209Google Scholar
Corbin, J., & Strauss, A. L. (2007). Basics of qualitative research. (3rd ed.) Thousand Oaks, CA: Sage. doi:10.4135/9781452230153Google Scholar
Costa, A. L., & Kallick, B. (1993). Through the lens of a critical friend. Educational Leadership, 51, 4951.Google Scholar
Costello, E., Kafchinski, M., Vrazel, J., & Sullivan, P. (2011). Motivators, barriers, and beliefs regarding physical activity in an older adult population. Journal of Geriatric Physical Therapy, 34, 138147. doi:10.1519/JPT.0b013e31820e0e71CrossRefGoogle Scholar
Crombie, I. K., Irvine, L., Williams, B., McGinnis, A. R., Slane, P. W., Alder, E. M., et al (2004). Why older people do not participate in leisure time physical activity: A survey of activity levels, beliefs and deterrents. Age and Ageing, 33, 287292. doi:10.1093/ageing/afh089Google Scholar
Davenport, J., Rathwell, T. A., & Rosenberg, M. W. (2009). Aging in Atlantic Canada: Service-rich and service-poor communities. Healthcare Policy, 5, e145e160.Google ScholarPubMed
Denzin, N. K., & Lincoln, Y. S. (Eds.). (2000). Handbook of qualitative research (2nd ed.). Thousand Oaks, CA: Sage.Google Scholar
Dishman, R. K., Heath, G. W., & Lee, I.-M. (Eds.). (2013). Physical activity epidemiology (2nd ed.). Champaign, IL: Human Kinetics.Google Scholar
Dye, C. J., & Wilcox, S. (2006). Beliefs of low-income and rural older women regarding physical activity: You have to want to make your life better. Women & Health, 43, 115134. doi:10.1300/J013v43n01_07CrossRefGoogle ScholarPubMed
Ekerdt, D. J. (1986). The busy ethic: Moral continuity between work and retirement. Gerontologist, 26, 239244. doi:10.1093/geront/26.3.239CrossRefGoogle ScholarPubMed
Evans, L. K. (2011). Rural black women’s thoughts about exercise. Applied Nursing Research, 24, 200206. doi:10.1016/j.apnr.2009.09.005CrossRefGoogle Scholar
Eyler, A. A., & Vest, J. R. (2002). Environmental and policy factors related to physical activity in rural white women. Women & Health, 36(2), 109119. doi:10.1300/J013v36n02_08CrossRefGoogle ScholarPubMed
Faulkner, G., & Sparkes, A. (1999). Exercise as therapy for schizophrenia: An ethnographic study. Journal of Sport & Exercise Psychology, 21, 5269.CrossRefGoogle Scholar
Feintuch, B., & Samson, G. (2010). In the blood: Cape Breton conversations on culture. Sydney, NS: Cape Breton University Press.Google Scholar
Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago, IL: Aldine.Google Scholar
Grant, B. C. (2008). An insider’s view on physical activity in later life. Psychology of Sport and Exercise, 9, 817829. doi:10.1016/j.psychsport.2008.01.003Google Scholar
Grant, B. (2010). Time for action: Advocacy for physical activity in later life. Asia-Pacific Journal of Health, Sport and Physical Education, 1(3/4), 1319. doi:10.1080/18377122.2010.9730333Google Scholar
Grant, B. C., & Kluge, M. A. (2007). Exploring “other body(s)” of knowledge: Getting to the heart of the story about aging and physical activity. Quest, 59, 398414. doi:10.1080/00336297.2007.10483561Google Scholar
Gullifer, J., & Thompson, A. P. (2006). Subjective realities of older male farmers: Self-perceptions of ageing and work. Rural Society, 16, 8097. Retrieved from http://rsj.e-contentmanagement.com/archives/vol/16/issue/1/article/731/subjective-realities-of-older-male-farmers Google Scholar
Hayward, K., & Colman, R. (2003). Addressing inequity and chronic disease in Atlantic Canada. A discussion paper. Ottawa: Health Canada. Retrieved from the Public Health Agency of Canada website: http://www.phac-aspc.gc.ca/canada/regions/atlantic/Publications/Tides_of_change/tides_change-eng.php Google Scholar
Health Canada (1999). Canada’s physical activity guide to healthy active living for older adults. Ottawa: Ministry of Supply & Services. Retrieved from the Government of Canada’s website: http://publications.gc.ca/pub?id=83126&sl=0 Google Scholar
Keating, N., Swindle, J., & Fletcher, S. (2011). Aging in rural Canada: A retrospective and review. Canadian Journal on Aging, 30, 323338. doi:10.1017/S0714980811000250CrossRefGoogle Scholar
King, A. C. (2001). Interventions to promote physical activity by older adults. Journals of Gerontology, 56A(Supplement 2), 3646. doi:10.1093/gerona/56.suppl_2.36.Google Scholar
