What factors support older people to increase their physical activity levels? An exploratory analysis of the experiences of PACE-Lift trial participants
A nurse led primary care walking based physical activity (PA) intervention showed increased step counts at 3 and 12 months.
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We explored the factors that promoted this long-term behaviour change.
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We selected intervention group participants who increased PA and those who had not to explore facilitators and barriers to behaviour change.
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We expected the two groups to give contrasting narratives but these did not emerge.
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The groups differed in the identification of the same factor, eg social support,as either a facilitator or barrier.
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Participants who sustained increased walking participated in the trial as couple and had a companion to walk with.
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Those who did not improve lacked these, had higher levels of chronic illness and were more sceptical of the goal setting element of the intervention.
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