Understanding barriers and enablers to participation in a proposed online lifestyle intervention for older adults with age-related macular degeneration to guide programme implementation.
Richard KhaQingyun WenNicholas BenderCharlotte JonesBamini GopinathRona MacnivenDiana TangPublished in: Journal of health psychology (2023)
Age-related macular degeneration (AMD) is a blinding condition associated with depression, loneliness and unhealthy lifestyle behaviours which drives AMD progression. We have proposed the first online lifestyle intervention for AMD, called Movement, Interaction and Nutrition for Greater Lifestyles in the Elderly (MINGLE) to promote positive lifestyle changes and reduce loneliness. This qualitative grounded-theory study explored enablers and barriers to future participation in MINGLE for older adults with AMD. Thirty-one participants were interviewed and thematic analysis revealed nine themes. Enablers to participation were: socialising and learning about AMD, motivation to improve health, programme accessibility and structure. Barriers were: lack of time, technology, limited knowledge regarding holistic interventions, vision-related issues, mobility and negative perception of group interactions. These factors must be considered when developing lifestyle interventions for AMD patients to maximise participation. Supporting technology use and raising awareness about benefits of healthy lifestyle behaviours for AMD may help overcome these barriers.
Keyphrases
- age related macular degeneration
- physical activity
- metabolic syndrome
- healthcare
- weight loss
- randomized controlled trial
- cardiovascular disease
- end stage renal disease
- sleep quality
- health information
- social media
- public health
- primary care
- chronic kidney disease
- study protocol
- social support
- depressive symptoms
- type diabetes
- peritoneal dialysis
- patient reported outcomes
- current status
- climate change
- health promotion