Evaluation of "Positive Motion" Dance Program for Older People and People with Disabilities in Atlanta, Georgia 公开
Takeuchi, Sho (Spring 2023)
Published
Abstract
Physical activity is beneficial for older adults, but those residing in Atlanta have not attained enough physical activity because of personal and social barriers. This study evaluated the impact of “Positive Motion,” a 10-week dance program based out of The Atlanta Dance Academy’s Foundation and included qualitative and quantitative methods to assess the program’s impact on to explore their motivation, facilitators, and barriers to physical activity and evaluate the program. Among the participants, 81.3% were female, and 68.8% were Black/African American. The participants had intrinsic and extrinsic motivations (introjected and identified regulation) for physical activity. The facilitators included social interaction with families and friends/neighbors, while the barriers were personal health conditions and social determinants of health, such as walkability, public transportation. The “Positive Motion” program had high satisfaction, but 50% of the participants dropped out of the program. The evaluation found that the program supports older people who are not very physically active. Older people in Atlanta experienced some social barriers to physical activity, such as neighborhood context, transportation, or inclement weather. The flexible and inclusive culture of the “Positive Motion” program helped the participants to be retained in the program, continue their physical activity, and improve their overall well-being. The program also stimulated their intrinsic and extrinsic motivation. Future program recruitment could be focused on older adults who are not very physically active. Social support for older adults in Atlanta needs to be offered. Future research should investigate participants who drop out of the program.
Table of Contents
Acronym.. 1
Chapter 1 Introduction. 2
Research questions. 4
Chapter 2 Literature Review.. 5
Older Americans in the United States. 5
PA and its guidelines. 6
Inactivity for Older Adults in the United States and Georgia. 7
Benefits of PA for Older Adults. 8
Barriers to PA. 9
Social Determinants of PA. 10
Theoretical Models to Explain PA and Create PA Interventions. 13
Interventions for PA among Older Adults. 16
Motivation for PA for older people. 17
Summary of Chapter 2. 19
Chapter 3 Methods. 20
Inclusion and Exclusion Criteria. 20
Research design and Intervention. 21
Procedures. 21
Measures. 22
Data Analysis. 24
Data Storage. 25
Chapter 4 Results. 26
Survey Results. 26
Demographics. 26
PA Level 27
Motivation for PA. 28
QoL. 29
Program Satisfaction. 30
Focus Group Results. 30
Theme 1: Facilitator for PA. 31
Intrinsic Motivation. 31
Family. 31
Friends/Neighbors. 32
MARTA Mobility Bus. 33
Theme 2: Barriers of PA. 33
Health Conditions. 34
COVID Pandemic. 34
Neighborhood context 35
Transportation in Atlanta. 35
Increment weather. 35
Theme 3: Program Evaluative Comments. 36
General Evaluation. 36
Socialization. 37
Diversity and Inclusion. 37
Program Flexibility. 38
Impact on Eating Habits. 38
Impact on Mental Health. 39
Summary of Chapter 4. 39
Chapter 5 Conclusions, Implications, and Recommendations. 41
Summary of key results. 41
Demographics and PA levels. 41
Baseline surveys and focus group findings: facilitators to PA. 42
Baseline surveys and focus group findings: barriers for PA. 45
After-program focus group findings. 47
Comparison between baseline survey and after-program survey. 48
Evaluation of the “Positive Motion” program.. 49
Strength and limitation. 50
Recommendations for the “Positive Motion” program.. 52
Recommendations for older people living in Atlanta. 53
Suggestions for future research. 54
Conclusions. 55
References. 56
Appendices. 77
Baseline survey. 77
Demographic Questions. 77
Physical Activity Questions. 80
MPAM-R. 82
EQ-5D-3L. 84
Interview guide for baseline focus group. 86
Interview guide for after-program focus group. 86
Codebook. 87
Figure 1 Statistics related to PA. 7
Figure 2 Type of Motivation based on Self-Determination Theory. 15
Table 1 Demographic of Positive Motion Participants (n=16) 27
Table 2 PA Level of Participants. 28
Table 3 MPAM-R. 29
Table 4 EQ-5D-3L. 29
Table 5 Thematic Analysis Results of Focus Group. 30
About this Master's Thesis
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