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Int. J. Environ. Res. Public Health 2018, 15(3), 453; https://doi.org/10.3390/ijerph15030453

Community Readiness for the Promotion of Physical Activity in Older Adults—A Cross-Sectional Comparison of Rural and Urban Communities

1
Leibniz Institute for Prevention Research and Epidemiology—BIPS, Achterstr. 30, 28359 Bremen, Germany
2
Research Focus Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany
*
Author to whom correspondence should be addressed.
Received: 5 February 2018 / Revised: 24 February 2018 / Accepted: 1 March 2018 / Published: 6 March 2018
(This article belongs to the Collection Aging and Public Health)
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Abstract

Communities can play an important role in delivering public health programs to older adults, but they differ in the provision of local structures and resources. The community readiness (CR) approach applies a stage model of change to the community level and analyzes structures and the degree of willingness to take action on a health issue. This study compared the CR regarding the promotion of physical activity as part of healthy ageing for older adults among urban and rural communities in North-West Germany. A cross-sectional CR assessment with key respondents in 23 municipalities (11 urban and 12 rural communities) was conducted using a semi-structured interview. Interviews were scored across the five CR dimensions and global CR score was calculated (scores between 1 = no awareness and 9 = professionalization). Wilcoxon rank-sum test and hierarchical regression models were used to compare urban and rural communities. In total, 118 interviews were conducted (response rate 69.8%). On average, the communities showed moderate CR scores (4.9 ± 0.3; Range: 4.3–5.4; preplanning or preparation phase). The global CR score was slightly higher in rural than in urban communities (regression coefficient = 0.29, 95% confidence interval (CI): −0.02–0.59). The rural communities showed significantly higher CR scores in the ‘Knowledge of efforts’ dimension (0.70, 95% CI: 0.26–1.14) and in the ‘Knowledge of the issue’ (0.37, 95% CI: 0.04–0.70). Rural communities display a slightly higher CR level than urban communities. In the next step, targeted capacity building activities will be initiated among communities with low CR levels. View Full-Text
Keywords: physical activity; older adults; community readiness; primary prevention; capacity building physical activity; older adults; community readiness; primary prevention; capacity building
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Gansefort, D.; Brand, T.; Princk, C.; Zeeb, H. Community Readiness for the Promotion of Physical Activity in Older Adults—A Cross-Sectional Comparison of Rural and Urban Communities. Int. J. Environ. Res. Public Health 2018, 15, 453.

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