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Qualitative exploration of the acceptability of a 12-week intervention to reduce sedentary behaviour among ethnically diverse older adults

NAUREEN MEGHANI, Joanne Hudson Orcid Logo, Gareth Stratton Orcid Logo, Jane Mullins

BMJ Open, Volume: 15, Issue: 5, Start page: e090384

Swansea University Authors: NAUREEN MEGHANI, Joanne Hudson Orcid Logo, Gareth Stratton Orcid Logo, Jane Mullins

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Abstract

Objective The population of ethnically diverse older adults (OAs) is increasing in the UK; this group faces complex health challenges that are exacerbated by language difficulties, socioeconomic status and acculturation experiences. Moreover, this diverse group is the least active and sedentary subg...

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Published in: BMJ Open
ISSN: 2044-6055 2044-6055
Published: BMJ 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa69423
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Moreover, this diverse group is the least active and sedentary subgroup within the wider population, which raises a major concern for their health and highlights the need for effective behaviour change interventions to motivate this group to be less sedentary. Therefore, this study aims to explore the acceptability of a 12-week intervention to reduce sedentary behaviour (SB) for ethnically diverse sedentary OAs.Design The study employed a qualitative approach to assess the acceptability of the 12-week single-arm intervention for reducing SB.Setting The study participants were recruited on a rolling basis from January to May 2024. The recruitment process was conducted through social community organisations and local religious groups in Swansea that provided leisure, sports and recreational activities for ethnically diverse OAs.Participants The target population for this study was ethnically diverse OAs aged &#x2265;65 years (including women and men) among (n=20) OAs using in-depth interviews.Intervention The intervention consisted of a 40&#x2013;60 minute personalised one-to-one in-person health coaching session, a wearable activity tracker to remind participants to take breaks from prolonged sitting time, a pamphlet and weekly reminder messages via a mobile phone.Primary outcome To assess the acceptability of the intervention.Results Reflexive thematic analysis was performed using a deductive approach by integrating four predetermined MRC framework themes. Four overarching themes were included in our analysis: (1) acceptability, (2) usability, (3) functionality and (4) recruitment and retention. OAs were satisfied with the intervention and found it effective and acceptable. The multicomponent intervention provided users with strategies to achieve the goal of reducing their sitting time and provided them with opportunities to be active and independent. In addition, there were personal (eg, health) and social (eg, family) factors that influenced their decision to participate in the intervention.Conclusion The findings of this study support the acceptability of the intervention with an ethnically diverse group of OAs. Initial evidence also suggests that the intervention has the potential to increase activity and minimise sitting time in ethnically diverse OAs and therefore will inform a future effectiveness trial. The inclusion of an ethnically diverse population in this study has helped us to understand the needs and challenges of these groups to identify how to design culturally sensitive interventions that are tailored according to their needs. 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spelling 2025-06-02T13:00:24.3999038 v2 69423 2025-05-06 Qualitative exploration of the acceptability of a 12-week intervention to reduce sedentary behaviour among ethnically diverse older adults 9363b01457e98022545c419a7a2599d0 NAUREEN MEGHANI NAUREEN MEGHANI true false 304341cf2cd1bdb99d7d6ccf0f030d99 0000-0003-4732-8356 Joanne Hudson Joanne Hudson true false 6d62b2ed126961bed81a94a2beba8a01 0000-0001-5618-0803 Gareth Stratton Gareth Stratton true false 8cf6ea7df3c765aab153019617f3e0ad Jane Mullins Jane Mullins true false 2025-05-06 Objective The population of ethnically diverse older adults (OAs) is increasing in the UK; this group faces complex health challenges that are exacerbated by language difficulties, socioeconomic status and acculturation experiences. Moreover, this diverse group is the least active and sedentary subgroup within the wider population, which raises a major concern for their health and highlights the need for effective behaviour change interventions to motivate this group to be less sedentary. Therefore, this study aims to explore the acceptability of a 12-week intervention to reduce sedentary behaviour (SB) for ethnically diverse sedentary OAs.Design The study employed a qualitative approach to assess the acceptability of the 12-week single-arm intervention for reducing SB.Setting The study participants were recruited on a rolling basis from January to May 2024. The recruitment process was conducted through social community organisations and local religious groups in Swansea that provided leisure, sports and recreational activities for ethnically diverse OAs.Participants The target population for this study was ethnically diverse OAs aged ≥65 years (including women and men) among (n=20) OAs using in-depth interviews.Intervention The intervention consisted of a 40–60 minute personalised one-to-one in-person health coaching session, a wearable activity tracker to remind participants to take breaks from prolonged sitting time, a pamphlet and weekly reminder messages via a mobile phone.Primary outcome To assess the acceptability of the intervention.Results Reflexive thematic analysis was performed using a deductive approach by integrating four predetermined MRC framework themes. Four overarching themes were included in our analysis: (1) acceptability, (2) usability, (3) functionality and (4) recruitment and retention. OAs were satisfied with the intervention and found it effective and acceptable. The multicomponent intervention provided users with strategies to achieve the goal of reducing their sitting time and provided them with opportunities to be active and independent. In addition, there were personal (eg, health) and social (eg, family) factors that influenced their decision to participate in the intervention.Conclusion The findings