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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE (Open Access)

Older adults’ experiences of a community wellness program (Connect 60+) that focused on physical activity and social connections: a qualitative exploratory study

Tammy Weselman https://orcid.org/0000-0002-5191-3374 A * , Chiara Naseri A B , Sharmila Vaz A , Janet Beilby C , Luke Garswood D , Hilary O’Connell E and Anne-Marie Hill A B
+ Author Affiliations
- Author Affiliations

A The University of Western Australian, School of Allied Health, Crawley, WA 6009, Australia.

B Western Australian Centre for Health and Ageing, University of Western Australia, Crawley, WA 6009, Australia.

C Curtin University, School of Allied Health, Bentley, WA 6102, Australia.

D Connect Victoria Park, Victoria Park, WA 6100, Australia.

E Independent Living Australia, Perth, WA 6000, Australia.

* Correspondence to: Tammy.Weselman@uwa.edu.au

Australian Journal of Primary Health 29(1) 64-73 https://doi.org/10.1071/PY22153
Submitted: 18 July 2022  Accepted: 6 October 2022  Published: 3 November 2022

© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Background

Being physically active and socially connected is positively associated with healthy aging. Older adults living in the community may be at risk of social isolation and reduced physical activity, especially in recent times due to COVID-19. There are many programs that offer opportunities for evidence-based physical activity or social connection; however, there is a lack of programs that include both. The objective of this study was to explore the lived experience of older adults who participated in Connect 60+ – a program that promoted exercise and social activities – delivered from a community hub that could be attended either in person or online.

Methods

A qualitative study that used descriptive phenomenology was conducted. A purposive sample of 13 older adults (age ≥65 years) was recruited to take part in semistructured telephone interviews to discuss barriers and enablers to program engagement. Data were analysed using thematic analysis.

Results

The overarching theme was that participating in Connect 60+ was an enjoyable and encouraging experience for participants. The program enabled them to increase their physical activity and build social connections within their community. The main themes that enabled engagement were: (1) an enabling program design, (2) developing new connections in the community, and (3) experiencing motivation to engage. A few barriers were identified, including difficulties connecting online and lack of male attendance.

Conclusions

Wellness programs delivered in community hubs may facilitate older adults to increase their engagement in both physical and social activity. The program appeared to impact positively on participants’ motivation, with some participants reporting that they had sustained their behaviour changes since program completion. To address identified barriers, easy to use online technology is recommended, and strategies to promote male attendance.

Keywords: community hubs, healthy aging, older adults, online, physical activity, qualitative, social connections, strength and balance.

References

Abbasi M, Khera S, Dabravolskaj J, Chevalier B, Parker K (2021) The seniors’ community hub: an integrated model of care for the identification and management of frailty in primary care. Geriatrics 6, 18.
| Crossref | Google Scholar |

Australian Bureau of Statistics (2020) ‘Use of information technology by people with disability, older people and primary carers.’ (Australian Bureau of Statistics: Canberra, ACT, Australia) Available at https://www.abs.gov.au/articles/use-information-technology-people-disability-older-people-and-primary-carers [Verified 8 July 2022]

Australian Government: Australian Institute of Health and Welfare (2021) Older Australians. Australian Institute of Health and Welfare, Canberra, ACT, Australia. Available at https://www.aihw.gov.au/reports/older-people/older-australia-at-a-glance/contents/summary [Verified 8 July 2022]

Bentlage E, Ammar A, How D, Ahmed M, Trabelsi K, Chtourou H, Brach M (2020) Practical recommendations for maintaining active lifestyle during the COVID-19 pandemic: a systematic literature review. International Journal of Environmental Research and Public Health 17, 6265.
| Crossref | Google Scholar |

Berg-Weger M, Morley JE (2020) Loneliness and social isolation in older adults during the COVID-19 pandemic: implications for gerontological social work. The Journal of Nutrition Health & Aging 24, 456-458.
| Crossref | Google Scholar |

Braun V, Clarke V (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77-101.
| Crossref | Google Scholar |

Braun V, Clarke V (2013) ‘Successful qualitative research: a practical guide for beginners.’ (Sage: Newbury Park, CA, USA)

