A qualitative study assessing the barriers and facilitators to physical activity in adults with hearing loss

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2023-09-01 DOI:10.1111/bjhp.12689

Maria V. Goodwin, Eef Hogervorst, David W. Maidment

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Abstract

Objectives

Growing epidemiological evidence has shown hearing loss is associated with physical inactivity. Currently, there is a dearth in evidence investigating why this occurs. This study aimed to investigate the barriers and facilitators to physical activity in middle-aged and older adults with hearing loss.

Design

Individual semi-structured qualitative interviews.

Methods

A phenomenological approach was taken. Ten adults (≥40 years) were interviewed via videoconferencing. The interview schedule was underpinned by the capability, opportunity, motivation and behaviour (COM-B) model. Reflexive thematic analysis was used to generate themes, which were subsequently mapped onto the COM-B model and behaviour change wheel.

Results

Nine hearing loss specific themes were generated, which included the following barriers to physical activity: mental fatigue, interaction with the environment (acoustically challenging environments, difficulties with hearing aids when physically active) and social interactions (perceived stigma). Environmental modifications (digital capabilities of hearing aids), social support (hearing loss-only groups) and hearing loss self-efficacy were reported to facilitate physical activity.

Conclusions

Middle-aged and older adults with hearing loss experience hearing-specific barriers to physical activity, which has a deleterious impact on their overall health and well-being. Interventions and public health programmes need to be tailored to account for these additional barriers. Further research is necessary to test potential behaviour change techniques.

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一项定性研究，评估听力损失成年人参加体育活动的障碍和促进因素。

目的：越来越多的流行病学证据表明，听力损失与缺乏运动有关。目前，研究听力损失原因的证据还很缺乏。本研究旨在调查患有听力损失的中老年人进行体育锻炼的障碍和促进因素：设计：个人半结构式定性访谈：方法：采用现象学方法。十名成年人（≥40 岁）通过视频会议接受了访谈。访谈表以能力、机会、动机和行为（COM-B）模型为基础。采用反思性主题分析法生成主题，随后将这些主题映射到 COM-B 模型和行为改变轮上：结果：产生了九个听力损失特定主题，其中包括以下体育锻炼障碍：精神疲劳、与环境的互动（具有声学挑战性的环境、体育锻炼时使用助听器的困难）和社会互动（感觉到的耻辱）。据报告，环境改造（助听器的数字功能）、社会支持（听力损失团体）和听力损失自我效能有助于体育锻炼：结论：患有听力损失的中老年人在参加体育锻炼时会遇到听力方面的障碍，这对他们的整体健康和幸福产生了有害影响。干预措施和公共卫生计划需要量身定制，以考虑到这些额外的障碍。有必要开展进一步研究，以测试潜在的行为改变技术。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.