Older adults’ perceptions and understanding of sedentary

behaviour f

Work package 4 overview

14th May 2014

Background • What older people understand about

sedentary time? Many older people may: – be unaware of the time they are sedentary – be confused about what ‘sedentary behaviour’ is – think being sedentary = being lazy BUT think

sitting is a good thing – lack knowledge about the link between being

sedentary behaviour and health

be unaware of the time they are sedentary

be confused about what ‘sedentary behaviour’ is

think sedentary = lazy BUT ALSO think sitting is a good thing

Enjoy the activities they do whilst sitting

lack knowledge about the link between being sedentary behaviour and (ill-)health

Aim of WP 4

To investigate the meaning, relevance and importance of, and attitudes towards, sedentary behaviour in older adults to inform future development of effective interventions to reduce sedentary time.

Aim of WP 4

We aim to investigate the meaning, relevance and importance of, and attitudes towards, sedentary behaviour in older adults to inform future development of effective interventions to reduce sedentary time.

Who are we? Dr Cindy Gray, Institute of Health and Wellbeing, University of Glasgow Expertise: qualitative research and intervention development

Dr Clare Fitzsimons, Physical Activity for Health Research Centre, University of Edinburgh Expertise: older adults and sedentary behaviour

Prof Nanette Mutrie, Physical Activity for Health Research Centre, University of Edinburgh Expertise: Physical activity and health, sport and exercise psychology

Prof Sally Wyke, Institute of Health and Wellbeing, University of Glasgow Expertise: development and evaluation of complex interventions; qualitative research

What do we want to know?

RQ1. What do older people understand by sedentary behaviour?

RQ2. What are older people generally doing when they are sedentary?

RQ3. What do older people think are the benefits/negative effects of the things they do while they are sedentary? e.g. How do they feel (physically and mentally) after time spent sedentary?

RQ4. How do older adults feel their personal history of physical activity/sedentary behaviour has influenced their current sedentary behaviour?

What do we want to do? Identify opportunities for changing patterns of sedentary behaviour in older adults RQ5. What are older people’s perceptions of links between sedentary behaviour and health/ill health? RQ6. What factors do older people perceive as currently influencing their sedentary behaviour; e.g. individual, social, environmental and societal factors? RQ7. What do older people perceive as the barriers and facilitators to change?

How will we get there?

• Interviewing 48 Twenty-07 and Lothian birth cohort respondents, sampled purposively;

Young-older (62 years) (Twenty-07, 1)

Mid-older (78 years) (LBC 1936)

Older-older (82 years) (Twenty-07,2)

High SB Low SB High SB Low SB High SB Low SB

Low SES

High SES

Low SES

High SES

Low SES

High SES

Low SES

High SES

Low SES

High SES

Low SES

High SES

Men 2 2 2 2 2 2 2 2 2 2 2 2 Total

Women 2 2 2 2 2 2 2 2 2 2 2 2 48

How will we get there?

• Analysis of interview transcripts using two theoretical frameworks: – 1) socio-ecological model of sedentary behaviour

1) Socio-ecological model

Owen et al Am J Prev Med 2011;41(2):189 –196

.

Michie et al Implement Sci. 2011; 6: 42.

2) COM-B system

What might we find?

• Sedentary behaviour domains (leisure, household, transport, work)

• Opportunities – physical (settings), perceptions and social (interpersonal)

• Capabilities – physical and psychological (comprehension, reasoning)

• Motivation – reflective (evaluating and planning) and automatic (habit, emotional – and the associated meaning of the things spent when doing when sitting)

When are we going to do this?