Older Adults’ Perceptions toward Walking: A Qualitative Study Using a Social-Ecological Model

Ka-Man Leung, Kai-Ling Ou, Pak-Kwong Chung and Cecilie Thøgersen-Ntoumani
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Ka-Man Leung: Department of Health and Physical Education, Education University of Hong Kong, Hong Kong, China
Kai-Ling Ou: Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
Pak-Kwong Chung: Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
Cecilie Thøgersen-Ntoumani: Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, 5000 Odense, Denmark

IJERPH, 2021, vol. 18, issue 14, 1-19

Abstract: Objectives: In this study, we aimed to investigate older adults’ perceptions of their walking experiences, using the social-ecological model as a guiding framework and to propose future walking intervention content. Methods: Thirty-eight participants (19 women; 47% from private elderly centers; mean age = 72.8 (SD = 7.4 years) took part in semi-structured interviews. Qualitative data analysis software QSR-NVivo was used for thematic coding. Results: Thematic deductive analysis revealed pertinent themes at the individual level (health benefits and barriers, fall risk, perseverance, and walking as a suitable activity for older adults), social environment level (social support and social interaction), physical environment level (density, land-use mix, and connectivity; perceived safety, pedestrian facilities (benches, quality of walking paths and sidewalks, and aesthetics), other pedestrian behaviors, and weather, and policy level (lack of walking programs in the community, and supportive culture for an active lifestyle). Discussion: Our findings provide insights for the planning of future multilevel walking intervention programs for older adults in Hong Kong. It is suggested that future walking intervention should include professionals (e.g., physiotherapist or coach) in a group setting, practical walking recommendations such as proper walking posture, and additional fun activities for older adults.

Keywords: active aging; physical activity; Hong Kong; walking; thematic coding (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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