Leavy, B., & Åberg, A. C. (2010). “Not ready to throw in the towel”: Perceptions of physical activity held by older adults in Stockholm and Dublin. Journal of Aging and Physical Activity, 18, 219236. Retrieved from http://journals.humankinetics.com/japa Google Scholar
Lee, D. S., Chiu, M., Manuel, D. G., Tu, K., Wang, X., Austin, P., et al (2009). Trends in risk factors for cardiovascular disease in Canada: Temporal, socio-demographic and geographic factors. Canadian Medical Association Journal, 181, E55E66. doi:10.1503/cmaj.081629Google Scholar
Levin Martin, S., Kirkner, G. J., Mayo, K., Matthews, C. E., Durstine, J. L., & Hebery, J. R. (2005). Urban, rural, and regional variations in physical activity. Journal of Rural Health, 21, 239244. doi:10.1111/j.1748-0361.2005.tb00089.xGoogle Scholar
MacLean, L. M., Meyer, M., & Estable, A. (2004). Improving accuracy of transcripts in qualitative research. Qualitative Health Research, 14, 113123. doi:10.1177/1049732303259804Google Scholar
Manning, K. (1997). Authenticity in constructivist inquiry: Methodological considerations without prescription. Qualitative Inquiry, 3, 93115.Google Scholar
McCormack, G. R., & Shiell, A. (2011). In search of causality: A systematic review of the relationship between the built environment and physical activity among adults. International Journal of Behavioral Nutrition and Physical Activity, 8, 125. doi:10.1186/1479-5868-8-125Google Scholar
McGannon, K. R., Busanich, R., Witcher, C. S. G, & Schinke, R. J. (2014). A social ecological exploration of physical activity influences among rural men and women across life stages. Qualitative Research in Sport, Exercise and Health, 6, 517536. doi:10.1080/2159676X.2013.819374Google Scholar
Mitura, V., & Bollman, R. D. (2003). The health of rural Canadians: A rural-urban comparison of health indicators. Rural and Small Town Canada Analysis Bulletin, 4, 123. Retrieved from Statistics Canada website: http://www5.statcan.gc.ca/bsolc/olc-cel/olc-cel?catno=21-006-X2002006&lang=eng Google Scholar
Morgan, D. L. (2008). “Quota Sampling”. In Given, L. M. (Ed.), The Sage encyclopedia of qualitative research methods. Thousand Oaks, CA: Sage.Google Scholar
Morgan, K., Armstrong, G. K., Huppert, F. A., Brayne, C., & Solomou, W. (2000). Healthy aging in urban and rural Britain: a comparison of exercise and diet. Age and Ageing, 29, 341348.CrossRefGoogle Scholar
Morse, J. M., Barrett, M., Mayan, M., Olson, K., & Spiers, J. (2002). Verification strategies for establishing reliability and validity in qualitative research. International Journal of Qualitative Methods, 1, 119. Retrieved from http://ejournals.library.ualberta.ca/index.php/IJQM/article/view/4603/3756 Google Scholar
Nocon, M., Hiemann, T., Müller-Riemenschneider, F., Thalau, F., Roll, S., & Willich, S. N. (2008). Association of physical activity with all-cause and cardiovascular mortality: A systematic review and meta-analysis. European Journal of Cardiovascular Prevention and Rehabilitation, 15, 239246. doi:10.1097/HJR.0b013e3282f55e09CrossRefGoogle ScholarPubMed
O’Brien Cousins, S. (2000). “My heart couldn’t take it”: Older women’s beliefs about exercise benefits and risks. Journal of Gerontology, 55B, P283P294. doi:10.1093/geronb/55.5.P283CrossRefGoogle Scholar
Paterson, D. H., & Warburton, D. E. R. (2010). Physical activity and functional limitations in older adults: A systematic review related to Canada’s physical activity guidelines. International Journal of Behavioral Nutrition and Physical Activity, 7, 38. doi:10.1186/1479-5868-7-38Google Scholar
Patton, M. Q. (2002). Qualitative evaluation and research methods (3rd ed.). Newbury Park, CA: Sage.Google Scholar
Poland, B. (1995). Transcription quality as an aspect of rigor in qualitative research. Qualitative Inquiry, 1, 290310. doi:10.1177/107780049500100302Google Scholar
Pong, R. W., DesMeules, M., & Lagacé, C. (2009). Rural-urban disparities in health: How does Canada fare and how does Canada compare to Australia? Australian Journal of Rural Health, 17, 5864. doi:10.1111/j.1440-1584.2008.01039.xGoogle Scholar
Public Health Agency of Canada (2011). The burden of diabetes in Atlantic Canada. Ottawa: Author. Retrieved from the Public Health Agency of Canada website: http://www.phac-aspc.gc.ca/canada/regions/atlantic/Publications/Burden_diabetes_2011/index-eng.php Google Scholar