Briggs AM, de Carvalho IA (2018) Actions required to implement integrated care for older people in the community using the World Health Organization’s ICOPE approach: a global Delphi consensus study. PLoS ONE 13, e0205533.
| Crossref | Google Scholar |

Brooke J, Jackson D (2020) Older people and COVID-19: isolation, risk and ageism. Journal of Clinical Nursing 29, 2044-2046.
| Crossref | Google Scholar |

Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, Carty C, Chaput J-P, Chastin S, Chou R, Dempsey PC, DiPietro L, Ekelund U, Firth J, Friedenreich CM, Garcia L, Gichu M, Jago R, Katzmarzyk PT, Lambert E, Leitzmann M, Milton K, Ortega FB, Ranasinghe C, Stamatakis E, Tiedemann A, Troiano RP, van der Ploeg HP, Wari V, Willumsen JF (2020) World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine 54, 1451-1462.
| Crossref | Google Scholar |

Carpenter C (2013) Phenomenology and rehabilitation research. In ‘Research methods in health: foundations for evidence-based practice’. 2nd edn. (Ed. P Liamputtong) pp. 198–218. (Oxford University Press: Oxford, UK)

Chen Y-RR, Schulz PJ (2016) The effect of information communication technology interventions on reducing social isolation in the elderly: a systematic review. Journal of Medical Internet Research 18, e18.
| Crossref | Google Scholar |

Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ, Skinner JS (2009) Exercise and physical activity for older adults. Medicine & Science in Sports & Exercise 41, 1510-1530.
| Crossref | Google Scholar |

Courtin E, Knapp M (2017) Social isolation, loneliness and health in old age: a scoping review. Health and Social Care in the Community 25, 799-812.
| Crossref | Google Scholar |

Creighton RM, Paradis KF, Blackburn NE, Tully MA (2022) Group-based physical activity interventions targeting enjoyment in older adults: a systematic review. Journal of Ageing and Longevity 2, 113-129.
| Crossref | Google Scholar |

Creswell J (2014) ‘Research design: qualitative, quantitative, and mixed methods approaches.’ 4th edn. (Sage: Newbury Park, CA, USA)

Creswell JW, Miller DL (2000) Determining validity in qualitative inquiry. Theory into Practice 39, 124-130.
| Crossref | Google Scholar |

Dacey M, Baltzell A, Zaichkowsky L (2008) Older adults’ intrinsic and extrinsic motivation toward physical activity. American Journal of Health Behavior 32, 570-582.
| Crossref | Google Scholar |

Diener E, Seligman MEP (2004) Beyond money: toward an economy of well-being. Psychological Science in the Public Interest 5, 1-31.
| Crossref | Google Scholar |

Doyle S (2007) Member checking with older women: a framework for negotiating meaning. Health Care for Women International 28, 888-908.
| Crossref | Google Scholar |

Gaertner B, Fuchs J, Möhler R, Meyer G, Scheidt-Nave C (2021) Older people at the beginning of the COVID-19 pandemic: a scoping review. Journal of Health Monitoring 6, 2-37.
| Crossref | Google Scholar |

Greenhalgh T, Papoutsi C (2019) Spreading and scaling up innovation and improvement. BMJ 365, l2068.
| Crossref | Google Scholar |

Hill A-M, Hoffman T, McPhail S, Beer C, Hill KD, Brauer SG, Haines TP (2011) Factors associated with older patients’ engagement in exercise after hospital discharge. Archives of Physical Medicine and Rehabilitation 92, 1395-1403.
| Crossref | Google Scholar |

Hodkinson HM (2012) Evaluation of a mental test score for assessment of mental impairment in the elderly. Age and Ageing 41, iii35-iii40.
| Crossref | Google Scholar |

Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D (2015) Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspectives on Psychological Science 10, 227-237.
| Crossref | Google Scholar |

International Council on Active Ageing (2001) ‘Seven dimensions of wellness.’ (International Council on Active Ageing: Vancouver, BC, Canada) Available at https://www.icaa.cc/activeagingandwellness/wellness.htm [Verified 8 July 2022]

