Perceived barriers, facilitators and patterns of physical activity of older-old adults living in assisted retirement accommodation : a qualitative and quantitative pilot research

Objective: To measure physical activity and identify perceived barriers and facilitators of physical activity for people aged >80 years in assisted living (AL). Methods: Focus groups and physical activity measures were conducted n=20 (AL) and n=20 independently living (IL). Physical activity (step counts, light and moderate to vigorous activity) was measured by SenseWear Armbands. Results: Thematic analysis identified barrier and facilitator themes. IL participants had significantly greater step counts and spent significantly more time in light intensity physical activity than AL participants. Conclusions: Health concerns, fear of injury and motivation were important barriers. Barriers unique to AL were perceived difficulty of physical activity and old age. Social and physical environments were key facilitators of physical activity. Social support was important for both genders. More staff involvement was a key facilitator of physical activity in AL participants. Suggestions for improving physical activity for older people living in assisted care are identified.