Rodham, K., Fox, F., & Doran, N. (2013). Exploring analytical trustworthiness and the process of reaching consensus in interpretive phenomenological analysis: lost in transcription. International Journal of Social Research Methodology, 18, 5971. doi:10.1080/13645579.2013.852368Google Scholar
Sallis, J. F., Owen, N, & Fisher, E. B. (2008). Ecological models of health behavior. In Glanz, K., Lewis, F. M., & Rimer, B. K. (Eds.), Health behavior and health education: Theory, research, and practice (4th ed.) (pp. 465485). San Francisco, CA: Jossey-Bass.Google Scholar
Schutzer, K. A., & Graves, B. S. (2004). Barriers and motivations to exercise in older adults. Preventive Medicine, 39, 10561061. doi:10.1016/j.ypmed.2004.04.003Google Scholar
Spence, J. C., & Lee, R. E. (2003). Toward a comprehensive model of physical activity. Psychology of Sport and Exercise, 4, 724. doi:10.1016/S1469-0292(02)00014-6Google Scholar
Statistics Canada (2011). Health indicator profile, annual estimates, by age group and sex, Canada, provinces, territories, health regions (2011 boundaries) and peer groups. Retrieved and accessed 8 November 2015 from http://www5.statcan.gc.ca/cansim/a26?lang=en&retr Lang=eng&id=1050501&paSer=&pattern=&stByVal=1&p1=1&p2=-1&tabMode=dataTable&csid= Google Scholar
Statistics Canada (2012a). Canada’s rural population since 1851: Population and dwelling counts, 2011 census. Retrieved and accessed 8 November 2015 from http://www12.statcan.gc.ca/census-recensement/2011/as-sa/98-310-x/98-310-x2011003_2-eng.pdf Google Scholar
Statistics Canada (2012b). The Canadian population in 2011: Age and sex: Age and sex, 2011 census. Retrieved and accessed 8 November 2015 from http://www12.statcan.gc.ca/census-recensement/2011/as-sa/98-311-x/98-311-x2011001-eng.pdf Google Scholar
Statistics Canada (2012c). Cape Breton, Nova Scotia (Code 1210) and Nova Scotia (Code 12) (table). census Profile. 2011 census. Statistics Canada catalogue no. 98-316-XWE. Retrieved and accessed 8 November 2015 from http://www12.statcan.gc.ca/census-recensement/2011/dp-pd/prof/details/page.cfm?Lang=E&Tab=1&Geo1=ER&Code1=1210&Geo2=PR&Code2=12&Data=Count&SearchText=cape%20breton&SearchType=Begins&SearchPR=01&B1=All&Custom=&TABID=1#Note1 Google Scholar
Terrill, L., & Gullifer, J. (2010). Growing older: A qualitative inquiry into the textured narratives of older, rural women. Journal of Health Psychology, 15, 707715. doi:10.1177/1359105310368180Google Scholar
Tremblay, M. S., Warburton, D. E. R., Janssen, I., Paterson, D. H., Latimer, A. E., Rhodes, R. E., … et al (2011). New Canadian physical activity guidelines. Applied Physiology, Nutrition, and Metabolism, 36, 3646. doi:10.1139/H11-009Google Scholar
Van Dyck, D., Cardon, G., Deforche, B., & De Bourdeaudhuij, I. (2010). Urban-rural differences in physical activity in Belgian adults and the importance of psychosocial factors. Journal of Urban Health, 88, 154167.CrossRefGoogle Scholar
Warburton, D. E. R., Whitney Nicol, C., & Bredin, S. S. D. (2006). Health benefits of physical activity: The evidence. Canadian Medical Association Journal, 174, 801809. doi:10.1503/cmaj.051351CrossRefGoogle ScholarPubMed
Weber, M. (1958). The Protestant ethic and the spirit of capitalism. New York, NY: Scribner’s Sons.Google Scholar
Wilcox, S., Bopp, M., Oberrecht, L., Kammermann, S. K., & McElmurray, C. T. (2003). Psychosocial and perceived environmental correlates of physical activity in rural and older African American and white women. Journals of Gerontology, 58B, P329P337. doi:10.1093/geronb/58.6.P329Google Scholar
Wilcox, S., Castro, C., King, A. C., Housemann, R., & Brownson, R. C. (2000). Determinants of leisure time physical activity in rural compared with urban older and ethnically diverse women in the United States. Journal of Epidemiology and Community Health, 54, 667672.Google Scholar
Wilcox, S., Oberrecht, L., Bopp, M., Kammermann, S. K., & McElmurray, C. T. (2005). A qualitative study of exercise in older African American and white women in rural South Carolina: Perceptions, barriers, and motivations. Journal of Women & Aging, 17, 3753. doi:10.1300/J074v17n01_04Google Scholar
Witcher, C., Holt, N. L., Spence, J. C., & O’Brien Cousins, S. (2007). A case study of physical activity among older adults in rural Newfoundland, Canada. Journal of Aging and Physical Activity, 15, 166183.Google Scholar