عنوان

Community Readiness Assessment for the Dissemination of Evidence-Based Physical Activity Programs for Older Adults in Astana, Kazakhstan

Number

TLpq2307397383

.Language of Text, Soundtrack etc

انگلیسی

Title Proper

Community Readiness Assessment for the Dissemination of Evidence-Based Physical Activity Programs for Older Adults in Astana, Kazakhstan

General Material Designation

[Thesis]

First Statement of Responsibility

Izguttinov, Aniyar

Subsequent Statement of Responsibility

Petrescu-Prahova, Miruna

Name of Publisher, Distributor, etc.

University of Washington

Date of Publication, Distribution, etc.

2019

Specific Material Designation and Extent of Item

75

Dissertation or thesis details and type of degree

M.P.H.

Body granting the degree

University of Washington

Text preceding or following the note

2019

Text of Note

The study aimed to assess the readiness of the community in Astana, Kazakhstan, to act on the issue of physical inactivity among older adults, and implement evidence-based programs to increase physical activity. In order to achieve this purpose, we used a validated community readiness tool based on the Community Readiness Model (Stanley et al., 2014) to assess the issue of interest in the context of a previously unstudied urban environment. Quantitative results suggested that the community readiness in Astana was equal to the score of 3.28 on a nine-point scale, which is equivalent to the stage of vague awareness in readiness. This means that most people recognized the issue as a local concern, but there was no immediate motivation to act on it. Qualitative analysis, however, indicated that community awareness might even be more limited and only certain groups such as fitness instructors and gerontologists expressed genuine concern regarding the issue. We also established a number of barriers that prevented seniors from leading active lifestyles which included community misconceptions about older adult physical activity, family centeredness in older adulthood, scarcity of resources, passive support from the leadership, and lack of efforts in the community. Such qualitative research findings suggest a denial/resistance stage of community readiness in Astana and highlight the importance of conducting in-depth analysis of interviewee responses in addition to calculating readiness scores, when using the community readiness tool. We conclude that community-specific strategies for enhancing the level of physical activity among seniors are required to offset the disease burden associated with aging and to prolong life expectancy in the country. Introduction of evidence-based physical activity programs such as Enhance®Fitness in the community might be a promising route, but it would be of paramount importance to tailor such programs to local needs. Moreover, implementation of evidence-based physical activity programs for older adults should be accompanied by continuous monitoring and evaluation of the effectiveness and reach in the community.

Gerontology

Health sciences

Public health

Izguttinov, Aniyar

Petrescu-Prahova, Miruna

Electronic name

p

[Thesis]

276903

a

Y