Professional Documents
Culture Documents
Methods
Participants were recruited from the Helen M. Galvin Health and Fitness Center, Access Living of Metropolitan Chicago, and the UIC medical center. Eligibility criteria included: 1) lived in Chicago, 2) had difficulty walking a quarter mile without using assistive device (eg, cane, walker, or wheelchair) OR had difficulty climbing 10 stairs, and 3) spoke English. Participants took part in in-person interviews. Barriers were assessed using the Barriers to Physical Activity Questionnaire (BPAQ) which assessed barriers that were experienced within the past three months and barrier magnitude on a five point Likert scale. Participants also completed the Physical Activity and Disability Survey and a demographic data questionnaire. Interviews lasted approximately 30-45 minutes.
Analysis
Independent sample t-tests were performed to compare older and younger adults with mobility impairments (age 50, versus < 50) and the barriers they faced. To assess the relationship between barriers experienced and physical activity, hierarchal multiple regression analysis was performed.
Results
Comparison of Barriers to Physical Activity faced by Older and Younger Adults Mean Confidence Interval Personal (-0.370, 0.943) Younger 1.13 Older 0.847 Social (-0.309, 0.517) Younger 0.378 Older 0.274 Organizational (-0.461, 0.497) Younger 0.325 Older 0.307 Community (-0.676, 0.668) Younger 0.633 Older 0.637 Linear Regression Predicting Physical Activity Model 1 () -0.042 -0.301 0.240 0.067 0.185 0.140 P-value 0.381
0.610
0.941
0.990
Gen Pop Increasing Barriers Ethnic/racial minorities Older adults People with Disabilities
Demographics (n=36)
Age (years) Body Mass Index (Kg/m2) Gender Male Female Race African American or Black White Hispanic Multiracial Education Did not complete high school Completed high school Some college College graduate Employment status Employed for wages Student Retired Social Security or disability Income $10,000 > $10,000 Mobility aid use Cane Walker Wheelchair Other Mean 52.72 31.11 n 17 19 28 5 2 1 1 10 15 10 3 3 8 23 11 25 20 12 14 6 SD 13.85 7.23 % 47.2 52.8 77.8 13.9 5.56 2.74 2.8 27.8 41.7 27.8 8.3 8.3 22.2 63.9 30.6 69.4 55.6 33.3 38.9 16.7
Age BMI Female At least some college Wheelchair user Personal Social Organizational Community R2 change # = p < 0.10, *= p < 0.05
Model 2 () 0.132 -0.378 0.341* 0.048 0.367# 0.658* 0.297 -0.056 -0.689# 0.331
Conceptual Model
Health Condition
(BMI)
Activity
Participation
(Physical Activity)
Personal Barriers
Environmental Barriers
The International Classification of Functioning and Disability framework identifies the relationship between health condition(s) (obesity), participation in physical activity, and personal/environmental barriers. Understanding experienced barriers has the potential to develop interventions to increase physical activity.
This study is funded by the Midwest Roybal Center for Health Promotion and Translation.