Exploring barriers and facilitators of behavioural changes in dietary intake and physical activity

a qualitative study in older adults undergoing transcatheter aortic valve implantation

Article

The majority of older patients, scheduled for a cardiac procedure, do not adhere to international dietary intake and physical activity guidelines. The purpose of this study was to explore barriers and facilitators regarding dietary intake and physical activity behaviour change in older patients undergoing transcatheter aortic valve implantation (TAVI). Methods: we conducted a qualitative study using semi-structured interviews with patients undergoing TAVI. Interviews were analysed by two independent researchers using thematic analysis, the capability, opportunity and motivation behaviour model was used as a framework. The study included 13 patients (82 ± 6 years old, 6 females) until data saturation was reached. Six themes were identified, which were all applicable to both dietary intake and physical activity. Three following themes were identified as barriers: (1) low physical capability, (2) healthy dietary intake and physical activity are not a priority at an older age and (3) ingrained habits and preferences. Three following themes were identified as facilitators: (1) knowledge that dietary intake and physical activity are important for maintaining health, (2) norms set by family, friends and caregivers and (3) support from the social environment. Our study found that older patients had mixed feelings about changing their behaviour. The majority initially stated that dietary intake and physical activity were not a priority at older age. However, with knowledge that behaviour could improve health, patients also stated willingness to change, leading to a state of ambivalence. Healthcare professionals may consider motivational interviewing techniques to address this ambivalence.

Reference van Erck, D., Dolman, C. D., Henriques, J. P., Schoufour, J. D., Delewi, R., Scholte op Reimer, W. J. M., & Snaterse, M. (2023). Exploring barriers and facilitators of behavioural changes in dietary intake and physical activity: a qualitative study in older adults undergoing transcatheter aortic valve implantation. European Geriatric Medicine, 14(3), 503-510. https://doi.org/10.1007/s41999-023-00774-1
Published by  Urban Vitality 1 June 2023

Publication date

Jun 2023

Author(s)

Dennis van Erck
Christine D. Dolman
José P. Henriques
Ronak Delewi
Wilma J. M. Scholte op Reimer
Marjolein Snaterse

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