Perceived barriers and enablers to participation in a community-tailored physical activity program with Indigenous Australians in a regional and rural setting: a qualitative study.

Sushames, A; Engelberg, T; Gebel, K

Perceived barriers and enablers to participation in a community-tailored physical activity program with Indigenous Australians in a regional and rural setting: a qualitative study.

Sushames, A Engelberg, T Gebel, K

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Publisher:: BIOMED CENTRAL LTD
Publication Type:: Journal Article
Citation:: Int J Equity Health, 2017, 16, (1), pp. 172
Issue Date:: 2017-09-18

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Field	Value	Language
dc.contributor.author	Sushames, A
dc.contributor.author	Engelberg, T
dc.contributor.author	Gebel, K https://orcid.org/0000-0003-0330-7756
dc.date.accessioned	2022-04-19T02:09:17Z
dc.date.available	2017-08-30
dc.date.available	2022-04-19T02:09:17Z
dc.date.issued	2017-09-18
dc.identifier.citation	Int J Equity Health, 2017, 16, (1), pp. 172
dc.identifier.issn	1475-9276
dc.identifier.issn	1475-9276
dc.identifier.uri	http://hdl.handle.net/10453/156407
dc.description.abstract	BACKGROUND: Aboriginal and Torres Strait Islander people have higher rates of chronic disease and a lower life expectancy than non-Indigenous Australians. In non-urban areas these health disparities are even larger. The aim of this qualitative study was to explore perceived barriers and enablers to attending an eight-week physical activity program in a rural and regional setting which aimed to improve health outcomes, but had a low attendance rate. METHODS: Thirty-four Indigenous Australians participated in the intervention from the rural (n = 12) and the regional (n = 22) community. Qualitative semi-structured individual interviews were conducted at the follow-up health assessments with 12 participants. A thematic network analysis was undertaken to examine the barriers and enablers to participation in the program. RESULTS: Overall, there were positive attitudes to, and high levels of motivation towards, the physical activity program. Enablers to participation were the inclusion of family members, no financial cost and a good relationship with the principal investigator, which was strengthened by the community-based participatory approach to the program design. Barriers to program attendance were mostly beyond the control of the individuals, such as 'sorry business', needing to travel away from the community and lack of community infrastructure. CONCLUSIONS: More consideration is needed prior to implementation of programs to understand how community-specific barriers and enablers will affect attendance to the program. TRIAL REGISTRATION: ACTRN12616000497404 . Registered 18 April 2016.
dc.format	Electronic
dc.language	eng
dc.publisher	BIOMED CENTRAL LTD
dc.relation.ispartof	Int J Equity Health
dc.relation.isbasedon	10.1186/s12939-017-0664-1
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1117 Public Health and Health Services, 1608 Sociology
dc.subject.classification	Public Health
dc.subject.mesh	Adult
dc.subject.mesh	Attitude to Health
dc.subject.mesh	Australia
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Community Health Services
dc.subject.mesh	Exercise
dc.subject.mesh	Female
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Motivation
dc.subject.mesh	Native Hawaiian or Other Pacific Islander
dc.subject.mesh	Program Evaluation
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Regional Medical Programs
dc.subject.mesh	Rural Health Services
dc.subject.mesh	Humans
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Exercise
dc.subject.mesh	Program Evaluation
dc.subject.mesh	Attitude to Health
dc.subject.mesh	Motivation
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Adult
dc.subject.mesh	Community Health Services
dc.subject.mesh	Rural Health Services
dc.subject.mesh	Regional Medical Programs
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Native Hawaiian or Other Pacific Islander
dc.title	Perceived barriers and enablers to participation in a community-tailored physical activity program with Indigenous Australians in a regional and rural setting: a qualitative study.
dc.type	Journal Article
utslib.citation.volume	16
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
utslib.for	1608 Sociology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	in_progress	*
dc.date.updated	2022-04-19T02:09:15Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	16
utslib.citation.issue	1

Abstract:

BACKGROUND: Aboriginal and Torres Strait Islander people have higher rates of chronic disease and a lower life expectancy than non-Indigenous Australians. In non-urban areas these health disparities are even larger. The aim of this qualitative study was to explore perceived barriers and enablers to attending an eight-week physical activity program in a rural and regional setting which aimed to improve health outcomes, but had a low attendance rate. METHODS: Thirty-four Indigenous Australians participated in the intervention from the rural (n = 12) and the regional (n = 22) community. Qualitative semi-structured individual interviews were conducted at the follow-up health assessments with 12 participants. A thematic network analysis was undertaken to examine the barriers and enablers to participation in the program. RESULTS: Overall, there were positive attitudes to, and high levels of motivation towards, the physical activity program. Enablers to participation were the inclusion of family members, no financial cost and a good relationship with the principal investigator, which was strengthened by the community-based participatory approach to the program design. Barriers to program attendance were mostly beyond the control of the individuals, such as 'sorry business', needing to travel away from the community and lack of community infrastructure. CONCLUSIONS: More consideration is needed prior to implementation of programs to understand how community-specific barriers and enablers will affect attendance to the program. TRIAL REGISTRATION: ACTRN12616000497404 . Registered 18 April 2016.

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http://hdl.handle.net/10453/156407