Abstract 19819: Creating a Culture of Health Using a Physical Activity Intervention Among Older Women: Process Evaluation of a Clinical Trial
Introduction: There is substantial evidence that heart disease and stroke could be drastically reduced by lifestyle modifications, such as participating in regular physical activity (PA). However, strategies to change behaviors and attitudes to increase regular PA as an action to improve and promote cardiovascular health are elusive.
Methods: We performed a process evaluation of the Lifestyle Physical Activity for Older Women (LPAW) clinical trial in order to elucidate strategies that older women used while changing their behaviors to incorporate regular PA into their daily lives. Using qualitative methodology with maximum variation sampling, we interviewed 20 older women about their experiences while participating in the LPAW clinical trial. Data were analyzed using narrative content analysis with constant comparison technique.
Results: Eight African American, 11 white women with 1 Native American from the control and intervention arms of the trial were interviewed. They had a mean age of 68 years, 40% had a history of cardiovascular disease, 85% hypertensive, and 35% with diabetes type II. Five central themes described how the older women changed their mindset, behavior and attitude about PA, which resulted in regular PA continuing even after trial completion. Results indicated that: 1) Sensed Benefits, 2) Motivation, and 3) Self-efficacy where central to success, while a reduction in 4) Barriers to PA were essential before regular participation in PA could occur. The last theme was described as a “Life-Changing Awareness” of the importance of PA to health. This theme indicated that PA had become a shared value among these women, an outcome that was unanticipated. A conceptual model developed from the data, which describes the key strategies to promote PA among older women, is presented.
Conclusion: This study suggested key strategies to include in interventions to promote regular PA as a shared value among older women. Making regular PA a shared value of health is an action promoted by the Culture of Health initiative that will improve population health and well-being.
Author Disclosures: L.L. Lefler: None. B. Harris: None. S.L. Jones: None.
- © 2016 by American Heart Association, Inc.