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

Ashleigh Sushames · Terry Engelberg · Klaus Gebel

26 citations0/0 files storedInternational Journal for Equity in Health

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Indigenous Health, Education, and Rights Physical Activity and Health Indigenous Health and Education

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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1992Health Behavior and Health Education: Theory, Research, and Practice 1984The Health Belief Model: A Decade Later 2001Thematic networks: an analytic tool for qualitative research 2008Ecological models of health behavior.1999The health and welfare of Australia's Aboriginal and Torres Strait Islander peoples 1999 2003Process Evaluation for Public Health Interventions and Research 2007Indigenous Ways of Knowing: Implications for Participatory Research and Community 2011Steering Committee for the Review of Government Service Provision

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