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Stakeholder perspectives on transferability of a 12-week physical activity and sedentary behaviour intervention for ethnically diverse community dwelling older adults: a qualitative study

Naureen Akber Ali Meghani Orcid Logo, Joanne Hudson, Gareth Stratton, Jane Mullin

BMJ Open, Volume: 16, Issue: 4, Start page: e107380

Swansea University Authors: Joanne Hudson, Gareth Stratton

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DOI (Published version): 10.1136/bmjopen-2025-107380

Abstract

Introduction: Numbers of ethnically diverse older adults are increasing in the UK. These individuals often have complex health problems that are exacerbated by language barriers (ie, limited English proficiency), acculturation experiences and socio-economic level. Further, this diverse group is also...

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Published in: BMJ Open
ISSN: 2044-6055 2044-6055
Published: BMJ 2026
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URI: https://cronfa.swan.ac.uk/Record/cronfa71743
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These individuals often have complex health problems that are exacerbated by language barriers (ie, limited English proficiency), acculturation experiences and socio-economic level. Further, this diverse group is also the most sedentary and least active subgroup in the wider population which raises major health issues. A number of interventions have been implemented to improve older adults&#x2019; physical activity and decrease their sedentary behaviour. Nevertheless, there is a lack of research examining how stakeholders&#x2019; perspectives can inform the transferability of interventions into the real-world particularly for ethnically diverse older adults. Therefore, the purpose of the current study was to explore the perspectives of stakeholders regarding the transferability of a 12-week intervention that aims to increase activity and decrease sedentary behaviour among ethnically diverse sedentary older adults. Methods: A qualitative exploratory study employing reflexive thematic analysis was conducted using purposive sampling and in-depth interviews to recruit a diverse group of stakeholders representing varied professional roles, service delivery and organisational sectors related to older adults&#x2019; physical activity and well-being. The Population&#x2013;Intervention&#x2013;Environment&#x2013;Transfer Model of Transferability (PIET-T) model served as a theoretical and conceptual framework for assessing the transferability of health interventions. Prior to the interview, the researcher explained the intervention study that was assessed in a prior feasibility study. This helped us identify stakeholder perspectives about potential challenges and practical considerations for transferring the intervention within existing policy and service frameworks. The primary researcher (NAAM) transcribed data from recorded interviews. Using reflexive thematic analysis, themes were generated from the data set and were interpreted using the PIET-T model. Findings: The findings showed that different concepts of the PIET-T model influenced intervention transferability. The findings generated the following key themes: (1) User-centred and organisation supported programmes (Population), (2) intervention appropriateness and adaptations (Intervention), (3) organisational and system context (Environment) and (4) transferability and implementation factors (Transferability). Overall, the PIET-T model addresses key factors within each domain to facilitate the transferability of intervention. Conclusion: Exploring diverse stakeholder perspectives was crucial for facilitating transferability and ensuring readiness for real-world implementation. 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spelling 2026-04-30T14:56:07.2454367 v2 71743 2026-04-14 Stakeholder perspectives on transferability of a 12-week physical activity and sedentary behaviour intervention for ethnically diverse community dwelling older adults: a qualitative study 304341cf2cd1bdb99d7d6ccf0f030d99 Joanne Hudson Joanne Hudson true false 6d62b2ed126961bed81a94a2beba8a01 Gareth Stratton Gareth Stratton true false 2026-04-14 EAAS Introduction: Numbers of ethnically diverse older adults are increasing in the UK. These individuals often have complex health problems that are exacerbated by language barriers (ie, limited English proficiency), acculturation experiences and socio-economic level. Further, this diverse group is also the most sedentary and least active subgroup in the wider population which raises major health issues. A number of interventions have been implemented to improve older adults’ physical activity and decrease their sedentary behaviour. Nevertheless, there is a lack of research examining how stakeholders’ perspectives can inform the transferability of interventions into the real-world particularly for ethnically diverse older adults. Therefore, the purpose of the current study was to explore the perspectives of stakeholders regarding the transferability of a 12-week intervention that aims to increase activity and decrease sedentary behaviour among ethnically diverse sedentary older adults. Methods: A qualitative exploratory study employing reflexive thematic analysis was conducted using purposive sampling and in-depth interviews to recruit a diverse group of stakeholders representing varied professional roles, service delivery and organisational sectors related to older adults’ physical activity and well-being. The Population–Intervention–Environment–Transfer Model of Transferability (PIET-T) model served as a theoretical and conceptual framework for assessing the transferability of health interventions. Prior to the interview, the researcher explained the intervention study that was assessed in a prior feasibility study. This helped us identify stakeholder perspectives about potential challenges and practical considerations for transferring the intervention within existing policy and service frameworks. The primary researcher (NAAM) transcribed data from recorded interviews. Using reflexive thematic analysis, themes were generated from the data set and were interpreted using the PIET-T model. Findings: The findings showed that different concepts of the PIET-T model influenced intervention transferability. The findings generated the following key themes: (1) User-centred and organisation supported programmes (Population), (2) intervention appropriateness and adaptations (Intervention), (3) organisational and system