Reframing Communication about Fall Prevention Programs to Increase Older Adults’ Intentions to Participate
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Participants and Recruitment
2.3. Study Procedure
2.4. Statistical Analysis
3. Results
3.1. Primary Analysis: Differences in Intention to Participate within the Next Six Months between the Standard Flyer and the Reframed Flyer
3.2. Secondary Analyses: Moderating Factors of the Effectiveness of Positive Communication on Influencing Intention to Participate
3.3. Qualitative Inductive Thematic Analysis
3.3.1. Theme 1: This Program Does Not Apply to Me
3.3.2. Theme 2: Being Physically Active Is Important
3.3.3. Theme 3: Organizational Aspects of the Program
3.3.4. Theme 4: Design of the Flyer
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Questionnaire | |
---|---|
Part I |
|
Part II, Part III |
|
Background Characteristic | Total Sample (n = 133) |
---|---|
Age, mean (SD) | 74.4 (± 5.8) |
Gender, female (%) | 66.2% |
Household composition (%)
| 30.8% 64.7% 1.5% 3.0% |
Educational level (%)
| 4.5% 18.8% 18.0% 46.6% 12.0% |
Self-perceived risk of falling, yes (%) | 15.3% |
Self-perceived general health, (%)
| 35.1% 59.5% 4.6% 0.8% |
Fall history past 12 months, yes (%) | 26.3% |
If yes, how many times did you fall, mean (SD) | 1.7 (±1.05) |
Difficulty with mobility, walking or balance, yes (%) | 22.0% |
High risk of falling *, yes (%) | 29.3% |
Participated in FPP before, yes (%) | 11.4% |
Attitudes To Aging Short Form
| 94.4% 96.0% 95.2% |
Standard Flyer | Reframed Flyer | |
---|---|---|
Subscale Attitude Toward the Ad (Affective) Scale (range 1–7), mean (SD)
| 4.15 (±1.740) 4.75 (±1.691) 3.85 (±1.691) | 4.31 (±1.569) 4.78 (±1.525) 4.12 (±1.472) |
Standard Flyer (A), Score Intention to Participate in the Next Six Months (Median, IQR; n *) | Reframed Flyer (B), Score Intention to Participate in the Next Six Months (Median, IQR; n) | p-Value | BH Adjusted p-Values | |
---|---|---|---|---|
Age
| 2 (1–4; n = 34) 2 (1–6, n = 26) 2 (1–2, n = 2) | 3.5 (1–4.75; n = 36) 5 (1–6.75; n = 24) 2 (1–7; n = 7) | 0.074 0.179 0.877 | 0.041 0.064 0.100 |
Gender
| 2 (1–4; n = 41) 2 (1–5; n = 21) | 4 (1.25–6; n = 44) 2 (1–5; n = 23) | 0.020 0.855 | 0.014 0.095 |
Self-perceived risk of falling
| 4 (2–6; n = 11) 2 (1–3.75; n = 48) | 5 (2.5–6.75; n = 8) 3.5 (1–6; n = 54) | 0.498 0.039 | 0.082 0.023 |
Self-perceived general health
| 1 (1–3; n = 25) 2 (1–4.75; n = 32) 4.5 (2.25–6.75; n = 4) 2 (2–2; n = 1) | 4 (1–6; n = 21) 4 (1–6; n = 42) 2 (2–2; n = 2) n/a | 0.066 0.150 0.140 | 0.036 0.059 0.050 |
Fall history in the past 12 months
| 2 (1–3.75; n = 16) 2 (1–5; n = 46) | 4 (1–6; n = 19) 4 (1–6; n = 48) | 0.181 0.099 | 0.068 0.045 |
High risk of falling
| 3 (1.5–6; n = 17) 2 (1–3.5;n = 45) | 4 (1–6; n = 21) 4 (1–6; n = 46) | 0.833 0.010 | 0.091 0.005 |
Participated in an FPP before
| 1 (1–5.5; n = 5) 2 (1–4; n = 57) | 4 (1–6.25; n = 10) 4 (1–6; n = 56) | 0.408 0.055 | 0.077 0.032 |
Attitudes to aging—Short Form
| 2 (1–4; n = 57) 4.5 (2.25–6.75; n = 4) 2 (1–4; n = 59) 1 (1–1; n = 3) 2 (1–4; n = 58) 4.5 (1.50–6.75; n = 4) | 4 (1–6; n = 58) 2 (1–2; n = 3) 4 (1–6; n = 59) 4 (1–4; n = 2) 4 (1–6; n = 59) 1 (1–1; n = 2) | 0.021 0.212 0.045 0.739 0.014 0.140 | 0.018 0.073 0.027 0.086 0.009 0.055 |
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van Scherpenseel, M.C.; van Veenendaal, L.J.; te Velde, S.J.; Volk, E.; Barten, D.-J.J.A.; Veenhof, C.; Emmelot-Vonk, M.H.; Ronteltap, A. Reframing Communication about Fall Prevention Programs to Increase Older Adults’ Intentions to Participate. Int. J. Environ. Res. Public Health 2024, 21, 704. https://doi.org/10.3390/ijerph21060704
van Scherpenseel MC, van Veenendaal LJ, te Velde SJ, Volk E, Barten D-JJA, Veenhof C, Emmelot-Vonk MH, Ronteltap A. Reframing Communication about Fall Prevention Programs to Increase Older Adults’ Intentions to Participate. International Journal of Environmental Research and Public Health. 2024; 21(6):704. https://doi.org/10.3390/ijerph21060704
Chicago/Turabian Stylevan Scherpenseel, Meike C., Lidia J. van Veenendaal, Saskia J. te Velde, Elise Volk, Di-Janne J. A. Barten, Cindy Veenhof, Marielle H. Emmelot-Vonk, and Amber Ronteltap. 2024. "Reframing Communication about Fall Prevention Programs to Increase Older Adults’ Intentions to Participate" International Journal of Environmental Research and Public Health 21, no. 6: 704. https://doi.org/10.3390/ijerph21060704