Community Readiness for the Promotion of Physical Activity in Older Adults—A Cross-Sectional Comparison of Rural and Urban Communities

Datos Bibliográficos

ID15475838
AutoresDirk Gansefort (0000-0002-0281-9568, Leibniz Institute for Prevention Research and Epidemiology - BIPS, autor de correspondencia), Tyrone Brand (0000-0001-5140-7511, Leibniz Institute for Prevention Research and Epidemiology - BIPS), Tilman Brand (Leibniz Institute for Prevention Research and Epidemiology—BIPS, Achterstr. 30, 28359 Bremen, Germany), Christina Princk (0000-0001-9265-8480, Leibniz Institute for Prevention Research and Epidemiology - BIPS), Hajo Zeeb (0000-0001-7677-7797, University of Bremen)
Año2018
Volumen15
Número3
Páginas453-453
Fecha de publicación2018-03-06
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph15030453
PMID29509675
OpenAlexW2793422931
IdiomaEN
Citas recibidas9
Referencias citadas30

Communities can play an important role in delivering public health programs to older adults, but they differ in the provision of local structures and resources. The community readiness (CR) approach applies a stage model of change to the community level and analyzes structures and the degree of willingness to take action on a health issue. This study compared the CR regarding the promotion of physical activity as part of healthy ageing for older adults among urban and rural communities in North-West Germany. A cross-sectional CR assessment with key respondents in 23 municipalities (11 urban and 12 rural communities) was conducted using a semi-structured interview. Interviews were scored across the five CR dimensions and global CR score was calculated (scores between 1 = no awareness and 9 = professionalization). Wilcoxon rank-sum test and hierarchical regression models were used to compare urban and rural communities. In total, 118 interviews were conducted (response rate 69.8%). On average, the communities showed moderate CR scores (4.9 ± 0.3; Range: 4.3-5.4; preplanning or preparation phase). The global CR score was slightly higher in rural than in urban communities (regression coefficient = 0.29, 95% confidence interval (CI): -0.02-0.59). The rural communities showed significantly higher CR scores in the 'Knowledge of efforts' dimension (0.70, 95% CI: 0.26-1.14) and in the 'Knowledge of the issue' (0.37, 95% CI: 0.04-0.70). Rural communities display a slightly higher CR level than urban communities. In the next step, targeted capacity building activities will be initiated among communities with low CR levels

Confidence interval · Cross-sectional study · Environmental health · Geography · Health promotion · Multilevel model · Political science · Politics · Promotion (chess · Public health · Rural area · Socioeconomics · Sociology · Wilcoxon signed-rank test · Community Health and Development · Health disparities and outcomes · Health Policy Implementation Science · Medicine · Nursing · Psychology · Gerontology