context (Environment) and (4) transferability and implementation factors (Transferability). Overall, the PIET-T model addresses key factors within each domain to facilitate the transferability of intervention. Conclusion: Exploring diverse stakeholder perspectives was crucial for facilitating transferability and ensuring readiness for real-world implementation. Stakeholders suggested key modifications, including translated materials, adjusted duration, flexible digital delivery options and stronger collaboration with local organisations and healthcare systems to improve transferability among ethnically diverse older adults. Journal Article BMJ Open 16 4 e107380 BMJ 2044-6055 2044-6055 24 4 2026 2026-04-24 10.1136/bmjopen-2025-107380 COLLEGE NANME Engineering and Applied Sciences School COLLEGE CODE EAAS Swansea University SU Library paid the OA fee (TA Institutional Deal) Economic and Social Research Council (ES/P00069X/1) 2026-04-30T14:56:07.2454367 2026-04-14T15:38:52.2939674 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Naureen Akber Ali Meghani 0000-0001-5442-5598 1 Joanne Hudson 2 Gareth Stratton 3 Jane Mullin 4 71743__36651__5f7d678cc50649b1af4524c4b645ca72.pdf 71743.VoR.pdf 2026-04-30T14:52:53.9934994 Output 318535 application/pdf Version of Record true © Author(s) (or their employer(s)) 2026. 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 Stakeholder perspectives on transferability of a 12-week physical activity and sedentary behaviour intervention for ethnically diverse community dwelling older adults: a qualitative study
spellingShingle Stakeholder perspectives on transferability of a 12-week physical activity and sedentary behaviour intervention for ethnically diverse community dwelling older adults: a qualitative study
Joanne Hudson
Gareth Stratton
title_short Stakeholder perspectives on transferability of a 12-week physical activity and sedentary behaviour intervention for ethnically diverse community dwelling older adults: a qualitative study
title_full Stakeholder perspectives on transferability of a 12-week physical activity and sedentary behaviour intervention for ethnically diverse community dwelling older adults: a qualitative study
title_fullStr Stakeholder perspectives on transferability of a 12-week physical activity and sedentary behaviour intervention for ethnically diverse community dwelling older adults: a qualitative study
title_full_unstemmed Stakeholder perspectives on transferability of a 12-week physical activity and sedentary behaviour intervention for ethnically diverse community dwelling older adults: a qualitative study
title_sort Stakeholder perspectives on transferability of a 12-week physical activity and sedentary behaviour intervention for ethnically diverse community dwelling older adults: a qualitative study
author_id_str_mv 304341cf2cd1bdb99d7d6ccf0f030d99
6d62b2ed126961bed81a94a2beba8a01
author_id_fullname_str_mv 304341cf2cd1bdb99d7d6ccf0f030d99_***_Joanne Hudson
6d62b2ed126961bed81a94a2beba8a01_***_Gareth Stratton
author Joanne Hudson
Gareth Stratton
author2 Naureen Akber Ali Meghani
Joanne Hudson
Gareth Stratton
Jane Mullin
format Journal article
container_title BMJ Open
container_volume 16
container_issue 4
container_start_page e107380
publishDate 2026
institution Swansea University
issn 2044-6055
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doi_str_mv 10.1136/bmjopen-2025-107380
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
document_store_str 1
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description Introduction: Numbers of ethnically diverse older adults are increasing in the UK. These individuals often have complex health problems that are exacerbated by language barriers (ie, limited English proficiency), acculturation experiences and socio-economic level. Further, this diverse group is also the most sedentary and least active subgroup in the wider population which raises major health issues. A number of interventions have been implemented to improve older adults’ physical activity and decrease their sedentary behaviour. Nevertheless, there is a lack of research examining how stakeholders’ perspectives can inform the transferability of interventions into the real-world particularly for ethnically diverse older adults. Therefore, the purpose of the current study was to explore the perspectives of stakeholders regarding the transferability of a 12-week intervention that aims to increase activity and decrease sedentary behaviour among ethnically diverse sedentary older adults. Methods: A qualitative exploratory study employing reflexive thematic analysis was conducted using purposive sampling and in-depth interviews to recruit a diverse group of stakeholders representing varied professional roles, service delivery and organisational sectors related to older adults’ physical activity and well-being. The Population–Intervention–Environment–Transfer Model of Transferability (PIET-T) model served as a theoretical and conceptual framework for assessing the transferability of health interventions. Prior to the interview, the researcher explained the intervention study that was assessed in a prior feasibility study. This helped us identify stakeholder perspectives about potential challenges and practical considerations for transferring the intervention within existing policy and service frameworks. The primary researcher (NAAM) transcribed data from recorded interviews. Using reflexive thematic analysis, themes were generated from the data set and were interpreted using the PIET-T model. Findings: The findings showed that different concepts of the PIET-T model influenced intervention transferability. The findings generated the following key themes: (1) User-centred and organisation supported programmes (Population), (2) intervention appropriateness and adaptations (Intervention), (3) organisational and system context (Environment) and (4) transferability and implementation factors (Transferability). Overall, the PIET-T model addresses key factors within each domain to facilitate the transferability of intervention. Conclusion: Exploring diverse stakeholder perspectives was crucial for facilitating transferability and ensuring readiness for real-world implementation. Stakeholders suggested key modifications, including translated materials, adjusted duration, flexible digital delivery options and stronger collaboration with local organisations and healthcare systems to improve transferability among ethnically diverse older adults.
published_date 2026-04-24T07:03:25Z
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