Community Readiness for Increasing Older Adult Physical Activity Levels in Kazakhstan
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Аннотация
Introduction: Physical activity is proven to be a significant element of successful aging, but many seniors worldwide fail to achieve the recommended levels. This study aimed to assess the readiness of the community in Nur-Sultan, Kazakhstan, to act on the issue of physical inactivity among older adults.
Methods: In order to achieve this purpose, we conducted qualitative interviews with key informants in the community and applied a validated community readiness tool.
Results: The results suggest that the local community is at early stages of readiness to act on the issue of older adult physical inactivity. We identified a number of barriers that prevented seniors from leading active lifestyles, which included community misconceptions about older adult physical activity, family centeredness in older adulthood, scarcity of resources, passive support from the leadership, and lack of efforts in the community. Research findings also highlighted the importance of conducting in-depth analysis of key informant responses in addition to calculating readiness scores, when using the community readiness tool.
Conclusion: Community-specific strategies for enhancing the level of physical activity among seniors are required to offset the disease burden associated with aging and to prolong life expectancy in Kazakhstan, and it is of paramount importance to tailor potential efforts as to address the current readiness of the community and its needs.
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Revised 7/16/2018. Revision Description: Removed outdated link.
Библиографические ссылки
Arem H, Matthews CE, Lee IM. Physical Activity Is Key for Successful Aging-Reply: Even a Little Is Good. JAMA Intern Med. 2015;175:1863.
Paterson DH, Warburton DE. Physical activity and functional limitations in older adults: A systematic review related to Canada’s Physical Activity Guidelines. Int J Behav Nutr Phys Act. 2010;7:38.
Bauman A, Merom D, Bull FC, Buchner DM, Fiatarone Singh MA. Updating the Evidence for Physical Activity: Summative Reviews of the Epidemiological Evidence, Prevalence, and Interventions to Promote “Active Aging”. Gerontologist. 2016;56(S2):S268–S280.
Keadle S, McKinnon R, Graubard B., Troiano R. Prevalence and trends in physical activity among older adults in the United States: A comparison across three national surveys. Prev Med. 2016;89:37-43.
Townsend N, Wickramasinghe K, Williams J, Bhatnagar P, Rayner M. Physical Activity Statistics 2015. British Heart Foundation: London; 2016.
Zhu W, Chi A, Sun Y. Physical activity among older Chinese adults living in urban and rural areas: a review. J Sport Health Sci. 2016;5:281–286.
Sun F, Norman IJ, While AE. Physical activity in older people: a systematic review. BMC public health. 2013;13:449.
World Bank. Life expectancy at birth, total (years) – Kazakhstan. c2017 https://data.worldbank.org/indicator/SP.DYN.LE00.IN?locations=KZ Accessed Oct 25, 2019.
OECD. OECD Reviews of Health Systems: Kazakhstan 2018. OECD Publishing: Paris; 2018.
Stanley LR, Oetting ER, Plested BA, Edwards RW, Thurman PJ, Kelly KJ, Beauvais F. Community Readiness for Community Change. 2nd ed. Tri-Ethnic Center for Prevention Research: Fort Collins, CO, USA; 2014.
Edwards RW, Jumper-Thurman P, Plested BA, Oetting ER, Swanson L. Community readiness: research to practice. JCOP. 2000;28(3):291-307.
Jones DL, Settipalli S, Goodman JM, Hootman JM, Goins RT. Community readiness for adopting a physical activity program for people with arthritis in West Virginia. Prev Chronic Dis. 2012;9:110-166.
Gansefort D, Brand T, Princk C, Zeeb H. Community Readiness for the Promotion of Physical Activity in Older Adults - A Cross-Sectional Comparison of Rural and Urban Communities. Int J Environ Res Public Health. 2018;15:453.
Liu M, Zhang X, Xiao J, Ge F, Tang S, Belza B. Community readiness assessment for disseminating evidence-based physical activity programs to older adults in Changsha, China: a case for Enhance®Fitness. Glob Health Promot. 2018.
Oetting ER, Jumper-Thurman P, Plested B, Edwards RW. Community readiness and health services. Subst Use Misuse. 2001;36(6-7):825-43.
Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Health. 2015;42(5):533–544.
Cohen D, Crabtree B. Qualitative Research Guidelines Project. http://www.qualres.org/HomeSemi-3629.html Accessed Nov 9, 2019.
Kostadinov I, Daniel M, Stanley L, Gancia A, Cargo M. A Systematic Review of Community Readiness Tool Applications: Implications for Reporting. Int J Environ Res Public Health. 2015;12:3453-3468.
Boyatzis RE. Transforming qualitative information: Thematic analysis and code development. Thousand Oaks, CA, US: Sage Publications, Inc.; 1998.
Inglehart R, Moreno HA, Welzel C, Kizilova K, Diez-Medrano J, Lagos M, Norris P, Ponarin E, Puranen B. World Values Survey: Round Six - Country-Pooled Datafile. Version: www.worldvaluessurvey.org/WVSDocumentationWV6.jsp. Madrid: JD Systems Institute; 2014.
Bethancourt HJ, Rosenberg DE, Beatty T, Arterburn DE. Barriers to and facilitators of physical activity program use among older adults. Clin Med Res. 2014;12(1-2):10-20.
Gothe NP, Kendall BJ. Barriers, Motivations, and Preferences for Physical Activity among Female African American Older Adults. GGM. 2016;2:1-8.
World Bank. Population ages 65 and above (% of total population). https://data.worldbank.org/indicator/SP.POP.65UP.TO.ZS Accessed Oct 25, 2019.
Tschentscher M, Niederseer D, Niebauer J. Health Benefits of Nordic Walking: A Systematic Review. Am J Prev Med. 2013;44(1):76-84.
Petrescu-Prahova M, Belza B, Kohn M, Miyawaki C. Implementation and maintenance of a community-based older adult physical activity program. Gerontologist. 2015;56(4):677–686.
Katsaga A, Kulzhanov M, Karanikolos M, Rechel B. Kazakhstan: health system review. Health Syst Transit. 2012;14(4):1-154.
Ministry of Healthcare. Healthcare Development State Programs. The official website of the Ministry of Healthcare of the Republic of Kazakhstan; c2019 http://dsm.gov.kz/en/kategorii/gosudarstvennye-programmy-0 Accessed Oct 19, 2019.