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Motivation, community, and resilience in older adults exercise: a three-year qualitative follow-up to the BELL trial

Meigh, N. J.; Davidson, A. R.; Thomson, O. P.; Keogh, J. W. L.; Hing, W.; Schram, B.; Mickan, S.

2024-12-16 public and global health
10.1101/2024.12.15.24319060 medRxiv
Show abstract

This qualitative study explores the long-term impact of the BELL trials weekly group kettlebell training on older adults engagement, community building, and intrinsic motivation. Three years post-trial, participants from the Wednesday Friends group were interviewed to understand how social bonds, shared leadership, adaptability, and health benefits contributed to their sustained participation. Applying the COM-B model and the four Cs model of thematic analysis, findings reveal that social support, resilience, and self-efficacy were central to continued engagement, underscoring key motivators for older adults adherence to group-based exercise. These insights offer healthcare providers data-driven strategies to foster long-term engagement in community exercise programs for older adults.

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