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Dr Andrew O'Regan

  1. 1. The development of ‘Move for Life’ (MFL): A peer mentoring intervention designed to help inactive older adults become more active Andrew O’ Regan1, Enrique García Bengoechea2 Liam Glynn1, Alan Donnelly2, Monica Casey1, Amanda Clifford3, Andrew Murphy4, Stephen Gallagher5, Paddy Gillespie4, Mary Harkin6, Phelim Macken7, John Sweeney7, Mo Foley-Walsh8, Geraldine Quinn9, Kwok Ng2, Nollaig O’Sullivan2, Garoid Balfry2, Chloe Forte2 and Catherine Woods2
  2. 2. Background • Overwhelming evidence supports physical activity (PA). (1,2,3) • Age is a negative determinant of PA. (4) • In Ireland, most adults do not meet PA guidelines.(5) • Complex interventions with behavioural change techniques can increase PA levels. (6) • Move for Life (MFL) aims to broaden the reach of the professional -the Local Sports Partnership (LSP) instructor - to the participants via peer mentor support.
  3. 3. Aims 1. To investigate previous PA programmes for the key factors in participant recruitment and retention and intervention scalability 2. To develop a behavioural change intervention – Move For Life
  4. 4. Methodology 1. Ethical approval from University of Limerick Education & Health Science REC 2. Interview script developed and piloted 3. Key informants purposively sampled 4. N = 22 interviews conducted and recorded 5. Data analysis– Inductive Thematic Analysis (7)
  5. 5. Results Messaging Multiple methods Timing Socialisation Group identity Volunteering Resourcing Training of instructors Training of peer- mentors Recruitment Scalability RetentionLocal Links Infra- structure Referral pathways Age-appropriate
  6. 6. Results • Behavioural skills • Social support • Group cohesion “It’s the group participation makes the most of it. You are having good fun, you are having good craic and you don’t actually realise that you are doing your exercises and then you are going out for your mile and you are improving your times but again it’s the healthy aspect from it that you feel good in yourself .” “He [instructor]understands that and he’s looking at everybody around and if he knows that you are after having an injury he’ll say you know how is the leg or how is.. just go easy on it tonight or …. He will communicate, he will make you enjoy it but at the same time he is ever so watchful.” Q. “Ok and anything keep you from coming?” A1 “No.” A2 “(laughter) Wild dogs wouldn’t keep him away.”
  7. 7. Conclusions • Trained instructors assisted by peer mentors, using a train the trainer (cascade) model. • 14 instructors and 10 peer mentors have been trained. • Ongoing process evaluation.
  8. 8. Thank You References: 1. Mammen G, Faulkner G. Physical activity and the prevention of depression: a systematic review of prospective studies. Am J Prev Med. 2013;45(5):649-57. 2. de Labra C, Guimaraes-Pinheiro C, Maseda A, Lorenzo T, Millán-Calenti JC. Effects of physical exercise interventions in frail older adults: a systematic review of randomized controlled trials. BMC Geriatr. 2015;15:154. 3. Warburton DER, Bredin SSD. Health benefits of physical activity: a systematic review of current systematic reviews. Curr Opin Cardiol. 2017;32(5):541-56. 4. Westerterp KR. Daily physical activity and ageing. Curr Opin Clin Nutr Metab Care. 2000;3(6):485- 88. 5. Department of Health (2016) Positive ageing 2016 Indicators report. http://health.gov.ie/wp- content/uploads/2016/11/Positive-Ageing-Report-Nov-2016.pdf. Accessed 16 Apr 2018. 6. Olanrewaju O, Kelly S, Cowan A, Brayne C, Lafortune L. Physical Activity in Community Dwelling Older People: A Systematic Review of Reviews of Interventions and Context. PLoS One. 2016;11(12):e0168614. 7. Braun v, and Clarke V. "Using thematic analysis in psychology." Qualitative research in psychology 3.2 (2006): 77-101. Acknowledgement: Funded as part of HaPAI: Health and Positive Aging Initiative. Healthy Ireland, the Health Services Executive and Atlantic Philanthropies.

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