Physical Activity Programming for Older Adults in Assisted Living: Residents' Perspectives

West J Nurs Res. 2023 Feb;45(2):105-116. doi: 10.1177/01939459221107579. Epub 2022 Jun 30.

Abstract

Decreasing sedentary behavior and increasing light physical activity could promote the maintenance of functional abilities for older adults in assisted living (AL). The purpose of this qualitative study was to gather residents' recommendations about a proposed self-efficacy enhancing intervention to replace sedentary behavior with light physical activity. We interviewed 20 residents (mean age 83.1; 60% women). Topics included their current activities and thoughts about physical activity. We presented the intervention and asked questions to inform its modification. Data were analyzed with content and thematic analysis. Specific recommendations included shorter one-hour sessions and framing the intervention as increasing light physical activity rather than decreasing sedentary behavior. The thematic analysis identified multiple factors that could influence intervention implementation, including motivation to be active, safety concerns, ageist attitudes about physical activity, varying abilities of residents, social influences, and limited opportunities for physical activity. These results will inform physical activity intervention implementation for AL residents.

Keywords: behavioral intervention; light physical activity; qualitative; sedentary behavior; self-efficacy.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Aged, 80 and over
  • Assisted Living Facilities*
  • Exercise
  • Female
  • Humans
  • Male
  • Motivation
  • Qualitative Research
  • Sedentary Behavior