Changing lifestyle for dementia risk reduction: Inductive content analysis of a national UK survey.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2020
2020
Historique:
received:
13
02
2020
accepted:
26
04
2020
entrez:
16
5
2020
pubmed:
16
5
2020
medline:
8
8
2020
Statut:
epublish
Résumé
To explore what motivates individuals to change their behaviour to reduce their risk of dementia. We conducted secondary qualitative analysis of a UK-based online survey on motivation to change lifestyle and health behaviour for dementia risk reduction. Participants were recruited through social media, the Join Dementia Research network and the National Institute for Health Research Portfolio. Free-text comments from people aged ≥50 years were analysed by two researchers independently using inductive content analysis. Inter-rater agreement was measured through Cohen's Kappa coefficient. Of the 3,948 participants completing the survey, 653 provided free text comments that were included in the analysis (Mean age = 64.1; SD = 8.3 years). The majority of the sample were women (n = 459; 70.3%), Caucasian (n = 625; 95.7%) and married/in partnership (n = 459; 70.3%). Three overarching themes were identified: (1) motivators to changing lifestyle; (2) barriers for lifestyle change; and, (3) quality of the information received. The inter-rater reliability of the coding was high (k = 0.7). Having a family history of dementia or feeling like they had a healthy lifestyle already were motivating factors for behaviour change. Having competing health priorities other than dementia and caring for someone acted as de-motivators as they reduced the time available to dedicate to one's own health. Evidence-based information around dementia prevention was a motivator, but commonly the information was not trusted. Aligned with the World Health Organisation (WHO) mandate on dementia prevention, community health campaigns targeting population awareness around behaviour change and dementia risk factor reduction are urgently needed. To be successful, such campaigns will need to be accompanied by individual approaches that can overcome age-related barriers and individual differences in motivation levels, personal barriers and trust in the information received.
Identifiants
pubmed: 32413085
doi: 10.1371/journal.pone.0233039
pii: PONE-D-20-04265
pmc: PMC7228104
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0233039Commentaires et corrections
Type : ErratumIn
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Eur J Ageing. 2012 Sep 22;9(4):275-284
pubmed: 28804427
Alzheimers Res Ther. 2016 Jul 30;8(1):23
pubmed: 27473681
Appetite. 2014 Nov;82:166-72
pubmed: 25058648
Ann Intern Med. 2018 Jan 2;168(1):39-51
pubmed: 29255847
Lancet. 2017 Dec 16;390(10113):2673-2734
pubmed: 28735855
Lancet Neurol. 2014 Aug;13(8):788-94
pubmed: 25030513
PLoS One. 2018 Apr 19;13(4):e0196085
pubmed: 29672559
Int J Geriatr Psychiatry. 2008 Apr;23(4):433-8
pubmed: 18265436
BMC Public Health. 2019 May 23;19(1):629
pubmed: 31122239
Int Psychogeriatr. 2012 Oct;24(10):1600-13
pubmed: 22591515
J Adv Nurs. 2008 Apr;62(1):107-15
pubmed: 18352969
J Pers. 2004 Dec;72(6):1395-424
pubmed: 15509287
Public Health Nutr. 2014 Dec;17(12):2641-9
pubmed: 24636343
Med Care. 2012 May;50(5):441-5
pubmed: 22193415
Arch Gerontol Geriatr. 2017 Jul;71:43-49
pubmed: 28279898
Ther Adv Chronic Dis. 2017 Aug;8(8-9):121-136
pubmed: 28815009
Psychogeriatrics. 2011 Jun;11(2):83-9
pubmed: 21707855
Behav Res Ther. 2000 Apr;38(4):319-45
pubmed: 10761279
Sociol Health Illn. 2014 Jul;36(6):885-901
pubmed: 24935028
Biometrics. 1977 Jun;33(2):363-74
pubmed: 884196
Comput Inform Nurs. 2013 Nov;31(11):547-53
pubmed: 23974574
BMC Public Health. 2014 Jun 28;14:661
pubmed: 24972448