Kwon SC, Tandon SD, Islam N, Riley L, Trinh-Shevrin C (2018) Applying a community-based participatory research framework to patient and family engagement in the development of patient-centered outcomes research and practice. Translational Behavioral Medicine 8, 683-691.
| Crossref | Google Scholar |

Liamputtong P (2013) The science of words and the science of numbers: research methods as foundations for evidence based practice in health. In ‘Research methods in health: foundations for evidence based practice’. 2nd edn. (Ed. P Liamputtong) pp. 198–218. (Oxford University Press: Oxford, UK)

Manis DR, Bielska IA, Cimek K, Costa AP (2022) Community-informed, integrated, and coordinated care through a community-level model: a narrative synthesis on community hubs. Healthcare Management Forum 35, 105-111.
| Crossref | Google Scholar |

Manz K, Mensink GBM, Jordan S, Schienkiewitz A, Krug S, Finger JD (2018) Predictors of physical activity among older adults in Germany: a nationwide cohort study. BMJ Open 8, e021940.
| Crossref | Google Scholar |

Markle-Reid M, Ploeg J, Fraser KD, Fisher KA, Bartholomew A, Griffith LE, Miklavcic J, Gafni A, Thabane L, Upshur R (2018) Community program improves quality of life and self-management in older adults with diabetes mellitus and comorbidity. Journal of the American Geriatrics Society 66, 263-273.
| Crossref | Google Scholar |

Matua GA, Van Der Wal DM (2015) Differentiating between descriptive and interpretive phenomenological research approaches. Nurse Researcher 22, 22-27.
| Crossref | Google Scholar |

Naseri C, McPhail SM, Haines TP, Morris ME, Shorr R, Etherton-Beer C, Netto J, Flicker L, Bulsara M, Lee D-CA, Francis-Coad J, Waldron N, Boudville A, Hill A-M (2020) Perspectives of older adults regarding barriers and enablers to engaging in fall prevention activities after hospital discharge. Health and Social Care in the Community 28, 1710-1722.
| Crossref | Google Scholar |

Naseri C, Beilby J, Vaz S, Xu D, Garswood L, O’Connell H, Hill A-M (2022) Connect 60+ a wellness program for older adults delivered online from a community hub. Progress in Community Health Partnerships [in press].
| Google Scholar |

National Academies of Sciences, Engineering, and Medicine (2020) ‘Social isolation and loneliness in older adults: opportunities for the health care system.’ (The National Academies Press: Washington, DC, USA)

Notthoff N, Reisch P, Gerstorf D (2017) Individual characteristics and physical activity in older adults: a systematic review. Gerontology 63, 443-459.
| Crossref | Google Scholar |

Nowell LS, Norris JM, White DE, Moules NJ (2017) Thematic analysis: striving to meet the trustworthiness criteria. International Journal of Qualitative Methods 16, 1609406917733847.
| Crossref | Google Scholar |

Palmer K, Marengoni A, Forjaz MJ, Jureviciene E, Laatikainen T, Mammarella F, Muth C, Navickas R, Prados-Torres A, Rijken M, Rothe U, Souchet L, Valderas J, Vontetsianos T, Zaletel J, Onder G (2018) Multimorbidity care model: recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS). Health Policy 122, 4-11.
| Crossref | Google Scholar |

Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, George SM, Olson RD (2018) The physical activity guidelines for Americans. Journal of the American Medical Association 320, 2020-2028.
| Crossref | Google Scholar |

Ramcharan P (2013) What is ethical research? In ‘Research methods in health: foundations for evidence based practice’. 2nd edn. (Ed. P Liamputtong) pp. 198–218. (Oxford University Press: Oxford, UK)

Reich AJ, Claunch KD, Verdeja MA, Dungan MT, Anderson S, Clayton CK, Goates MC, Thacker EL (2020) What does “Successful Ageing” mean to you? – systematic review and cross-cultural comparison of lay perspectives of older adults in 13 countries, 2010–2020. Journal of Cross-Cultural Gerontology 35, 455-478.
| Crossref | Google Scholar |

Robins LM, Hill KD, Finch CF, Clemson L, Haines T (2018) The association between physical activity and social isolation in community-dwelling older adults. Aging & Mental Health 22, 175-182.
| Crossref | Google Scholar |

