Skip to main content
Originalia

Benefits of, and Barriers to, Moderate Physical Activity Across Stages of Change in Older German Family Caregivers

Published Online:https://doi.org/10.1026/0943-8149/a000109

The objective of this cross-sectional study was to examine the benefits of, and barriers to, moderate physical activity across stages of change in a sample of 103 caregivers in Germany, aged 50 years and older (Mage = 63.95 years, SD = 9.39, age range 50 – 83 years, 82.5 % female). The exploratory factor analysis yielded a two-factor structure encompassing perceived benefits and barriers. While both perceived benefits and barriers were significantly related to stages of change with regard to levels of activity, perceived benefits showed a stronger positive relationship. Thus, interventions that promote moderate physical activity in older family caregivers should consider strategies that maximize the perceived advantages of activity rather than refuting the disadvantages.


Nutzen und Barrieren moderater körperlicher Aktivität über die Stadien der Verhaltensänderung bei älteren deutschen pflegenden Angehörigen

Ziel der vorliegenden Studie war es, den wahrgenommenen Nutzen und die Barrieren moderater körperlicher Aktivität über die Stadien der Verhaltensänderung bei 103 pflegenden Angehörigen ab 50 Jahren, in Deutschland lebend, zu analysieren (M = 63.95 Jahre, SD 9.39, Range: 50 – 83 Jahre, 82.5 % weiblich). Nutzen und Barrieren wurden jeweils mit einer faktorenanalytisch generierten Skala erfasst und waren mit den Stadien der Verhaltensänderung assoziiert, wobei der wahrgenommene Nutzen einen stärkeren Effekt hatte. Interventionen zur Förderung körperlicher Aktivität bei älteren pflegenden Angehörigen sollten eher Strategien zur Nutzenmaximierung in Betracht ziehen als die Widerlegung wahrgenommener Barrieren.

References

  • Blüher, S. , Dräger, D. , Budnick, A. , Seither, C. , & Kummer, K. (2011). Possibilities and limits in assessing health resources and risks of elderly family caregivers. Heilberufe Science, 4, 119 – 127. First citation in articleCrossrefGoogle Scholar

  • Bulley, C. , Donaghy, M. , Payne, A. , & Mutrie, N. (2007). A critical review of the validity of measuring stages of change in relation to exercise and moderate physical activity. Critical Public Health, 17, 17 – 30. First citation in articleCrossrefGoogle Scholar

  • Burbank, P. , Padula, C. , & Nigg, C. (2000). Changing health behaviors of older adults. Journal of Gerontological Nursing, 26, 26 – 33. First citation in articleCrossrefGoogle Scholar

  • Denkinger, M. D. , Nikolaus, T. , Denkinger, C. , & Lukas, A. (2012). Physical activity for the prevention of cognitive decline. Zeitschrift für Gerontologie und Geriatrie, 5, 11 – 16. First citation in articleCrossrefGoogle Scholar

  • Dräger, D. , Blüher, S. , Kummer, K. , & Budnick, A. (2013). Subjektive Barrieren der Nutzung von Gesundheitsförderung für pflegende Angehörige. [Subjective Obstacles to Use Submitted Offers]. Pflege & Gesellschaft, 1, 50 – 64. First citation in articleGoogle Scholar

  • Etkin, C. , Prochaska, T. , Connell, C. , Edelmann, P. , & Hughes, S. (2008). Antecedents of physical activity among family caregivers. Journal of Applied Gerontology, 27, 350 – 67. First citation in articleCrossrefGoogle Scholar

  • George, D. , & Mallery, P. (2001). SPSS for Windows step by step: A simple guide and reference (p. 242). Boston: Allyn & Bacon. First citation in articleGoogle Scholar

  • Nigg, C. R. , Burbank, P. M. , Padula, C. , Dufresne, R. , Rossi, J.S. , Wayne, F. V. et al. [Author: for 7 or fewer authors , please list all authors; for 8 or more, please list first 6 authors , insert ellipsis points then list the last author (see APA Publication Manual, 6th ed., pp. 184 & 198).], (1999). Stages of change across ten health risk behaviors for older adults. Gerontologist, 39, 473 – 482. First citation in articleCrossrefGoogle Scholar

  • Prochaska, J. O. (1994). Strong and weak principles for progressing from precontemplation to action on the basis of twelve problem behaviors. Health Psychology, 13, 47 – 51. First citation in articleCrossrefGoogle Scholar

  • Prochaska, J. O. , & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390 – 395. First citation in articleCrossrefGoogle Scholar

  • Prochaska, J. O. , & Velicer, W.F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 38 – 48. First citation in articleCrossrefGoogle Scholar

  • Renner, B. , & Schwarzer, R. (2005). Risk and health behaviors documentation of the scales of the research project: Risk appraisal consequences in Korea (RACK) (p. 23). International University Bremen & Freie Universität Berlin. Retrieved from http://www.gesundheitsrisiko.de/ First citation in articleGoogle Scholar

  • Rost, J. (2004). Lehrbuch Testtheorie–Testkonstruktion [Textbook Test Theory – Test Construction]. Bern: Huber. First citation in articleGoogle Scholar

  • Rütten, A. , Abu-Omar, K. , Lampert, T. , & Ziese, T. (2005). Körperliche Aktivität [Physical Activity]. Gesundheitsberichterstattung des Bundes [Federal Health Monitoring] (Vol. 26, p. 13). Berlin: RKI. First citation in articleGoogle Scholar

  • Schneekloth, U. (2005). Entwicklungstrends beim Hilfe- und Pflegebedarf in Privathaushalten–Ergebnisse der Infratest-Repräsentativerhebung [Development trends in care needs in private households–Results of the representative Infratest study]. In U. Schneekloth & H. W. Wahl, (Eds.), Möglichkeiten und Grenzen selbständiger Lebensführung in privaten Haushalten (MUG III) (pp. 55 – 98). München: TNS Infratest Sozialforschung. First citation in articleGoogle Scholar

  • Schumann, A. , Nigg, C. R. , Rossi, J. S. , Jordan, P. J. , Norman, G. J. , Garber, C. E. … Benisovich , S. V., (2002). Construct validity of the stages of change of exercise adoption for different intensities of physical activity in four samples of differing age groups. American Journal of Health Promotion, 16, 280 – 287. First citation in articleCrossrefGoogle Scholar

  • Schwarzer, R. (2007). Assessment tools in German. Retrieved from http://userpage.fu-berlin.de/~health/hapa_assessment. pdf. First citation in articleGoogle Scholar

  • Tung, W. C. , Gillett, P. A. , & Pattillo, R. E. (2005). Applying the transtheoretical model to physical activity in family caregivers in Taiwan. Public Health Nursing, 22, 299 – 310. First citation in articleCrossrefGoogle Scholar