Barriers and enablers to older Indigenous people engaging in physical activity - a qualitative systematic review.
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Date
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Affiliation(s)
(Gidgup) Faculty of Health Science, School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
(Kickett) Centre for Aboriginal Studies, Curtin University, Perth, WA, Australia
(Weselman) Faculty of Health Science, School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
(Hill) Rehabilitation Ageing and Independent Living (RAIL), Research Centre, School of Primary and Allied Health Care, Monash University, Melbourne, VIC, Australia
(Coombes) George Institute for Global Health, Sydney, NSW, Australia
(Ivers) School of Population Health, University of New South Wales, Sydney, NSW, Australia
(Bowser) South West Aboriginal Medical Service Aboriginal Corporation, Bunbury, WA, Australia
(Palacios) North Metropolitan Public Health Unit, WA North Metropolitan Health Service, Perth, WA, Australia
(Hill) Faculty of Health Science, School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
(Kickett) Centre for Aboriginal Studies, Curtin University, Perth, WA, Australia
(Weselman) Faculty of Health Science, School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
(Hill) Rehabilitation Ageing and Independent Living (RAIL), Research Centre, School of Primary and Allied Health Care, Monash University, Melbourne, VIC, Australia
(Coombes) George Institute for Global Health, Sydney, NSW, Australia
(Ivers) School of Population Health, University of New South Wales, Sydney, NSW, Australia
(Bowser) South West Aboriginal Medical Service Aboriginal Corporation, Bunbury, WA, Australia
(Palacios) North Metropolitan Public Health Unit, WA North Metropolitan Health Service, Perth, WA, Australia
(Hill) Faculty of Health Science, School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
Year
2022
Citation
Journal of Aging and Physical Activity. Vol.30(2), 2022, pp. 340-352.
Journal
Journal of Aging and Physical Activity
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Abstract
The objective of this qualitative systematic review was to synthesize all evidence to understand the barriers and enablers to older Indigenous peoples (aged 40 years and older) engaging in physical activity. Four databases were searched. Study quality was assessed from an Indigenous perspective, using an Aboriginal and Torres Strait Islander quality appraisal tool. Data were analyzed using thematic synthesis. There were 4,246 articles screened with 23 articles and one report included from over 30 Indigenous communities across four countries. Cultural Safety and Security was a key enabler, including developing physical activity programs which are led by Indigenous communities and preference Indigenous values. Colonization was a key barrier that created mistrust and uncertainty. Social Determinants of Health, including cost, were supported by successful programs, but if not addressed, were demotivators of engagement. Older Indigenous peoples identified barriers and enablers that can direct the development of sustainable, culturally appropriate physical activity programs. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
PubMed ID
34407505
Type
Article
Study type
Qualitative study
Systematic review and/or meta-analysis
Systematic review and/or meta-analysis
Subjects
Healthy ageing
Physical activity
Physical activity