Salman K, Turek JM, Donovan C (2021) Community health and wellness fair: a strategy for assessment of social determinants of health, inclusion and engagement of newcomers. Journal of Community Health 46, 527-537.
| Crossref | Google Scholar |

Santini ZI, Jose PE, York Cornwell E, Koyanagi A, Nielsen L, Hinrichsen C, Meilstrup C, Madsen KR, Koushede V (2020) Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. The Lancet Public health 5, e62-e70.
| Crossref | Google Scholar |

Schofield M, Forrester-Knauss C (2013) Surveys and questionnaires in health research. In ‘Research methods in health: foundations for evidence based practice’. 2nd edn. (Ed. P Liamputtong) pp. 198–218. (Oxford University Press: Oxford, UK)

Shankar A, McMunn A, Demakakos P, Hamer M, Steptoe A (2017) Social isolation and loneliness: prospective associations with functional status in older adults. Health Psychology 36, 179-187.
| Crossref | Google Scholar |

Sherrington C, Fairhall N, Wallbank G, Tiedemann A, Michaleff ZA, Howard K, Clemson L, Hopewell S, Lamb S (2020) Exercise for preventing falls in older people living in the community: an abridged Cochrane systematic review. British Journal of Sports Medicine 54, 885-891.
| Crossref | Google Scholar |

Shvedko A, Whittaker AC, Thompson JL, Greig CA (2018) Physical activity interventions for treatment of social isolation, loneliness or low social support in older adults: a systematic review and meta-analysis of randomised controlled trials. Psychology Sport and Exercise 34, 128-137.
| Crossref | Google Scholar |

Silvius HAM, Tak ECPM, Mook-Kanamori DO, Vos HMM, Numans ME, Chavannes NH (2020) Effects of technology use of ageing in place: the iZi pilots. International Journal of Environmental Research and Public Health 17, 5052.
| Crossref | Google Scholar |

Strout KA, David DJ, Dyer EJ, Gray RC, Robnett RH, Howard EP (2016) Behavioral interventions in six dimensions of wellness that protect the cognitive health of community-dwelling older adults: a systematic review. Journal of the American Geriatrics Society 64, 944-958.
| Crossref | Google Scholar |

Strout K, Ahmed F, Sporer K, Howard EP, Sassatelli E, Mcfadden K (2018) What are older adults wellness priorities? A qualitative analysis of priorities within multiple domains of wellness. Healthy Aging Research 7, e21.
| Crossref | Google Scholar |

Talley KMC, Cheung C, Mathiason MA, Schorr E, McMahon S, Wyman JF (2019) Aging adults’ preferences for wellness program activities and delivery characteristics: a cross-sectional survey. Topics in Geriatric Rehabilitation 35, 289-299.
| Crossref | Google Scholar |

Tuason MT, Güss CD, Boyd L (2021) Thriving during COVID-19: predictors of psychological well-being and ways of coping. PLoS ONE 16, e0248591.
| Crossref | Google Scholar |

Van As BAL, Imbimbo E, Franceschi A, Menesini E, Nocentini A (2022) The longitudinal association between loneliness and depressive symptoms in the elderly: a systematic review. International Psychogeriatrics 34, 657-669.
| Crossref | Google Scholar |

Ward M, Schulz AJ, Israel BA, Rice K, Martenies SE, Markarian E (2018) A conceptual framework for evaluating health equity promotion within community-based participatory research partnerships. Evaluation and Program Planning 70, 25-34.
| Crossref | Google Scholar |

World Health Organization (2015) World report on ageing and health. World Health Organization, Geneva, Switzerland. Available at https://apps.who.int/iris/handle/10665/186463 [Verified 8 July 2022]

Ylitalo KR, Cox W, Gutierrez M, Benavidez G, Umstattd Meyer MR, Niceler B, Griggs JO (2020) A prescription for wellness: exercise referrals at a federally qualified health center. Journal of Primary Care & Community Health 11, 1-9.
| Crossref | Google Scholar |

York Cornwell E, Waite LJ (2009) Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior 50, 31-48.
| Crossref | Google Scholar |