of this study support the acceptability of the intervention with an ethnically diverse group of OAs. Initial evidence also suggests that the intervention has the potential to increase activity and minimise sitting time in ethnically diverse OAs and therefore will inform a future effectiveness trial. The inclusion of an ethnically diverse population in this study has helped us to understand the needs and challenges of these groups to identify how to design culturally sensitive interventions that are tailored according to their needs. These insights will be incorporated into the planned effectiveness trial. Journal Article BMJ Open 15 5 e090384 BMJ 2044-6055 2044-6055 19 5 2025 2025-05-19 10.1136/bmjopen-2024-090384 COLLEGE NANME COLLEGE CODE Swansea University SU Library paid the OA fee (TA Institutional Deal) Economic and Social Research Council - ES/P00069X/1 2025-06-02T13:00:24.3999038 2025-05-06T09:59:40.1620260 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences NAUREEN MEGHANI 1 Joanne Hudson 0000-0003-4732-8356 2 Gareth Stratton 0000-0001-5618-0803 3 Jane Mullins 4 69423__34376__d9767f18a0894335b472145f5bb58ec9.pdf 69423.VoR.pdf 2025-06-02T12:56:28.0523604 Output 441524 application/pdf Version of Record true © Author(s) (or their employer(s)) 2025. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license. true eng https://creativecommons.org/licenses/by/4.0/
title Qualitative exploration of the acceptability of a 12-week intervention to reduce sedentary behaviour among ethnically diverse older adults
spellingShingle Qualitative exploration of the acceptability of a 12-week intervention to reduce sedentary behaviour among ethnically diverse older adults
NAUREEN MEGHANI
Joanne Hudson
Gareth Stratton
Jane Mullins
title_short Qualitative exploration of the acceptability of a 12-week intervention to reduce sedentary behaviour among ethnically diverse older adults
title_full Qualitative exploration of the acceptability of a 12-week intervention to reduce sedentary behaviour among ethnically diverse older adults
title_fullStr Qualitative exploration of the acceptability of a 12-week intervention to reduce sedentary behaviour among ethnically diverse older adults
title_full_unstemmed Qualitative exploration of the acceptability of a 12-week intervention to reduce sedentary behaviour among ethnically diverse older adults
title_sort Qualitative exploration of the acceptability of a 12-week intervention to reduce sedentary behaviour among ethnically diverse older adults
author_id_str_mv 9363b01457e98022545c419a7a2599d0
304341cf2cd1bdb99d7d6ccf0f030d99
6d62b2ed126961bed81a94a2beba8a01
8cf6ea7df3c765aab153019617f3e0ad
author_id_fullname_str_mv 9363b01457e98022545c419a7a2599d0_***_NAUREEN MEGHANI
304341cf2cd1bdb99d7d6ccf0f030d99_***_Joanne Hudson
6d62b2ed126961bed81a94a2beba8a01_***_Gareth Stratton
8cf6ea7df3c765aab153019617f3e0ad_***_Jane Mullins
author NAUREEN MEGHANI
Joanne Hudson
Gareth Stratton
Jane Mullins
author2 NAUREEN MEGHANI
Joanne Hudson
Gareth Stratton
Jane Mullins
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container_title BMJ Open
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container_issue 5
container_start_page e090384
publishDate 2025
institution Swansea University
issn 2044-6055
2044-6055
doi_str_mv 10.1136/bmjopen-2024-090384
publisher BMJ
college_str Faculty of Science and Engineering
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hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
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description Objective The population of ethnically diverse older adults (OAs) is increasing in the UK; this group faces complex health challenges that are exacerbated by language difficulties, socioeconomic status and acculturation experiences. Moreover, this diverse group is the least active and sedentary subgroup within the wider population, which raises a major concern for their health and highlights the need for effective behaviour change interventions to motivate this group to be less sedentary. Therefore, this study aims to explore the acceptability of a 12-week intervention to reduce sedentary behaviour (SB) for ethnically diverse sedentary OAs.Design The study employed a qualitative approach to assess the acceptability of the 12-week single-arm intervention for reducing SB.Setting The study participants were recruited on a rolling basis from January to May 2024. The recruitment process was conducted through social community organisations and local religious groups in Swansea that provided leisure, sports and recreational activities for ethnically diverse OAs.Participants The target population for this study was ethnically diverse OAs aged ≥65 years (including women and men) among (n=20) OAs using in-depth interviews.Intervention The intervention consisted of a 40–60 minute personalised one-to-one in-person health coaching session, a wearable activity tracker to remind participants to take breaks from prolonged sitting time, a pamphlet and weekly reminder messages via a mobile phone.Primary outcome To assess the acceptability of the intervention.Results Reflexive thematic analysis was performed using a deductive approach by integrating four predetermined MRC framework themes. Four overarching themes were included in our analysis: (1) acceptability, (2) usability, (3) functionality and (4) recruitment and retention. OAs were satisfied with the intervention and found it effective and acceptable. The multicomponent intervention provided users with strategies to achieve the goal of reducing their sitting time and provided them with opportunities to be active and independent. In addition, there were personal (eg, health) and social (eg, family) factors that influenced their decision to participate in the intervention.Conclusion The findings of this study support the acceptability of the intervention with an ethnically diverse group of OAs. Initial evidence also suggests that the intervention has the potential to increase activity and minimise sitting time in ethnically diverse OAs and therefore will inform a future effectiveness trial. The inclusion of an ethnically diverse population in this study has helped us to understand the needs and challenges of these groups to identify how to design culturally sensitive interventions that are tailored according to their needs. These insights will be incorporated into the planned effectiveness trial.
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